The Diabetic Foot
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Transcript The Diabetic Foot
Beyond 20,000 Days Campaign
Feet For Life
Viliami Tutone, Catherine Tracy, Roger Grech, Shannon & Gina Wetere, Sally
Fox, Pauline Sanders-Telfer, Rowena Scofield, Fakaola Otuafi, Jubedah Shah,
Frances Reid, Babu Ramalingam, Lawrence Kingi,
Anthony Ng, Penny Wilkings, Ian Hutchby, Jacqueline Schmidt-Busby
Podiatrist led wound care team
Renal Physician and nurse
Diabetiologist and nurse
Vascular surgeon
Orthopaedic surgeon
Radiologist
Plaster nurse
District nurse
43 year old male patient on dialysis
Type two diabetic with a 10 year duration
Hypertension - dyslipidaemia
Dense Peripheral Neuropathy
History of Foot ulceration
Right foot Cellulitis and Right toe gangrene
Multiple cutaneous infections
Chronic Osteomyelitis – septic arthritis
Recurrent foot trauma
Plastic surgical debridement
Vascular surgical debridement
Orthopaedic surgical debridement
IV therapy maximum of 6 weeks
18 outpatient clinics June 2011 to Oct 2013
50% DNA
Total 28 days admission between 2011 and 2013
Admission Cost per day $850
Total Cost $23,800
Average 2-6 week referral process for
Diabetes Foot clinic
Diabetic patients only with active wounds
Multiple appointments
Clashed with dialysis or unwell
Transport - family support & around work
Unaware of Primary Podiatry Care
577 renal patients
Immediate access to a podiatrist
ALL renal patients have access
Reduced outpatient appointments
Care that fits in with patients
Knowledge of Primary Podiatry Care
Extensive foot care education provided