ABOUT THIS BOOK
- A practical handbook based on care pathways, with algorithms for each section
- Each chapter is based on five key points and will include a brief introduction, a key facts section, clinical issues and clinical management section
- Highly illustrated, with supplementary material on Springer Extras
- Further reading section at the end of each chapter
Public and political concern about the increasing prevalence of diabetes has
prompted major concern about treatment of patients with the condition. Foot
complications are some of the commonest causes of hospitalisation of people
with diabetes and if not treated well often lead to amputation. There is evidence
that 85% of these amputations can be prevented by better understanding of the
problem and by multi-disciplinary teams working more effectively together. This
has been recognised and NICE have recently published guidelines on diabetic
foot complications as have Diabetes UK and NHS Diabetes. These have been successful
in raising awareness of the problem but the local multi-disciplinary teams need
clear practical advice on how to manage the foot in diabetes and deliver high
quality care. With the current interest in improving outcomes for patients with
foot complications this is an ideal time to make a practical evidence-based
handbook available. This book will provide clear practical guidelines on how
to manage all aspects of the foot in diabetes as well as an in-depth analysis
of the most recent evidence. The book will be based on care pathways with algorithms
for each section so it would be of practical value in any clinic in primary
or secondary care. It will appeal to a wide range of health care professionals
treating people with diabetes: vascular surgeons and trainees, orthopaedic surgeons,
diabetes specialist nurses, podiatrists and tissue viability nurses.
Content Level » Professional/practitioner
Keywords » Diabetes - Foot - Podiatry
Related subjects » Internal Medicine - Surgery
TABLE OF CONTENTS
1. Epidemiology - Numbers, outcomes, change in demographics, cost.- 2. Pathophysiology of foot in diabetes – Neuropathy, effects on circulation, infections.- 3. Underlying causes of foot complications of diabetes.- 4. Infection and antibiotics.- 5. Early recognition of the foot at risk and prevention.- 6. Foot wear, orthotics and prosthetics.- 7. Diabetic Foot Protection Teams: the role of multidisciplinary team.- 8. Treatment of foot complications both in the community and secondary care.- 9. Principles of Emergency treatment.- 10. Management of arterial disease and re-vascularisation in diabetes.- 11. Management of neuropathy and Charcots neuroarthropathy.- 12. Wound treatment.- 13. The role of foot surgery.- 14. Amputation - when and how.- 15. Rehabilitation and treatment to avoid further problems.
AUTHORS & EDITORS
Professor Cliff Shearman is Professor of Vascular Surgery at University of Southampton and Associate Medical Director for R&D in Southampton University Hospitals NHS Trust, UK. He is also Head of Wessex School of Surgery and President of the Vascular Society of Great Britain and Ireland. He has a research and clinical interest in diabetic vascular disease and its complications and heads a multidisciplinary diabetic foot care team.
Professor William Jeffcoate is Consultant Endocrinologist at Nottingham University Hospitals NHS trust. He first established a specialist foot service in Nottingham in 1982 and co-founded the Foot Ulcer Trials Unit in 2002. His main research interest lies in collating evidence to underpin protocols for the clinical care of foot disease. He was Contributing Editor to The Lancet from 1997 to 2007 and is currently an Associate Editor for Diabetologia.