Proposed Topic (Most preferred): :
Clinical Safety and Quality Service I (Projects aiming to improve efficiency and effectiveness of care delivery to meet international standards)
Authors (including presenting author) :
HO MW, CHAN KL, CHEUNG SSS, LAI WH, LAM WY, LUI YT, TANG WYW, CHENG YCA, LAI SWV, MOK WY
Affiliation :
Department of Orthopaedics & Traumatology, Pamela Youde Nethersole Eastern Hospital
Introduction :
Diabetic foot ulcers (DFUs) are a significant and challenging complication of diabetes, often leading to severe consequences such as infections, amputations, and reduced quality of life. However, with a comprehensive approach to care, we can significantly reduce the risk of amputation and improve the outcomes for individuals with DFUs.
Objectives :
(1) To early detect the risk factors of DFUs
(2) To provide appropriate education and empower clients on DM foot care for prevention of DFU
(3) To provide effective wound management for preventing of infection and promoting wound healing
(4) To minimize hospitalization and readmissions
Methodology :
(1) Perform a proper diabetic foot initial assessment for patient with DFU
(2) Provide intensive wound care for Wagner grade 2-4 DFUs and DM foot care education
(3) Refer appropriate healthcare professionals if any abnormality(es) was/were identified
(4) Fast track referral system with diabetic mellitus (DM) nurse and vascular nurse for patient with critical limb ischemia
Result & Outcome :
From 2018 to 2022, total 274 DFU cases were admitted in Orthopaedics & Tramatology (O&T), PYNEH. DM foot initial assessment of 246 cases were performed by O&T nurse while 28 cases with regular foot assessment by DM nurses. 222 DFUs varied from Wagner grade 2-4 were recruited. Most of the cases were managed at Nurse Clinic after discharge and by setting the end-point of care as 1 year. 89.6% (n=199) of the affected limbs were salvaged while 10.4% (n=23) were amputated.
