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Diabetic Foot Care Study

Diabetic Foot Care
Nurse practitioners prevent foot ulceration, ischemia, deformity, and forming
ulcers by implementing appropriate treatment and educating the patient on
proper foot care. However, foot related problems in diabetic patients are on
the rise and many inpatient units do not have proper education programs to
teach these patients how to prevent and manage diabetic foot
complications at home. Using evidence-based education and interventions,
the inpatient nurse practitioner can prepare patients, caretakers, and family
members for discharge home with an increased awareness of their condition
and skills to manage their care at home.
Examine the prevalence of diabetic foot complications and the
impact on the patients across the nation.
Understand the pathogenesis of diabetic foot ulcerations (DFU’s).
Describe the Comprehensive Diabetic Foot Exam (CDFE) to identify
at risk feet.
Examine standards of care regarding diabetic foot care.
Investigate preventative strategies to reduce the risk of diabetic foot
ulcerations and amputations.
Empower Nurse Practitioners and other providers who treat diabetic
patients to collaborate to reduce diabetic foot complications and
United States: 34.2 Million
People, or 10.5% of the U.S.
Georgia: More than 1 in 10
people (Or more than 1
million people)
Augusta, Georgia:
Approximately 18% of the
population has Diabetes.
Georgia Department of Community Health. (2015). Georgia Diabetes Report and Action Plan.
Diabetic Foot Statistics
Foot ulcers develop in 9.1-26.1 million people every year worldwide.
The lifetime incidence of foot ulcers in diabetic patients is 19-34%.
More than 50% of DFU’s become infected and 20% with moderate
to severe infection result in amputation.
Nearly 85% of diabetes-related amputations are caused by an
In Georgia, the death rate for diabetes is 8% higher than the
national average.
What does the
Article I
This report describes the role of the Nurse Practitioner in providing
diabetic foot care management in both primary care and specialty
care teams.
 Pathophysiology of diabetic foot ulcers is reviewed, screening tools are
recommended, and interventions are described.
 Barriers to care for patients of nurse practitioners are reviewed.
 Many foot and ankle complications in diabetic patients are
preventable and nurse practitioners should be able to obtain
appropriate interventions for their patients since they are managing
their disease, providing their education, and helping them to navigate
the health care system.
Woody, J. (2020). Overview of diabetic foot care for the Nurse Practitioner.
The Journal for Nurse Practitioners, (16)1, pp. 28-33.
Article II
The purpose of this study was to educate patients with diabetes mellitus
about the disease and its complications, with emphasis on diabetic foot
 The study first assessed the patient's knowledge of diabetic
complications and foot disease using a questionnaire, then it educated
the patient’s on diabetic foot care. Finally, the study assessed its
intervention by retesting the patients regarding the awareness and
knowledge of diabetic foot care.
 This observational study found that educating patient’s with diabetes
will significantly help reduce morbidity and mortality related to diabetic
foot complications.
Satyam, S., Suhas, J., Samarth, S., and Sourya, A. (2020). Educating patients of diabetes mellitus for diabetic foot care. Journal of
Family Medicine and Primary Care, (1), 367. https://doi-org.proxygsu-ecor.galileo.usg.edu/10.4103/jfmpc.jfmpc_861_19
Article III
The purpose of this project was to provide interactive self-foot
examination education in an outpatient office setting and assess
whether rates of daily self-foot examinations were affected.
This is an evidence-based quality improvement project. Pre and
post intervention surveys were used to assess diabetic foot care
knowledge and the frequency of self-foot exams at home.
The study found a significant increase in patient’s performing at
home foot exams after their education intervention.
Branch, J. and Lindholm, L. (2020). Effect of interactive education of diabetic self-foot examinations in Type 2 Diabetes. The Journal for Nurse
Practitioners, 16(1), 13-15. https://doi-org.proxygsu-ecor.galileo.usg.edu/10.1016/j.nurp. ra.2019.09.007
Article IV
The purpose of this study was to assess the effectiveness of
education on diabetic foot ulcer prevention provided to patient’s in
rural clinics.
This study used pre and post intervention questionnaires to assess
patient’s knowledge on foot care.
The study found that patient knowledge on diabetic foot care was
lacking. There was an increase in the amount of knowledge
obtained from the education provided.
Green-Morris, G. (2019). An evaluation of the effectiveness of foot care education in rural clinics. Journal of Diabetes & Metabolic
Disorders, 18(1), 207.