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Conference Poster
Kaye, LE; Walsh, AM
2016
November
Case Report: Picture diary of a newly diagnosed diabetic foot wound. College of Podiatry Annual Conference. Glasgow, Scotland
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This case report outlines the support and care provided to a patient who presented with foot ulceration who subsequently went on to be diagnosed with Type 2 Diabetes. The patient themselves created a picture diary of the progress of their foot wound, illustrating each step in the process of healing and presented it to their lead Podiatrist.
Aims/ Objectives: It is well documented in the literature about the impact of diabetic foot disease, however seeing and supporting a patient from the very beginning of their diabetic journey, being newly diagnosed with diabetes and developing a foot ulceration is quite unique. Content of Presentation: This case report provides a six month picture diary that the patient themselves created to map their journey with a diabetic foot wound. The case outlines how a patient first presents with a blister, following a holiday abroad, of which they self-managed before presenting to their doctor (GP) when it was failing to heal. The patient had input from the treatment room nurses before being referred to the Podiatrist when the wound was deteriorating. The Podiatrist assessed vascular and neurological status and liaised with the patientís GP for further investigations such as x-ray, bloods and to request antibiotic cover. The bloods confirmed the diagnosis of diabetes and the patient was managed by a hospital Podiatry team and consultant regarding appropriate management of the foot wound and their new diagnosis of type 2 diabetes. Relevance/Impact: This case report outlines the support and care provided to a patient who presented with foot ulceration who subsequently went on to be diagnosed with Type 2 Diabetes. The patient themselves created a picture diary of the progress of their foot wound, illustrating each step in the process of healing and presented it to their lead Podiatrist. This case report provides insights into the multi-disciplinary approach that led to this patientís diagnosis of diabetes. The steps taken by different members of the multidisciplinary team to heal the wound. It also provides an account of the need for foot health education to prevent further complications and reviews the referral/ care pathways utilised in this specific case. Outcomes: This is an experiential account of one patientís six month journey from presenting with a foot wound to their diagnosis with type 2 diabetes. It outlines their journey through multi-disciplinary hospital and community services and describes the specific podiatric care that facilitated their initial diagnosis of diabetes and the management and healing of the foot wound. Discussion: This case report provides a unique photographic journey of a patientís journey in newly diagnosed diabetes and management of diabetic foot wounds.
Glasgow, Scotland
College of Podiatry Annual Conference
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