Patients perceptions on how preventable are diabetes amputations

NewsBot · Apr 27, 2012

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How 'preventable' are lower extremity amputations? a qualitative study of patient perceptions of precipitating factors.
Feinglass J, Shively VP, Martin GJ, Huang ME, Soriano RH, Rodriguez HE, Pearce WH, Gordon EJ.
Disabil Rehabil. 2012 Apr 25.

Purpose: Clinicians commonly believe that lower extremity amputations are potentially preventable with coordinated care and motivated patient self-management. We used in-depth interviews with recent amputees to assess how patients viewed their initial amputation risk and causes.

Method: We interviewed 22 patients at a rehabilitation hospital 2-6 weeks after an incident amputation. We focused on patients' representations of amputation cause and methods of coping with prior foot and leg symptoms.

Results: Patients reported unexpected onset and rapid progression of ulceration, infection, progressive vascular disease, foot trauma and complications of comorbid illness as precipitating events. Fateful delays of care were common. Many had long histories of painful prior treatments. A fatalistic approach to self-management, difficulties with access and communication with providers and poor understanding of medical conditions were common themes. Few patients seemed aware of the role of smoking as an amputation risk factor.

Conclusions: Most patients felt out of control and had a poor understanding of the events leading to their initial amputations. Prevention of subsequent amputations will require rehabilitation programs to address low health literacy and psychosocial obstacles to self-managemen
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Admin2 · Apr 28, 2012

Related threads:
Other threads tagged with amputations
Other threads tagged with diabetic foot psychosocial issues
Other threads tagged with diabetes self care
Other threads tagged with the diabetic foot

NewsBot · Nov 15, 2016

Influence of beliefs about health and illness on self-care and care-seeking in foreign-born people with diabetic foot ulcers: dissimilarities related to origin
K. Hjelm, J. Apelqvist
Journal of Wound Care Volume 25, Issue 11

Objective:
To describe beliefs about health and illness among foreign-born people with diabetic foot ulcers that might affect self-reported self-care and health-care seeking and to study whether there are dissimilarities related to origin.

Method:
Qualitative descriptive study. Semi-structured interviews with people aged 38–86 years; 13 born in European and 13 in non-European countries (all except one in the Middle East). All resident in Sweden for 7–60 years (median: 18.5 years).

Results:
Most believed foot ulcers were unavoidable and difficult to detect. Foot problems were mainly believed to be due to internal factors (diabetes), sometimes combined with external factors (inappropriate footwear, hot water, or barefoot walking). Health was described as freedom from illness and health professionals were seen as important sources of information. Perceived health deteriorated after the onset of the foot problems due to immobility and pain. People from the Middle East differed from other respondents as they discussed the importance of adapting to the will of Allah, leading to even poorer quality of life and a more negative view of future health. They also described more foot problems and perceived religion (Islam) with ritual washing of the feet to be important for health. However, they were regularly monitored to a lesser extent than European migrants. Economy affected health, more so in Europeans, due to expenses for medications and shoes. Many described limited activity in self-care, few had sought help for their problems and then solely among professionals, and had limited knowledge about the influence of glycaemic control on diabetes and foot status.

Conclusion:
Foreign-born people felt unable to prevent the incidence of foot ulcers, experienced problems with detection, and had limited knowledge of self-care. Dissimilarities in beliefs related to origin negatively influenced self-care of the feet, so it is important to assess individual beliefs and plan care and education accordingly.
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Patients perceptions on how preventable are diabetes amputations

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Admin2 Administrator Staff Member

NewsBot The Admin that posts the news.

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Patients perceptions on how preventable are diabetes amputations

NewsBot The Admin that posts the news.

Admin2 Administrator Staff Member

NewsBot The Admin that posts the news.

Low Plasma Arginine among Patients with Diabetic Foot Ulcer

Tactile Therapy Shift Patients Toward Equilibrium

Patients Questions Over Bunion Treatments

Stress reduction interventions for patients with chronic diabetic foot ulcers

Muscle Performance and Foot Pressure in Patients Who Have Plantar Fasciitis

Preventive Nail Care Among Diabetic Patients

Synovial Inflammation in Patients with Hallux Valgus

Share This Page

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