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Neurovascular Assessments

Discussion in 'Diabetic Foot & Wound Management' started by AaronKara, May 6, 2014.

  1. AaronKara

    AaronKara Member


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    Hi Guys,

    We were taught at UNI to do neurovascular assessments annually if there are no issues with results. Through an EPC we do a full assessment at patients first visit, if the patient is a low risk patient we re-assess in 12/12.

    We have been told at my work by a place that refer quite a few patient that the legislation has changed and we now need to re-assess ALL diabetic patients every 6/12. Does anyone know if this is correct? Where would I find it in writing that if patients are low risk we only need to assess once a year?

    Thanks in advance!

    Kara
     
  2. Craig Payne

    Craig Payne Moderator

    Articles:
    8
    Their is NO legislation that covers this!
    Various different organizations have differing guidelines on the frequency - some say 6 months; some say 12.
     
  3. AaronKara

    AaronKara Member

    Cool thanks for that! Very helpful.
     
  4. Craig Payne

    Craig Payne Moderator

    Articles:
    8
    I have not looked at the guidelines recently, but a while back (ie quite a few yrs ago!) the APodC guidelines were different to the DiabetesAustralia guidelines!
     
  5. MischaK

    MischaK Active Member

    Reading page 20 of the NHMRC's National Evidence-Based Guidelines for the Prevention, Identification and Management of Foot Complications in Diabetes, may help, although they do state that "There were no studies providing evidence for the optimal frequency of foot assessment in people with and without foot ulceration" and so their recommendations on frequency of risk assessment are based on expert opinion :D, these guidelines/recommendations are also from 2011. If you don't mind using American recommendations read page S47 in the American Diabetes Association's Standards of Medical Care in Diabetes which was published this year (2014).



    http://www.nhmrc.gov.au/_files_nhmr...nts/diabetes_foot_full_guideline_23062011.pdf

    http://care.diabetesjournals.org/content/37/Supplement_1/S14.full.pdf
     
  6. MischaK

    MischaK Active Member

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