Management of Diabetic Foot Ulcers in Primary Healthcare Centers, Nursing Collaboration with Physicians

Abstract

Diabetic foot ulcers (DFUs) are a common and serious complication of diabetes, often resulting from neuropathy, poor circulation, and compromised immune response. The nursing approach to managing DFUs emphasizes a comprehensive assessment and individualized care plan, incorporating wound care, glycemic control, and patient education. Nurses play a crucial role in conducting thorough assessments to determine the ulcer's depth, size, and associated infection. Regular wound cleaning and dressing changes are essential, using appropriate materials that promote a moist environment while preventing infection. Moreover, education on proper foot hygiene, daily foot inspections, and the importance of appropriate footwear can empower patients to take proactive measures in preventing future ulcers. Collaboration with a multidisciplinary team, including endocrinologists, podiatrists, and dietitians, is vital for effective management. This team can address underlying issues such as metabolic control and nutritional needs that contribute to ulcer healing. Nurses should monitor the patient's blood glucose levels closely, adjust treatment plans as necessary, and support behavioral changes that promote overall health. Regular follow-ups and reassessment of the ulcer healing process enable timely interventions and modifications in treatment. By adopting a holistic and proactive approach, nurses can significantly impact the outcomes for patients with diabetic foot ulcers, enhancing their quality of life and preventing complications.