Thursday, February 12, 2015

Nursing Diagnosis for Diabetic Foot Ulcers

Diabetic foot ulcers are one of the complications that are often found in people with diabetes mellitus (DM). It is estimated that 5-10% of people with diabetes found any ulceration of the legs, and about 1% of them will undergo amputation. Four of the five non-traumatic amputation in adults caused by diabetic foot. Besides being a problem for people, also be costs for patients or the government.

The cause of diabetic foot ulcers multifactorial, however there are three things that are most important as the pathogenesis of diabetic foot are:
  • neuropathy (sensory, motor and autonomic).
  • impaired circulation (microcirculation and makrosirkulasi), and
  • infection.
Socio-economic factors and the level of knowledge is an important factor to poor people with diabetic foot ulcers circumstances. Lack of understanding of the patient regarding the prevention of diabetic foot and leg hygiene factors heighten the incidence of diabetic foot ulcers. In addition, both of these factors are often a cause of diabetic foot infections with broad.

Factors that influence the occurrence of diabetic ulcers are divided into endogenous factors and ekstrogen.
1) Endogenous factors
  • Genetic, metabolic.
  • Diabetic angiopathy.
  • Diabetic neuropathy.
2) Exogenous factors
  • Trauma.
  • Infection.
  • Drug.

Nursing Diagnosis for Diabetic Foot Ulcer
  1. Impaired tissue perfusion related to the weakening / decrease in blood flow to the area of gangrene due to obstruction of blood vessels.
  2. Impaired tissue integrity related to the presence of gangrene in the extremities.
  3. Impaired sense of comfort (pain) related to ischemic tissue.
  4. Impaired physical mobility related to pain in the wound.
  5. Risk for Infection (sepsis) related to high blood sugar levels.
  6. Disturbed Sleep Pattern related to pain in the wound in the leg.
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