scholarly journals A clinical audit into the adherence of foot health management standards of rheumatoid arthritis compared to the foot health management standards of diabetes mellitus in North-East London

2021 ◽  
Author(s):  
Christopher Joyce ◽  
Rizwan Rajak
Keyword(s):  
Rheumatoid Arthritis ◽  
Diabetic Foot ◽  
Health Management ◽  
Clinical Audit ◽  
Poor Compliance ◽  
Foot Health ◽  
North East ◽  
Management Standards ◽  
Audit Data ◽  
Health Standards

Abstract Objectives Rheumatoid arthritis (RA) has an affinity to smaller joints, thus its effect on the foot/ankle is widely known. Despite this, there is lack of adherence to foot management standards by podiatrists. This research aimed to audit the adherence of these standards and compare them to well-established management standard adherence in the diabetic foot. Methods In this clinical audit, data was obtained via six National Health Service (NHS) podiatry departments in North-East London on service provision, management, treatment and professional development on both RA and diabetic foot health via foot management clinical audit tools. Descriptive analyses were conducted analysed to identify patterns and trends, with set standard compliance conditions calculated on Net Promotor Score ® (NPS) metric to allow for multi-comparison. Results All areas of RA foot health management were found to have poor compliance when compared to diabetes foot health management. When using NPS, no trust audited meet the majority of foot health standards in RA; with only two having a positive score (meeting the minimum standards) compared to all trusts posting a positive NPS on diabetes foot health standards. Conclusions Our results indicate that poor compliance into RA foot health standards is prevalent across the audited region and may be resulting in worsening foot outcomes despite a paradigm shift in other areas of RA management. Enhanced training and knowledge is required for better adherence to the standards set out and improve a foot health management in RA.

scholarly journals The Victorian Comprehensive Cancer Centre lung cancer clinical audit: collecting the UK National Lung Cancer Audit data from hospitals in Australia

2019 ◽  
Vol 49 (8) ◽  
pp. 1001-1006
Author(s):  
Linda Mileshkin ◽  
Catherine Dunn ◽  
Hannah Cross ◽  
Mary Duffy ◽  
Mark Shaw ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Clinical Audit ◽  
Cancer Centre ◽  
Audit Data ◽  
The Uk ◽  
Comprehensive Cancer Centre

Foot health management

2019 ◽  
pp. 249-280
Author(s):  
Heidi Siddle ◽  
Gordon Hendry
Keyword(s):  
Health Management ◽  
Musculoskeletal Diseases ◽  
Connective Tissue Diseases ◽  
Clinical Intervention ◽  
Current Evidence ◽  
Clinical Expertise ◽  
Foot Health ◽  
Education Of Patients ◽  
Clinical Strategies

This chapter will provide the reader with current evidence and the clinical strategies to improve the foot health management of patients with rheumatic and musculoskeletal diseases. The education of patients and health professionals will be key to implementing self-management early in the disease, together with the recognition of problems that require clinical intervention to improve the patient’s long-term outcomes. Unfortunately, there is still a lack of evidence to support many specific interventions, particularly for patients with connective tissue diseases. However, we can utilize increased understanding of the effects that these diseases have on the foot, together with clinical expertise, to manage symptoms and prevent damage and deformity.

scholarly journals Diabetic Foot Care - A Public Health Problem

2011 ◽  
Vol 12 (2) ◽  
pp. 109-114 ◽  
Author(s):  
Jamil Ahmed Somroo ◽  
Anjum Hashmi ◽  
Zafar Iqbal ◽  
Aslam Ghori
Keyword(s):  
Diabetic Foot ◽  
Fungal Infections ◽  
Public Health Problem ◽  
Global Scale ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Foot Care ◽  
Cross Sectional ◽  
Foot Health ◽  
Care Practices

Background: Diabetes is global epidemic with devastating human, social and economic consequences. The disease claims as many lives per year as HIV/AIDS and places a severe burden on healthcare systems and economies everywhere, with the heaviest burden falling on low- and middle-income countries. Despite this, awareness of the global scale of the diabetes threat remains pitifully low, inappropriate diabetic foot care affects, feet health leading to callosities, cracks, fissures, fungal infections, ingrown toe nails and patients end up in ulcers and amputations. Objectives: To assess diabetic patients taking proper foot care according to International Guidelines and its impact on their foot health. Methods: A cross sectional study was conducted at outdoor patients department of Medicine, Liaquat University of Medical Sciences Hospital Hyderabad from 17th January 2008 to 16th January 2009. 100 diabetic patients were selected by non probability convenience sampling according to Performa having questions regarding diabetic foot care derived from American Diabetic Association Guidelines for Diabetic Foot care. Results: Diabetic patients taking proper foot care was only 6%. There were 45(45%) males and 55(55%) females. Mean age was 51.57+10.72 years. 38% patients knew about foot care. 17% used to inspect their feet daily, 20% washed their feet daily, while 73% washed their feet more than once. 23% patients dried their feet after every foot wash, 27% applied emollients, 25% checked shoes before wearing, 24% used to wear correct shoes, 8% used to wear cotton socks and 36% used to walk bare feet. Foot care practices on foot health has statistically highly significant association (p<0.01) e.g. number of foot washes with foot hygiene, fungal infections with proper foot drying, emollient application with skin texture, cracks and fissures. Associations of proper foot care were statistically significant with literacy status of patients and foot care teachings (p<0.05). Conclusion: Few diabetic patients are taking proper foot care. Proper Foot care practices were associated with provision of education of foot care and literacy status of patients. Community health education programs regarding diabetic foot care will likely to reduce diabetic foot complications. Keyword: Diabetes, Foot care education, Diabetic foot care, Diabetic foot, Ulceration; Prevention. DOI: http://dx.doi.org/10.3329/jom.v12i2.7604 JOM 2011; 12(2): 109-114

Factors in Diabetic Footwear Compliance

2003 ◽  
Vol 93 (6) ◽  
pp. 485-491 ◽  
Author(s):  
Daniel J. Macfarlane ◽  
Jeffrey L. Jensen
Keyword(s):  
Diabetic Foot ◽  
Previous History ◽  
Perceived Value ◽  
Poor Compliance ◽  
Foot Complications ◽  
History Of

Diabetic foot complications are costly and often recurrent. The use of diabetic footwear has been shown to be effective in reducing the incidence of diabetic foot ulcerations. For diabetic footwear to be most effective, it must be worn at least 60% of the time. All reported rates of compliance fall well short of this level. The style and appearance of the shoe have been commonly blamed for this poor compliance. This study evaluates patients’ motivations and perceptions regarding diabetic footwear. A patient’s decision to use diabetic footwear is based on the perceived value of the shoe and not on the patient’s previous history of foot complications or the aesthetics of diabetic footwear. (J Am Podiatr Med Assoc 93(6): 485-491, 2003)

Sign in / Sign up

Export Citation Format

Share Document