cahpo 2016. workshop 4: chris pankhurst and lawrence ambrose

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Diabetic Foot Screening Apps Developed in collaboration with:

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Page 1: CAHPO 2016. Workshop 4: Chris Pankhurst and Lawrence Ambrose

Diabetic Foot Screening Apps

Developed in collaboration with:

Page 2: CAHPO 2016. Workshop 4: Chris Pankhurst and Lawrence Ambrose

Source: IDF Diabetes Atlas – Seventh edition

Page 3: CAHPO 2016. Workshop 4: Chris Pankhurst and Lawrence Ambrose

Current Background and Statistics

• In UK 3.5 million adults diagnosed with diabetes

• Estimated 550k undiagnosed– an increase of 120k compared to the

previous year– an increase of 65% over the past decade

Page 4: CAHPO 2016. Workshop 4: Chris Pankhurst and Lawrence Ambrose

Aims• Two Apps

1. HCPs who perform diabetic foot screenings

2. People with diabetes

Page 5: CAHPO 2016. Workshop 4: Chris Pankhurst and Lawrence Ambrose

Aims (HCP)• To understand the importance of routine foot

screenings• To understand how diabetes affects the feet• How to perform a quality diabetic foot

screening • How to determine the patient’s risk status • Patient education• When & whom to refer to

Page 6: CAHPO 2016. Workshop 4: Chris Pankhurst and Lawrence Ambrose

Aims (Person with DM)• To understand the importance of routine foot

screenings & how DM can affect the feet • What to expect from a quality diabetic foot

screening• Understand what their risk status means • Patient education• Insert emergency contact details & future appts• To know when to seek advice

Page 7: CAHPO 2016. Workshop 4: Chris Pankhurst and Lawrence Ambrose

The Importance of Routine Foot Screenings

• Foot complications are common in people with diabetes, with an estimated 5-7 % having current or previous foot ulceration

• Foot complications are the most common cause for admission of the person with diabetes

• Diabetic foot ulcers precede more than 80% of amputations in people with diabetes

• After a first amputation, people with diabetes are 23 times more likely to have a further amputation as people without diabetes

Page 8: CAHPO 2016. Workshop 4: Chris Pankhurst and Lawrence Ambrose

Difference between a Diabetic foot screening and assessment:– Screening is a quick process that categorises

people into mutually exclusive groups and will give a reasonable indication of the likelihood/risk of developing a diabetic foot complication

– Assessment is a lengthier process by which a diagnosis is reached and treatment/management is initiated

Screening v Assessment

Page 9: CAHPO 2016. Workshop 4: Chris Pankhurst and Lawrence Ambrose

How it works

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When to Seek AdvicePeople with diabetes should be encouraged to seek advice if

the following are encountered:

Walking becomes difficult

Applying shoes becomes difficult

Page 16: CAHPO 2016. Workshop 4: Chris Pankhurst and Lawrence Ambrose

All or part of the foot becomes swollen

The foot becomes noticeable red or has another unusual discolouration

A part or all of the foot becomes much hotter than normal

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There is a discharge of any kind from the foot

There is an unusual smell

The feet have open sores or blisters

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General feeling of being unwell, with nausea, vomiting and high temperature

General difficulty keeping blood sugar levels under control