Foot ulcerations are a significant complication of diabetes mellitus. Half a billion people worldwide have diabetes and one-fourth to one-third of them will develop a foot ulcer in their lifetime (Ousey et al., 2018; Armstrong et al., 2020). In 2017, the direct cost of diabetes care in the U.S. was $237 billion and one-third of that cost was associated with diabetic foot disease. Amputation in the individual with diabetes is preceded by ulceration in 80% of cases and individuals with diabetes fear amputation more than death (Ousey et al., 2018; Armstrong et al., 2020). This course discusses the prevention, assessment, and management of neuropathic ulcers.
District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Florida Board of Nursing (CEBroker Provider #50-290)
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Georgia Board of Nursing (CEBroker Provider #50-290)
South Carolina Board of Nursing (CEBroker Provider #50-290)
West Virginia Board of Registered Nursing (CEBroker Provider #50-290)
New Mexico Board of Nursing (CEBroker Provider #50-290)
Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Kentucky Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Mississippi Board of Nursing (CEBroker Provider #50-290)
North Dakota Board of Nursing (CEBroker Provider #50-290)
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Lower Extremity Neuropathic Disease
Definition of LEND
Types and Causes of LEND
Prevalence and Incidence of LEND
Classification of Peripheral Neuropathy
Diagnosing LEND
Review
Summary
Section 3: Assessment of Neuropathic Foot Ulcers
Pathophysiology of Neuropathic Foot Ulcers
Assessment of the Ulcer
Systems for Classification of Neuropathic Foot Ulcers
Review
Summary
Section 4: Management of Neuropathic Foot Ulcers
Offloading
Management of Bioburden
Topical Care
Advanced Therapies
Adjunctive Therapies
Surgical Interventions
Individual Education
Review
Summary
Section 5: Conclusion
Course Summary
Course Contributor
Resources
References
Mary Arnold Long received her BSN from the College of Mount St. Joseph, her MSN from the University of Cincinnati, her ET Certificate from Abbott Northwestern Hospital and her DNP from Otterbein University. Dr. Arnold Long has over 35 years of nursing experience and over 25 years as an expert board-certified wound, ostomy, and continence nurse practicing in multiple settings. Her contributions to evidence-based practice and literature include colostomy irrigation; body worn absorptive garments; interventions post-catheter removal; assessment, management and coding of moisture-associated skin damage; and classification of device-related pressure injuries/ulcers.
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