Foot Check Analysis Paper

Decent Essays
This paper will focus on creating a foot check program in the hemodialysis unit at the Providence Veterans Administration Medical Center. The prevalence of foot wounds among the veterans has increased over the last six months due to poor foot care practices. Without a program in place to educate, assess and intervene, foot complications will continue. According to Crozier, (2014) patients on hemodialysis have a high prevalence of foot related issues resulting in an increased number of hospitalizations, often resulting in amputations which can be serious and even life threatening. Amputations can be avoided with adequate education and thorough evaluations which promotes early detection and referrals. Jones, Chess, Cawley, Phillips & Riley (2013) stated that foot ulcerations are an important predictor of mortality within the first ninety days of initiation of …show more content…
non-diabetic population on hemodialysis. Sixty patients were asked to have a comprehensive foot check analysis. This was an observational study done in a satellite facility. A foot screening tool was used to identify risk factors associated with foot ulceration such as peripheral arterial disease, peripheral neuropathy, or foot pathology. Risk factors for ulcerations were recorded at baseline for all patients and mortality data was revisited after three years. Foot pathology was noted in 79% of these patients, 18% of non-diabetics had peripheral neuropathy, 45% of diabetics and 30% of non- diabetics had peripheral artery disease (PAD). Forty nine percent of the total unit had at least two out of three independent risk factors for foot ulcerations. Mortality independent of the patient’s age was predictive in those patients with PAD and peripheral neuropathy (PN). Findings showed a high prevalence of risk factors for foot ulcerations in the hemodialysis population, PVD (Jones, et al.,

Related Documents

  • Decent Essays

    A foot screening tool was used to identify risk factors associated with foot ulceration such as peripheral arterial disease, peripheral neuropathy, or foot pathology. Risk factors for ulcerations were recorded at baseline for all patients and mortality data was revisited after three years. Foot pathology was noted in 79%, 18% of non-diabetics had peripheral neuropathy, 45% of diabetics and 30% of non- diabetics had PAD. 49% of the of the total unit had greater than or equal to 2 of the 3 independent risk factors for foot ulcerations. Mortality independent of the patients age was predictive in those pts with PAD and PN.…

    • 1107 Words
    • 5 Pages
    Decent Essays
  • Decent Essays

    Rhinoplasty Case Study

    • 2409 Words
    • 10 Pages

    The study comprised of thirty patients who came with chief complaint of external deformity of nose, with or without nasal obstruction, of either gender and between 18 to 50 years of age. These patients were randomly selected from the ENT Out-Patient-Department of Ram Lal Eye and ENT Hospital Amritsar. A predetermined selection criteria were applied while recruiting these patients in the study and an informed consent was obtained. Complete internal and external examination of nose was performed. 0 degree endoscope was used to analyse the posterior nasal septum for bony deviations.…

    • 2409 Words
    • 10 Pages
    Decent Essays
  • Decent Essays

    (2011), falls are the most common, but unintended injury in adults aged 65 and older. Falls often result in severe injuries, fear of additional falls, social isolation, decreased quality of life, increased need for care, and death (Taylor et al., 2012). Every year in the United States, hundreds of thousands of patients fall in hospitals, and 30-50% result in injury (Joint Commission, 2015). According to Korp et al. (2012), 28% to 35% of older adults older experience at least one fall a year.…

    • 1723 Words
    • 7 Pages
    Decent Essays
  • Decent Essays

    Unsafe Miscarriage Essay

    • 972 Words
    • 4 Pages

    ABSTRACT OBJECTIVE: To study the pattern of clinical presentation in patients with unsafe miscarriage. STUDY DESIGN: Case series descriptive study. SETTING: Place and duration of study department of Obstetrics and Gynaecology, Military Hospital Rawalpindi. DURATION OF STUDY: Study was carried out over a period of one year from 10.04.2016 to 09.04.2017. PATIENTS AND METHODS: Thirty patients were included in this study after approval of the ethical committe.…

    • 972 Words
    • 4 Pages
    Decent Essays
  • Decent Essays

    Central line-associated blood stream infections (CLABSIs) are preventable, serious, and potentially fatal infections that affect thousands of hospitalized patients each year. Weiner et al. (2016) state approximately 20,686 infections were reported by healthcare facilities across the United States (US) in 2014. The Agency for Healthcare Research and Quality (AHRQ, 2014) estimates CLABSIs carry an 18% mortality rate, equivalent to 3,723.5 fatalities from the infection based on the 2014 hospital report. Not only do CLABSIs have a high mortality rate, they are also linked to increased morbidity, healthcare costs, and hospital length of stays of 2 to 5 days (Kamboj et al., 2015; Patel et al., 2016; Ramirez, Lee, & Welch, 2012).…

    • 3332 Words
    • 14 Pages
    Decent Essays
  • Decent Essays

    Extreme Fatigue Causes

    • 1360 Words
    • 6 Pages

    Studies shows that 50 % of patient that are affected by extreme fatigue for a period of 12 months, are able to show the causal conditions of the fatigue. 2.Current illness and medical history-Healthcare practioner is able to check the current medication and the existing Illness of a patient, together with recent occurrences that is known to cause fatigue like bereavement, surgery and giving birth. 3. Fatique quality evaluation-The doctor is likely to arrive at an accurate diagnosis by identifying patient’s fatigue pattern like, does taking a nap reduces fatigue; or symptoms worsen gradually during the day, and what time of the day do symptoms do better/worse. 4.…

    • 1360 Words
    • 6 Pages
    Decent Essays
  • Decent Essays

    9/11 Environmental Impact

    • 1457 Words
    • 6 Pages

    First the 9/11 cough, then chronic respiratory problems and recently a program at Mount Sinai (hospital) noted the emergence of rare blood cancers among 9/11 survivors. Data thru 2010 showed there was approximately a 20% increase in cancer incidence in the 9/11 rescue and recovery workers. The hospital screened more than 39,000 of the 9/11 workers and volunteers. The WTC Health Data Center has confirmed 2,294 cancer cases from 2002 to the present day and experts predict that more problems will surface in the next few decades. (Mason, 2007).…

    • 1457 Words
    • 6 Pages
    Decent Essays
  • Decent Essays

    Foot Disease Case Studies

    • 1142 Words
    • 5 Pages

    Diabetes is a chronic disease that affects millions of people annually. Diabetic foot disease is a result of poor diabetic control. People with diabetes have a 12-25% risk of developing a foot ulcer throughout their life span. (Cavanagh, Lipsky, Bradbury, & Botek, 2005) and “30 to 40 times higher in a diabetic” (Brem, Sheehan, and Boulton, 2004). Foot problems can become serious in a short period of time.…

    • 1142 Words
    • 5 Pages
    Decent Essays
  • Decent Essays

    The study population from the Finklestein study was the already existing cohort from FREEDOM Study. The overall cohort was formed from 500 participants at 70 clinical sites (Finkelstein et al, 2012). Participants are enrolled in the cohort for 3 years with a minimum of an 18 month follow-up. Cohort members were required to be adult patients with ESRD who were considered suitable candidates for special prescription of daily hemodialysis via the NxStage System One device (Finkelstein et al, 2012). Participants were all also required to have Medicare as their primary insurance payer for administrative reasons.…

    • 1017 Words
    • 4 Pages
    Decent Essays
  • Decent Essays

    Introduction Peripartum cardiomyopathy (PPCM) is associated with one in every 3000 to 15000 deliveries , affecting thousands of women every year.1 According to the definition , PPCM includes cardiac failure in the last trimester of pregnancy or within six months of delivery, absence of an identifiable cause for the cardiac failure, absence of recognizable heart disease before the last month of pregnancy, and left ventricular (LV) dysfunction (ejection fraction of less than 45% or reduced shortening fraction).2,3 Though it is aymptomatic, it has many risk factors include multiparity, black race, older maternal age, pre-eclampsia, and gestational hypertension.1,4 Symptomatically PPCM presents with fatigue, edema, and dyspnea.PPCM clinically resembles patients of pulmonary emboli and eclampsia.5 Therefore,its diagnosis is often missed or delayed leading to devastating consequences: Mortality is as high as 20% to 50%.5 This article also stress on a case which was diagnosed with PPCM and treated thereafter . CASE…

    • 1216 Words
    • 5 Pages
    Decent Essays