Diabetic Foot Care: Case Studies in Clinical Management / Edition 1

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Diabetic Foot Care: Case Studies in Clinical Management uses a 100% illustrated patient case study format to demonstrate the multidisciplinary care and clinical management of patients with feet and lower limb problems as a result of diabetes. Every case has colour illustrations highlighting both the initial presentation of the foot, right through to treatment and long term follow-up care. Of particular focus are the management problems, barriers to effective care, preventable mistakes, unnecessary delays in presentations, challenging situations, conflicts, dilemmas and solutions that podiatrists and diabetic specialists face. Sections in the book include: Neuropathic and neuroischaemic foot, neuropathic ulcers, ischaemic ulcers, infections, gangrene, traumatic injuries, Charcot's osteoarthropathy, dermatological problems associated with diabetes, painful neuropathy, diabetic foot emergencies, angiology and foot surgery/amputation. With key points and summaries at the beginning and end of each section, this book is clear and easy to navigate, making it an ideal tool for diabetes specialists, diabetes nurses and podiatrists.

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Editorial Reviews

From the Publisher
“With key points and summaries at the beginning and end of each section, this book is clear and easy to navigate, making it an ideal tool for diabetes specialists, diabetes nurses and podiatrists.”  (Mpilibrary.blogspot.co.uk, 12 September 2014)

"Using a case study format, this volume for diabetes specialists, nurses and podiatrists illustrates the multidisciplinary care and clinical management of patients with foot and lower limb problems that are a result of diabetes." (Booknews, 1 April 2011)

"...this book should be available to everyone involved in the care of people with diabetes and foot disease, as a stimulus to reflecting on one's own practice, learning from experts and (as the authors state) improving the outcome of diabetic foot disease." (Practical Diabetes International, 2011)

Doody's Review Service
Reviewer: Martin C. Yorath, DPM (Rosalind Franklin University of Medicine and Science)
Description: This interesting little book, based on the King's College Hospital, London, Diabetic Foot Clinic experience, illustrates through a series of case studies the complicated clinical presentations that diabetic foot patients may take. It is laid out in four sections that cover a variety of the common and less common diabetic foot manifestations.
Purpose: The purpose is to help enhance knowledge about the diabetic foot through numerous case studies with which the authors have personally been involved. The book demonstrates the need for a multidisciplinary approach to this complex subject. While this is often cited in other books on the diabetic foot as being an important part of the management of these patients, this book scores over its competitors by actually illustrating case-by-case how this has been achieved.
Audience: The authors are very clear in the preface that the book is aimed at a multidisciplinary market. Hence, its audience includes any healthcare provider who is involved in the care of the diabetic foot patient. While the book gives a good description of the overall aspects of each case, it lacks the in-depth details that a specialist would likely need (for example in surgery), and so is particularly well suited to those in general practice or those contemplating extending their practice to this area of clinical care.
Features: The book is arranged in four sections of case studies, based upon the authors' experiences with patients with severe diabetic foot problems. These encompass neuropathic, ischemic, Charcot, and renal cases. Numerous cases are described in each section and a summary of the key learning points appear after each case, which is a particularly useful feature of the book. Abundant color plates illustrate the cases.
Assessment: Overall, this is a useful book. It covers many cases and addresses the common and less common complications and frustrations that confront practitioners when they are treating patients with this condition. Through the case studies, anyone involved in treating diabetic foot patients will immediately recognize the many challenges of treating this burgeoning problem for many of the world's healthcare systems. This book serves as an important reminder of the complexity of the problem and the need for a multifaceted approach to its management. Recommended.
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Product Details

  • ISBN-13: 9780470998236
  • Publisher: Wiley
  • Publication date: 2/16/2010
  • Edition number: 1
  • Pages: 280
  • Product dimensions: 6.80 (w) x 9.70 (h) x 0.90 (d)

Meet the Author

Alethea Foster, former Honarary Consultant Podiatrist, King's College Hospital Diabetic Foot Clinic. Ali, who has recently retired, was a nationally and internationally recognised leading podiatrist, and one of the first Consultant Podiatrists in the UK. She has authored many books and is on several journal editorial boards. In May 2003, Ali was the first podiatrist to be awarded the International Diabetic Foot Award, which is only awarded every four years to an indvidual who has played a pivotal role in developing diabetic foot care

Dr Michael Edmonds, Consultant Physician, The Diabetic Foot Clinic, King's College. Mike is a leading Consultant on the foot, with national and international recognition. He has written many books and journal articles.

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Table of Contents



1 Neuropathic Case Studies.

1.1 Introduction.

1.2 Differing presentations of infection and complications of infection.

1.3 Co-morbidities in addition to diabetes and neuropathy.

1.4 Deformity, ulceration and infection treated by surgical debridement and reconstruction.

1.5 Patients with neuropathic feet in whom psychological factors have impacted on their management.

1.6 Long term patients followed in the Diabetic Foot Clinic with neuropathic foot problems.

2 Ischaemic Case Studies.

2.1 Introduction.

2.2 Infection and its presentations.

2.3 Patients with severe co-morbidities.

2.4 Revascularisation.

2.5 Wound care.

2.6 Emboli.

2.7 Complications.

2.8 Pain in the neuroischaemic foot.

2.9 Conservative care.

3 Charcot Case Studies.

3.1 Introduction.

3.2 Early diagnosis.

3.3 Different presentations.

3.4 Surgery.

3.5 Conservative care.

4 Renal Case Studies.

4.1 Introduction.

4.2 Patients with normal serum creatinine who develop low creatinine clearance with infection.

4.3 Low creatinine clearance and complications.

4.4 Continuous ambulatory peritoneal dialysis (CAPD) and complications.

4.5 Haemodialysis and complications.

4.6 Renal transplant and complications.

4.7 Revascularisation in renal patients.


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