Abstract
About this talk
This presentation is based on an observational study 100 cases in last 5 years and 4 anecdote cases reported in this presentation the author confirms that Nurses’ roles remained the key factors in managing, caring, educating, advocating and helping clients in modifying their lifestyle practices. The author used a simple screening process of observing the debridement & dressings done by Nurses in hospitals, PHCs, Health & Welfare Centres (HFWCs). The assessments of the feet and the monofilament test were methods for examination and screening. In HFWCS author conducted practical demonstrations of debridement, maggots’ removal, cleaning, dressing & identifying cases that needed referral for further management.
Results: The clients & their family members visited for follow-up checks were knowledgeable on the importance of compliance with care and Nurses ably demonstrated foot examination. The exit interviews of the patients confirmed that in about 70% of foot care like the routine cleaning, dressing before &after debridement or even some surgical debridement in neurogenic ulcers was done by Nurses. Authorising nurses will benefit at least 30% in rural and 10% in Urban who encountered difficulties with complying to care due mostly to economic, transport, attendant (social) challenges.
Speaker
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