Diabetes mellitus type 2 is a chronic disorder which is common in people over 60. Nonetheless, the disorder is also becoming common in younger generations. For instance, the present case is diabetes mellitus type 2 in a 43-year-old male. It is necessary to note that the disorder is associated with suppression of the immune system which often leads to numerous to development of infectious disorders. Thus, 15% of patients with type 2 diabetes develop foot ulcer which may lead to amputation (Bhowmik, Yadav, & Chandira, 2009). Therefore, patients diagnosed with type 2 diabetes may develop foot ulcer due to poor blood circulation and insufficient prevention measures. It is possible to consider two interventions and their effectiveness to understand that the patient’s health condition can be properly controlled.
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In the first place, it is important to take steps to prevent development of the ulcer. Green and Zoepke (2013) stress that certain prevention strategies should be implemented. At this point, it is necessary to stress that prevention is crucial as it will help the patient have minimum inconveniences and more chances to avoid amputation.
|Proper glycaemic control.||It will reduce the risk of development of foot ulcers.|
|Inspection of feet on daily basis.||This will help identify the problem at early stages which will ensure effective treatment and lower risk of amputation.|
|Proper cleansing (with the use of mild water and appropriate soap).||This will prevent bacteria from spreading.|
|The use of moister.||This will prevent occurrence of minor wounds.|
|Adequate management of wounds.||This will prevent development of ulcers due to proper disinfection.|
|Avoiding barefoot walking.||This will prevent occurrence of wounds.|
Another prevention strategy is aimed at treating ulcer which has developed. Green and Zoepke (2013) suggest TIME strategy: tissue debridement, inflammation, moister, epidermal margin. Admittedly, tissue debridement is essential as it ensures removal of necrotic tissue and spread of infection. Such medication as Iruxol® and/or Intrasite Conformable® may be utilized. It is also important to note that this intervention should be implemented by a healthcare professional. The next step is ensuring bacterial balance. It is crucial to make sure that the risk of bacterial contamination is reduced. It is possible to use Bactigras®. As has been mentioned above, moister is essential as it reduces the risk of minor wounds, and spread of infection. Allevyn® dressings and Intrasite Conformable® can be used. Finally, if “the epidermal margins are not progressing” the steps mentioned above should be repeated (Green & Zoepke, 2013, p. 518).
In conclusion, it is necessary to note that the two prevention strategies may be used in the case in question. Admittedly, the major focus should be made on prevention. Thus, the patient has to understand the importance of the prevention strategy and possible outcomes of improper management. At the same time, if ulcer develops, the second strategy should be used. Admittedly, the patient has to follow all prescriptions and he will have a healthy lifestyle including appropriate diet and exercising.
Bhowmik, D., Yadav, J., & Chandira, M.R. (2009). Role of community pharmacist in management and prevention diabetic foot ulcer and infections. Journal of Chemical and Pharmaceutical Research, 1(1), 38-53.
Green, B., & Zoepke, A. (2013). Diabetes and diabetic foot ulcers: An often hidden problem. South African Family Practice, 55(6), 515-518.