Diabetic foot ulcer or pressure ulcer? That is the question
Vowden, Peter Vowden, Kath
Vowden, Peter
Vowden, Kath
Publication Date
2016
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Abstract
The establishment of a correct diagnosis links care to established guidelines and underpins all subsequent therapeutic activity. Problems can arise when definitions
of disease overlap, as is the case with diabetic foot ulceration and pressure ulcers on the foot occurring in people with diabetes. In such cases, clinicians must ensure that patients receive a care bundle that recognises both the wound causation (pressure and shear) and the underlying pathology (diabetic neuropathy, potential foot architecture disruption and ischaemia). All patients with diabetes that have foot ulceration, irrespective of wound aetiology should, therefore, be seen by the multidisciplinary diabetic foot team. Care can then be optimised to include appropriate assessments, including assessment of peripheral perfusion, correct offloading, appropriate diabetic management, and general foot and skin care.
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Vowden P and Vowden K (2015) Diabetic foot ulcer or pressure ulcer? That is the question. The Diabetic Foot Journal. 18(2): 62-66.
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