Degree of risk for foot ulcer due to diabetes: nursing assessment.

Maria Do Livramento Saraiva Lucoveis,Ana Beatriz Pinto Da Silva Morita,Mônica Antar Gamba,Maria Angela Boccara De Paula

doi:10.1590/0034-7167-2017-0189

Maria Do Livramento Saraiva Lucoveis, Ana Beatriz Pinto Da Silva Morita + Show 2 more

Open Access

https://doi.org/10.1590/0034-7167-2017-0189

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Abstract

To classify the level of risk for foot ulcers in people with diabetes mellitus and identify their main predictive risk factors. Exploratory, descriptive study, in which patients were assessed in a municipal ambulatory of São Paulo through nursing consultation, following the guidelines of the International Consensus on the Diabetic Foot. Data were descriptively analyzed. The analyzed population was composed of 50 longevous and retired people, with household income of up to two minimum wages, with dermato-neurofunctional risk factors and unfavorable clinical indicators, and 66% had Risk 1; 16% Risk 2; 6% Risk 3 and 12% Risk 4. Of this analyzed total, 96% never had their feet examined with the Semmes-Weinstein monofilament. The data found indicate the importance of careful feet examination in people with diabetes by the nursing staff to identify future risks of ulcers and, thus, prevent them.

Highlights

415 million people have diabetes mellitus (DM) with worldwide prevalence of 8.8%
14.3 million Brazilians have the disease(1). This scenario asks for urgent measures to control and prevent DM, as well as its complications, otherwise, the country is bound to have a significant number of people with severe sequelae and with reduced life expectancy by the high rate of mortality caused by the disease(2)
Characterization of patients with diabetes mellitus, treated in a municipal outpatient clinic according to sociodemographic variables, São Paulo, Brazil, 2013 (N=50)

Summary

Introduction

415 million people have diabetes mellitus (DM) with worldwide prevalence of 8.8%. By 2040, it is predicted that about 227 million people will have developed new cases of the disease. The impact was such that, in 2015, 5 million deaths by DM occurred, which implies saying there was a death every six seconds(1). Brazil is the fourth country with the largest number of people with DM in the world. This scenario asks for urgent measures to control and prevent DM, as well as its complications, otherwise, the country is bound to have a significant number of people with severe sequelae and with reduced life expectancy by the high rate of mortality caused by the disease(2)

Results

Discussion

Conclusion