wound care intro

Dr. Young addresses diabetic wound care through a multidisciplinary approach. Wounds develop often in the presence of peripheral neuropathy. They may be complicated by deficiency in circulation. Having an evaluation of the nervous system and circulation is always considered and testing may be ordered. A person’s hygiene, their lifestyle and occupation stresses, even their nutrition are involved in the ability to heal from a wound.

A history is taken noting prevous foot ulcers, infections and treatments. Foot deformities like bunions and hammer toes and callouses can lead to ulcerations of the skin. Your daily activitiers, work duties, the shoestyles you wear, glucose control and nutrition are assessed.

Wound care is initiated and evaluated at each visit. Treatment plans are made for the individual and changed according to the wound’s response to treatment.

Xrays, Labs, Mri or CT swcans may be ordered to evaluate for infections. Circulatory evaluation (pulses, Doppler tests, color, temperature and edema).

Recommendations for patients with diabetes:

• Wash your feet daily and dry thoroughly including the toes.
• Look at your feet daily. Use a mirror in good light or ask for help
• Moisturize your skin to prevent cracks
• Wear socks
• Your shoes should be supportive but give room for toes and wide enough at the ball of the foot. Leather is best. There should be adequate cushioning.