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Patient Compliance
One of the challenges in treating patients with diabetes is ensuring patient compliance or adherence with dosing regimens for medications, postoperative instructions and/or proper blood glucose management. See below for related articles on patient compliance in the diabetic population.
Identifying Cause for Advancement to Amputation in Patients with Diabetes: The Role of Medical Care and Patient Compliance
Abstract: Background: Much is written regarding risk factors precipitating amputation in patients with diabetes. Two such factors are neuropathy and peripheral vascular disease (PVD). However, many patients with diabetes and these risk factors do not succumb to amputation. Factors that differentiate patients proceeding to amputation and those not, despite having the same risk factors, are unclear. Therefore, this investigation examined the quality of medical care and patient compliance in patients with diabetes and neuropathy and/or PVD. Methods: Retrospective exploratory data analyses of 50 patients with diabetes and neuropathy and/or PVD who succumbed to amputation and 30 patients with diabetes and the same risk factors but did not advance to amputation were analyzed. Two variables, Medical Care and Patient Compliance, were created and operationally defined using current guidelines for management of patients with diabetes. Results: In patients with diabetes that succumbed to amputation, Medical Care was poor in 92%, good in 0%, and average in 8%. Furthermore, Patient Compliance was poor in 79% and good in only 21%. In contrast, in patients that did not progress to amputation, Medical Care was rated poor in only 7%, good in 28%, and average in 65%, while Patient Compliance was rated poor in only 32% and good in 68%. Conclusion: Medical Care below standard of care for patients with diabetes and poor Patient Compliance are significant predisposing factors for amputation in patients with diabetes. These data suggest that more comprehensive medical care and patient involvement may attenuate the risk of amputation in patients with diabetes.
Featured Content from Wounds Research
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How To Facilitate Better Patient Compliance
It? The term compliance itself has a negative connotation. If you want to influence patient compliance, consider the following keys: ?
Featured Content from Podiatry Today
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Point-Counterpoint: Active Charcot: Should You Proceed With Surgery?
Yes, Drs. Wilusz and Pupp say early identification of the Charcot process and prompt surgical intervention can prevent progression of the deformity and related complications. No, Dr. Judge says conservative treatment is often effective for these patients. She says patient compliance is a particularly significant hurdle and discusses various risks that surgery can pose for patients with Charcot.
Featured Content from Podiatry Today
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A Guide To Bracing For Charcot
Treating acute or chronic Charcot neuroarthropathy can be difficult and choosing from the wide array of possible modalities doesn?t make it any easier. With this in mind, the authors offer a helpful guide to various options ranging from the total contact cast and ankle foot orthoses to patellar tendon bearing braces.
Featured Content from Podiatry Today
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Evaluating Fall Risk in Older Adults: Steps and Missteps
Identifying Specific Risk Factors for Falling It can be difficult to accurately evaluate fall risk factors, because of the many variables associated with falls and fallers. Fall risk factors vary depending on the type of faller (recurrent vs. one-time faller, independently mobile vs. disabled faller, community-living vs. nursing home resident) and the type of fall (injurious vs. non-injurious falls, or falls caused by intrinsic factors vs. falls caused by extrinsic factors). A variety of ...
Featured Content from Clinical Geriatrics
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Secrets To Facilitating Patient Adherence
Chances are you have seen a fair number of patients who have not followed their treatment regimens no matter how clear the instructions you provided to them. This author offers an understanding of factors that lead to non-compliance, whether diabetes changes the picture and how you can overcome a patient?s lack of adherence.
Featured Content from Podiatry Today
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Reassessing The Impact Of Diabetic Footwear
Emphasizing the role of the pedorthotist in the multidisciplinary team for diabetic foot care, these authors explore the possible preventive and post-op indications for a variety of therapeutic shoes, braces, orthoses and other ambulatory devices.
Featured Content from Podiatry Today
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A Helpful Primer On Total Contact Casts
In a thorough review of the literature and pearls from their experience in wound healing, these authors offer specific tips on technique and keys to patient compliance for the use of total contact casts.
Featured Content from Podiatry Today
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Enhance Patient Compliance By Targeting Different Learning Styles
Auditory learners: ? Visual learners: ? Kinesthetic learners: ?
Featured Content from Podiatry Today
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Venous Leg Ulcers in the Elderly Patient: Associated Stress, Social Support, and Coping
Although psychosocial issues in wound management are critical considerations when formulating diagnostic and treatment algorithms, they frequently are overlooked. Clinician consideration and evaluation of associated stresses, social support, and coping are particularly important when caring for elderly patients with recalcitrant venous ulcers. The Health Belief Model and health locus of control may help explain patient responses to health issues. The psychosocial effects of chronic illness, emotional impact of pain, physiological responses to stress, and issues related to treatment adherence must be considered. Recent research has contributed substantially to understanding of these concerns in the general patient population and in persons with venous ulcers. However, quantitative data are limited and studies examining the effects of educational level, ethnicity, socio-economic status, and clinician-patient relationships on psychosocial health in general, and wound healing in particular, are needed. Despite these limitations, increased awareness of the psychosocial dynamic in elderly patients should be integral to the wound care protocol.
Featured Content from Ostomy Wound Management
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