1. Unidade Local de Saúde do Alto Minho, EPE. Viana do Castelo - Portugal
Dr Maria Clara SANTOS
Unidade Local de Saúde do Alto Minho, EPE. Viana do Castelo - Portugal

2. DIABETIC FOOT (Neuropatic )
Patient female, 65 years, diagnose DM2 since 48.( Insulinotratment for 5 years ago ). Retinopathy diabetic, Peripheral neuropathy. Cardiovascular disease(HTA).
Presence of pedal pulses.
Absence at monofilament 10gr , but she have allways vibratory sensation only on right foot.
Lives alone.
She never do our recommending because she is very proud !!!! She not use a shoes appropriated.
This case reports from April/05 to April/09.
April/2005

3. Before debridement hyperkeratotic tissues, nurse´s work and with the adequate farmacologic treatment…

4. … and with fabrication of foot orthoses to relieve weight or pression in the ulcer.
We can!!

5. But … she came to our hospital appointment before a biomechanical stress, does a religion walking for 2 weeks and without preventive self-care!!!
June/2006

6. It´s going well…

7. At another day… Words for what ???
March/2007

8. And June 2007…

9. But WE never give up… and in the next reavalutions every 3 mouths…
everythings is ok.