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Published byJonathon Buoy Modified over 9 years ago
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Feet For Life Viliami Tutone, Catherine Tracy, Roger Grech, Shannon & Gina Wetere, Sally Fox, Pauline Sanders-Telfer, Rowena Scofield, Fakaola Otuafi, Jubedah Shah, Frances Reid, Babu Ramalingam, Lawrence Kingi, Anthony Ng, Penny Wilkings, Ian Hutchby, Jacqueline Schmidt-Busby Beyond 20,000 Days Campaign
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Podiatrist led wound care team Renal Physician and nurse Diabetiologist and nurse Vascular surgeon Orthopaedic surgeon Radiologist Plaster nurse District nurse
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43 year old male patient on dialysis Type two diabetic with a 10 year duration Hypertension - dyslipidaemia Dense Peripheral Neuropathy History of Foot ulceration Right foot Cellulitis and Right toe gangrene Multiple cutaneous infections Chronic Osteomyelitis – septic arthritis Recurrent foot trauma
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Plastic surgical debridement Vascular surgical debridement Orthopaedic surgical debridement IV therapy maximum of 6 weeks 18 outpatient clinics June 2011 to Oct 2013 50% DNA Total 28 days admission between 2011 and 2013 Admission Cost per day $850 Total Cost $23,800
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Average 2-6 week referral process for Diabetes Foot clinic Diabetic patients only with active wounds Multiple appointments Clashed with dialysis or unwell Transport - family support & around work Unaware of Primary Podiatry Care
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577 renal patients Immediate access to a podiatrist ALL renal patients have access Reduced outpatient appointments Care that fits in with patients Knowledge of Primary Podiatry Care Extensive foot care education provided
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