Integrating palliative care with usual care of diabetic foot wounds Dunning, Trisha 2016, Integrating palliative care with usual care of diabetic foot wounds, Diabetes/metabolism research and reviews, vol. 32, Supplement S1, pp. 303-310, doi: 10.1002/dmrr.2758. Attached Files Name Description MIMEType Size Downloads Title Integrating palliative care with usual care of diabetic foot wounds Author(s) Dunning, Trisha orcid.org/0000-0002-0284-1706 Journal name Diabetes/metabolism research and reviews Volume number 32 Season Supplement S1 Start page 303 End page 310 Total pages 8 Publisher Wiley Place of publication Chichester, Eng. Publication date 2016-01 ISSN 1520-7560 Keyword(s) diabetic foot foot ulcer palliative care integrated care end-of-life care Summary Palliative care is a philosophy and a system for deciding care and can be used alone or integrated with usual chronic disease care. Palliative care encompasses end-of-life care. Palliative care aims to enhance quality of life, optimize function and manage symptoms including early in the course of chronic diseases. The purposes of this article are to outline palliative care and discuss how it can be integrated with usual care of diabetic foot wounds. Many people with diabetes who have foot wounds also have other comorbidities and diabetes complications such as cardiovascular and renal disease and depression, which affect medicine and other treatment choices, functional status, surgical risk and quality of life. Two broad of diabetic foot disease exist: those likely to heal but who could still benefit from integrated palliative care such as managing pain and those where healing is unlikely where palliation can be the primary focus. People with diabetes can die suddenly, although the life course is usually long with periods of stable and unstable disease. Many health professionals are reluctant to discuss palliative care or suggest people to document their end-of-life care preferences. If such preferences are not documented, the person might not achieve their desired death or place of death and health professionals and families can be confronted with difficult decisions. Palliative care can be integrated with usual foot care and is associated with improved function, better quality of life and greater patient and family satisfaction. Language eng DOI 10.1002/dmrr.2758 Field of Research 111099 Nursing not elsewhere classified 1103 Clinical Sciences Socio Economic Objective 920104 Diabetes HERDC Research category C1 Refereed article in a scholarly journal ERA Research output type C Journal article Copyright notice ©2016, Wiley Persistent URL http://hdl.handle.net/10536/DRO/DU:30086875 Document type: Journal Article Collections: Faculty of Health School of Nursing and Midwifery Related Links Link Description Connect to published version Go to link with your DU access privileges   Connect to Elements publication management system Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Tue, 11 Oct 2016, 09:07:10 EST Wed, 12 Oct 2016, 04:07:58 EST Tue, 28 Mar 2017, 05:05:21 EST Mon, 01 May 2017, 11:06:10 EST Mon, 01 May 2017, 11:12:37 EST Mon, 01 May 2017, 11:13:31 EST Mon, 22 May 2017, 15:32:23 EST Sat, 17 Jun 2017, 02:33:13 EST Sat, 17 Jun 2017, 02:46:33 EST Filtered Full Citation counts:   Cited 0 times in TR Web of Science Cited 1 times in Scopus Search Google Scholar Access Statistics: 23 Abstract Views, 0 File Downloads  -  Detailed Statistics Created: Tue, 11 Oct 2016, 09:07:10 EST

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