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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.

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Title Integrating palliative care with usual care of diabetic foot wounds
Author(s) Dunning, TrishaORCID iD for 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
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