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Relax... you bring the coffee... we'll do the rest
Relax... you bring the coffee... we'll do the rest



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Management of diabetic foot ulcers (MMR-5169)
Thorough assessment of an ulcer will enable you to manage it more efficiently. In this unit, Peter Lazzarini, a podiatrist, discusses the management principles of foot ulcers, and Dr Tony Russell talks about osteomyelitis and antibiotic therapy. You will also be able to view a video presentation on ulcer management and access a patient referral tool which you may find useful.

Learning Objectives:

  • Manage diabetic foot ulcers (using the MATIDORE principles)
  • Identify patients with diabetes with foot ulcers who need referral
  • Access referral algorithms to use in practice

This program has been developed by the Queensland Health Diabetic Foot Innovation Project and endorsed by the Steering Committee, Statewide Diabetes Clinical Network. The project was funded through Innovation Funding (available under the Queensland Government's Action Plan to support the introduction of innovative approaches to patient care and service delivery improvement).

This unit was reviewed by Dr Natalie Burch. Dr Natalie Burch (B.Sc., M.B.B.S., DRANZCOG, FRACGP) works as a rural general practitioner in Scottsdale, Tasmania. Her special interests in medicine include mental health, family planning and low risk obstetrics, minor surgery and emergencies.

Expert presenter: Mr Peter Lazzarini, Podiatrist.

Mr Peter LazzariniPete Lazzarini B.App.Sci (Podiatry), Grad Cert (Health Management)

Pete Lazzarini has been a qualified podiatrist since 1997, whose professional interests include models of care in diabetes, especially involving the diabetic foot. He received recognition as an Advanced Clinical (Diabetes) Podiatrist in 2005 by Queensland Health, following his work with high risk diabetic foot management. In the same year, he went on to complete a Graduate Certificate in Health Management at the Queensland University of Technology. In 2006 he was the primary author for the diabetic foot & podiatry sections of the Queensland Health ‘Guidelines for the Care & Referral of Adults with Type 2 Diabetes’.

He is on many diabetes & podiatry steering committees, including:

  • Member of the Queensland Health Statewide Diabetes Network Management Committee
  • Co-Chair of the Queensland Health Diabetic Foot Steering Committee
  • Member of ADEA ‘Development of Diabetes Self Management Education through General Practice Project’ National Steering Committee
  • Chair of Australasian Podiatry Conference Committee
  • Vice-President and Public Sector representative on the Australian Podiatry Association (Queensland)
  • Queensland Delegate on the Australasian Podiatry Council Board.

Pete’s substantive position is as a Queensland Health Podiatrist in the Northside District. However, he has been seconded and is currently working as a project manager for the Queensland Health ‘Diabetic Foot’ Innovation Project.


Expert presenter: Dr Tony Russell

Dr Tony RussellDr Tony Russell is an endocrinologist and is Director of the Department of Diabetes and Endocrinology, Princess Alexandra Hospital.

He is the Team Leader of Placental Biology at the Diamantina Institute for Cancer, Immunology and Metabolic Medicine at The University of Queensland. Dr Russell is on the Steering Committee for the Diabetes Network, Clinical Practice Improvement Centre, Queensland Health and is actively involved in developing the Inala Chronic Disease Centre, assessing a new model of care for the management of type 2 diabetes mellitus.


References
[1] Frykberg RG, Zgonis T, Armstrong DG, Driver VR, Giurini JM, Kravitz SR et al. Diabetic foot disorders: a clinical practice guideline (2006 revision). J Foot Ankle Surg 2006 Sep-Oct;45(5 Suppl):S1-66.
[2] International Diabetes Federation. Diabetes education modules. 2006. Brussels: International Diabetes Federation. Viewed on 22/10/2008, at: http://www.idf.org/home/index.cfm?node=1554
[3] Queensland Health. Guidelines for care and referral of adults with type 2 diabetes. 2006. Brisbane: Queensland Health. Viewed on 29/10/2008, at: http://www.health.qld.gov.au/cpic/pdf/diabetes2guide.pdf
[4] eTG complete. Diabetic foot infections. Melbourne: Therapeutic Guidelines Ltd; 2006. Viewed on 22/07/2008.
[5] Queensland Health Clinical Practice Improvement Centre. Diabetic Foot Innovation Project Form (Version DFF1). Brisbane: Queensland Health. Viewed on 22/10/2008, at: www.health.qld.gov.au/cpic/pdf/diabetic_foot.pdf
[6] International Working Group on the Diabetic Foot (IWGDF). International consensus on the diabetic foot. Brussels: IWGDF; 1999.
[7] Australian Centre for Diabetes Strategies. National evidence based guidelines for the management of type 2 diabetes mellitus, part 6: detection and prevention of foot problems in type 2 diabetes. Canberra: Commonwealth of Australia; 2005. Viewed on 21/07/2008, at: http://www.nhmrc.gov.au/publications/synopses/_files/di12.pdf
[8] Wraight PR, Lawrence SM, Campbell DA, Colman PG. Creation of a multi-disciplinary, evidence-based, clinical guideline for the assessment, investigation and management of acute diabetes related complications. Diabetic Medicine 2005;22(2):127-36.

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Time: 25 minutes
Catalogued by:
  • Clinical knowledge and skills
    • Care of patients with chronic disease
    • Diabetes
    • Endocrine
    • Wound care
  • Clinical continuum
    • Management
    • Chronic disease management

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