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



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Medical specialist referral protocols for the diabetic foot (RES-0004)
This unit contains a referral guide which will assist you with the management of patients with diabetes at risk of, or with, foot complications.

Learning Objectives:

  • Access and use a referral guide for patients with diabetes at risk of foot complications.

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.

Content expert: Mr Peter Lazzarini.

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.

References:
[1] Hopf HW, Ueno C, Aslam R, Burnand K, Fife C, Grant L, et al. Guidelines for the treatment of arterial insufficiency ulcers. Wound Rep Reg 2006;14:693-710. Viewed on 24/10/2008, at: http://www3.interscience.wiley.com/cgi-bin/fulltext/118605281/PDFSTART
[2] American Diabetes Association. Peripheral arterial disease in people with diabetes. Diabetes Care 2003;26(12):3333-41. Viewed on 24/10/2008, at: http://care.diabetesjournals.org/cgi/reprint/26/12/3333
[3] 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 Feb;22(2):127–36.
[4] Frykberg RG, Zgonis T, Armstrong DG, Driver VR, Giurini JM, Kravitz SR, et al. Diabetic foot disorders: a clinical practice guideline (2006 revision). American College of Foot and Ankle Surgeons. J Foot Ankle Surg 2006 Sep-Oct;45(5 Suppl):S1-66.
[5] eTG complete. Diabetic foot infections. Melbourne: Therapeutic Guidelines Ltd; 2006. Viewed on 22/07/2008.

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Time: 5 minutes
Catalogued by:
  • Clinical knowledge and skills
    • Care of patients with chronic disease
    • Diabetes
    • Endocrine
    • Skin
    • Wound care
  • Clinical continuum
    • Chronic disease management

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