Diabetic foot tracking and monitoring strategies in nurse practice
International Journal of Development Research
Diabetic foot tracking and monitoring strategies in nurse practice
Received 03rd June, 2019; Received in revised form 17th July, 2019; Accepted 26th August, 2019; Published online 28th September, 2019
Copyright © 2019, Jefferson Abraão Caetano Lira et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Objective: To identify, in the literature, the strategies for tracking and monitoring diabetic foot in nurses' practice. Method: Integrative review conducted in the MEDLINE, CINAHL, Web of Science, BDENF and LILACS bibliographic databases, between 2002 and 2018, totaling 23 articles. Results: The main strategies for diabetic foot tracking were the 10 g Semmes-Weinstein monofilament, the 128 Hz tuning fork, the assessment of the posterior and pedistibial pulses, the risk stratification, the ankle reflex and the Neuropathy Screening Instrument. from Michigan. Regarding monitoring, health education, computerized self-management tools, multidisciplinary consultation and risk-based clinical management prevailed. It was found that diabetic foot tracking and monitoring programs contributed to changes in patients' knowledge and behavior, improved cardio-metabolic control, reduced physical symptoms and incidence of diabetic foot. Conclusion: Diabetic foot tracking and monitoring are effective in reducing lower limb ulceration and amputation. Although allowing for comprehensiveness, satisfaction, improved self-care and continuity of care, these strategies still face difficulties to be implemented in the routine care of nurses to people with diabetes.
