Reducing Foot Complications for People with Diabetes - Registered ...

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Reducing Foot Complications for People with Diabetes Project team: Tazim Virani, RN, MScN Project Director Heather McConnell, RN, BScN, MA(Ed) Project Manager Josephine Santos, RN, MN Project Coordinator Jane Schouten, RN, BScN, MBA Project Coordinator Stephanie Lappan-Gracon, RN, MN Coordinator – Best Practice Champions Network Carrie Scott Project Assistant Melissa Kennedy, BA Project Assistant Elaine Gergolas, BA Project Coordinator – Advanced Clinical Practice Fellowships Keith Powell, BA, AIT Web Editor Registered Nurses Association of Ontario Nursing Best Practice Guidelines Project 111 Richmond Street West, Suite 1100 Toronto, Ontario M5H 2G4 Website: www.rnao.org/bestpractices
Development Panel Members Cheri Ann Hernandez, RN, PhD, CDE Team Leader Associate Professor Faculty of Nursing, University of Windsor Windsor, Ontario Catherine A. Arnott, RPN President – Arnott Lightens Your Load, Inc/Footloose Certified Footcare Nurse/RPNAO Educator Toronto, Ontario Grace Bradish, RN, MScN, CDE Advanced Practice Nurse Integrated Cancer Program London Health Sciences Centre London, Ontario Sharon Brez, RN, BScN, MA(Ed), CDE Advanced Practice Nurse The Ottawa Hospital Ottawa, Ontario Lillian Delmas, RN, BScN, CRRN Nurse Clinician The Rehabilitation Centre Ottawa, Ontario Penny Fredrick, RN, CDE Diabetes Nurse Educator Peterborough Regional Health Centre Peterborough, Ontario Robin Hokstad, RN, CDE Diabetes Nurse Educator Nipissing Diabetes Resource Centre North Bay, Ontario Nursing Best Practice Guideline Margaret Hume, RN, MScN, CDE Clinical Nurse Specialist (retired) Endocrine-Metabolic Clinic University Health Network Toronto, Ontario Sharon Jaspers, RN, HBScN, CDE Diabetes Nurse Educator Diabetes Health Thunder Bay Thunder Bay, Ontario Helen Jones, RN, MSN, CDE Clinical Nurse Specialist/Manager Leadership Sinai Centre for Diabetes Mount Sinai Hospital Toronto, Ontario Barbara Martin, RN, CDE Clinic Nurse/Diabetes Educator Gane Yohs Community Health Centre Six Nations, Ontario Heather McConnell, RN, BScN, MA(Ed) RNAO Project Staff – Facilitator Project Manager, Nursing Best Practice Guidelines Project Registered Nurses Association of Ontario Toronto, Ontario Alwyn Moyer, RN, MSc(A), PhD Health Care Consultant Adjunct Professor, University of Ottawa Ottawa, Ontario Ruth Ruttan, RN, CDE Foot Care Educator President – Ruth Ruttan & Associates Sharon, Ontario 3
Page 1 and 2: March 2004 Nursing Best Practice Gu
Page 3: How to Use this Document This nursi
Page 7 and 8: Nicola Dorosh, RN Public Health Nur
Page 9 and 10: RNAO wishes to acknowledge the foll
Page 11 and 12: table of contents Summary of Recomm
Page 13 and 14: Summary of Recommendations RECOMMEN
Page 15 and 16: RECOMMENDATION LEVEL OF EVIDENCE 13
Page 17 and 18: Responsibility for Development The
Page 19 and 20: Development Process Nursing Best Pr
Page 21 and 22: Nursing Best Practice Guideline A p
Page 23 and 24: Organization and Policy Recommendat
Page 25 and 26: Nursing Best Practice Guideline In
Page 27 and 28: Risk Factors: History of previous f
Page 29 and 30: findings and expert consensus, four
Page 31 and 32: Recommendation • 3.0 Based on ass
Page 33 and 34: Recommendation • 5.1 The basic fo
Page 35 and 36: Possible sources of information on
Page 37 and 38: Organization & Policy Recommendatio
Page 39 and 40: health care and community systems.
Page 41 and 42: Implementation Tips Nursing Best Pr
Page 43 and 44: Process for Update/Review of Guidel
Page 45 and 46: Canadian Diabetes Association (2001
Page 47 and 48: Reiber, G., Pecoraro, R., & Koepsel
Page 49 and 50: European IDDM Policy Group (2001c).
Page 51 and 52: Appendix A: Search Strategy for Exi
Page 53 and 54: One individual searched each of the
Page 55 and 56:
Appendix B: Glossary of Terms Ankle
Page 57 and 58:
Peripheral Neuropathy: Nerve damage
Page 59 and 60:
Appendix D: Diabetes Foot Assessmen
Page 61 and 62:
Notes Apply only to intact skin. A
Page 63 and 64:
Appendix H: Care Tips for the Feet
Page 65 and 66:
DES Group of European Associations,
Page 67 and 68:
Page 69 and 70:
Page 71 and 72:
Appendix K: Diabetes Education/Care
Page 73 and 74:
www.canadian-health-network.ca The
Page 75 and 76:
Appendix M: Description of the Tool
Page 77 and 78:
Review of Existing Guidelines One i
Page 79 and 80:
References/ Bibliography: Abbott, C
Page 81 and 82:
Kanade, R. V., van Deursen, R. W.,
Page 83 and 84:
Unluhizarci, K., Muhtarolu, S., Kab
Page 85 and 86:
Notes: Nursing Best Practice Guidel
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Review 2007 Nursing Best Practice G
Page 93 and 94:
References/ Bibliography: Abbott, C
Page 95 and 96:
Kanade, R. V., van Deursen, R. W.,
Page 97 and 98:
Unluhizarci, K., Muhtarolu, S., Kab
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