DM Full Guideline (2010) - VA/DoD Clinical Practice Guidelines Home
DM Full Guideline (2010) - VA/DoD Clinical Practice Guidelines Home
DM Full Guideline (2010) - VA/DoD Clinical Practice Guidelines Home
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Version 4.0<br />
<strong>VA</strong>/<strong>DoD</strong> <strong>Clinical</strong> <strong>Practice</strong> <strong>Guideline</strong><br />
for the Management of Diabetes Mellitus<br />
Continue from<br />
page F1<br />
F<br />
Page 2<br />
13<br />
Person with <strong>DM</strong> and minor wounds or<br />
f oot lesion and no high risk f actors<br />
14<br />
Perf orm wound assessment<br />
[ J ]<br />
15<br />
Is this a minor<br />
lesion?<br />
[ F ]<br />
Y<br />
16<br />
Prov ide local wound care<br />
Of f load pressure and weight as<br />
indicated<br />
[ K ]<br />
N<br />
17<br />
Has wound healed<br />
within 4 weeks?<br />
[ L ]<br />
Y<br />
18<br />
N<br />
Ref er to f oot care specialist<br />
f or wound care treatment<br />
[ G ]<br />
22<br />
Is this a minor f oot<br />
problems?<br />
[ M ]<br />
Y<br />
23<br />
Treat as appropriate<br />
[ N ]<br />
24<br />
N<br />
25<br />
Does patient need<br />
nail or callus care?<br />
Y<br />
Treat as appropriate<br />
Consider ref erral to podiatrist<br />
N<br />
19<br />
Conf irm f ollow-up by f oot care specialist<br />
if indicated and compliance by patient<br />
20<br />
Perf orm and document patient education<br />
f or prev entiv e f oot care and f ootwear<br />
[ H ]<br />
21<br />
Perf orm v isual inspection and ev aluate peripheral<br />
sensation at each routine primary care v isit<br />
[ I ]<br />
Jan -03<br />
Continue <strong>DM</strong> management<br />
Return to Module D<br />
Module F – Foot Care Page 96
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