Amputation prevention in a diabetic elderly patient: a case study in specialized dermatology nursing practice

Authors

  • Euzeli da S. Brandão Departamento de Fundamentos de Enfermagem. Escola de Enfermagem Aurora de Afonso Costa. Universidade Federal Fluminense. Niterói, RJ, Brasil.
  • Luna Luna Azulay-Abulafia Departamento de Especialidades Médicas. Serviço de Dermatologia. Hospital Universitário Pedro Ernesto. Faculdade de Ciências Médicas. Universidade do Estado do Rio de Janeiro. Rio de Janeiro, RJ, Brasil.
  • Maria José Q. A. Martins Instituto de Pesquisa Clínica Evandro Chagas. Fundação Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.

DOI:

https://doi.org/10.12957/rhupe.2014.12252

Abstract

This report details the assistance given to an elderly diabetic patient with an advanced infectious process after 15 days of an injury with a nail in the left sole. He was admitted in a dermatology ward of a University Hospital in Rio de Janeiro with multiple ulcers located in the left shin and foot, having indication of infra-patelar amputation by the medical team of vascular surgery. He was managed by the dermatology medical team, by the ward head nurse, specialized in dermatology, and by residents of nursing. Highlighted is the trust put in the nursing staff, with the medical team postponing and cancelling the surgical procedure. After 90 days, the patient was discharged walking. It showed the importance of the integration between staffs and of specialized nursing in then prevention and treatment of injuries.

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Published

2014-08-05

Issue

Vol. 13 (2014): SUPLEMENTO 1: Fronteiras da Dermatologia

Section

Artigos

License

<a rel="license" href="http://creativecommons.org/licenses/by-nc/4.0/"><img alt="Licença Creative Commons" style="border-width:0" src="https://i.creativecommons.org/l/by-nc/4.0/88x31.png" /></a><br /><span xmlns:dct="http://purl.org/dc/terms/" property="dct:title">Revista Hospital Universitário</span> de <a xmlns:cc="http://creativecommons.org/ns#" href="http://www.e-publicacoes.uerj.br/index.php/revistahupe/index" property="cc:attributionName" rel="cc:attributionURL">http://www.e-publicacoes.uerj.br/index.php/revistahupe/index</a> está licenciado com uma Licença <a rel="license" href="http://creativecommons.org/licenses/by-nc/4.0/">Creative Commons - Atribuição-NãoComercial 4.0 Internacional</a>.