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The 130th Annual Meeting of APHA |
4219.0: Tuesday, November 12, 2002 - 2:30 PM
Abstract #33310
Planning programs to assess the older "at risk" diabetic patient with foot complications related to diabetes mellitus
Arthur E Helfand, DPM, DABPPH, Temple University, 9 Hansen Court, Narberth, PA 19072-1712, 610-667-9183, aehelfand@aol.com
Purpose: To provide and approach for professional assessment and risk stratification to help prevent complications and amputations in older patients with diabetes mellitus. Method: The presentation outlines assessment protocols and risk stratification principles as well as identifying primary complications associated with the diabetic foot. The program outlines early preventive strategies, including health promotion and education related to the burden of illness, etiology, efficiency, community effectiveness, synthesis and implementation, monitoring, reassessment, and their relationship to risk, limitation of activity and methods to enhance independent living and the quality of life. Results: The program forms the basis of a new program for professional education and community planning developed for the Pennsylvania Diabetes Academy and the Pennsylvania Department of Health to reduce complicatrions and amputations as well as provide guidelines for the care of older diabetic patients.
Learning Objectives: Learning Objectives
Identify primary foot and related complications associated with diabetes mellitus in the older patient.
Describe the clinical strategies to assess and stratify the "at risk" older diabetic patient, at the community level.
Recommend management programs that stress assessment, education and prevention.
ABSTRACT
Arthur E. Helfand, DPM, Professor of Community Health and Aging, Chair Department of Community Health, Aging and Health Policy, Temple University, School of Podiatric Medicine. (Note Professor Emeritus as of 07/01/2001)
Purpose To provide an approach for professional assessment and risk stratification to help prevent complications and amputations in older patients with diabetes mellitus.
Method The presentation outlines assessment protocols and risk stratification principles as well as identifying primary complications associated with the diabetic foot. The program outlines early preventive strategies, including health promotion and education related to the burden of illness, etiology, efficiency, community effectiveness, synthesis and implementation, monitoring, reassessment, and their relationship to risk, limitation of activity and methoids to enhance independent living and the quality of life.
Results The program forms the basis of a new program for professional education and community planning developed for the Pennsylvania Diabetes Academy and the Pennsylvania Department of Health to reduce complications and amputations as well as to provide guidelines for the care of older diabetic patients.
Keywords: Diabetes, Aging
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Diabetes Mellitus
The 130th Annual Meeting of APHA