(精编)november2011theone教学课件.pptVIP

;In the beginning…….. Diabetic patients were losing limbs, long stays in hospital, no hope of healing chronic ulcers inevitable amputation. No light at the end of the tunnel, only destruction, dismay and death. …But a new era was emerging….;Historical Events;Reduce Amputations by 50%;100 boots in Blackburn – 1988;Historical Data 1988/1989;LOW RISK Protective sensation intact (10g pressure);MODERATE RISK ;HIGH RISK;Very High Risk;;Referral Pathways For The Diabetic Foot ;;N.I.C.E.;Do Shoes and Orthoses work?;Precipitating Factors of Referred Ulcers;Outcomes;Aetiology of Foot Ulcers in