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The Effects of Diabetes on Wounds Healing Essay Example

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The Effects of Diabetes on Wounds Healing

The Effects of Diabetes on Wounds Healing. Studies have associated diabetes with other complications- particularly, wound healing. In fact, delayed healing of wounds is an indication that the person might be suffering from diabetes. Even minor wounds should not be ignored, and all problems associated with skin should be taken seriously. ‘...diabetes affects all facets of wound healing and wound management. ...Wound healing is more difficult with older people with diabetes. Treat the cause and take a multidisciplinary approach...wounds must be regularly evaluated and documented with defined goals of treatment.’ (Dunning 2005, p.177) Having defined goals mean that the progress of given treatment should be monitored on regular basis. Obesity can lead to cardiovascular diseases and diabetes mellitus as evident from research.

The relationship between adipose tissue and diabetes can greatly help in understanding their effects on wound healing. The classical perception of adipose tissue as a storage place of fatty acids has been replaced over the last years by the notion that adipose tissue has a central role in lipid and glucose metabolism and produces a large number of hormones and cytokines, e.g. tumour necrosis factor-α, interleukin-6, adiponectin, leptin, and plasminogen activator inhibitor-1. The increased prevalence of excessive visceral obesity and obesity-related cardiovascular risk factors is closely associated with the rising incidence of cardiovascular diseases and type 2 diabetes mellitus. (European Heart Journal 2008, pp. 2959-2971) Malnutrition has also been found to play important roles in triggering diabetes. Insulin deficiency is sometimes related to malnutrition. ‘The precise mechanism of abnormal wound strength in diabetes remains to be studied further, but careful control of diabetes, maintenance of nutrition, and treatment of systemic illness are important factors in the promotion of wound healing.” (Yue et al. 1987, pp. 295-299). The Effects of Diabetes on Wounds Healing.

References

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Caputo GM, Cavanagh PR, Ulbrecht JS, Gibbons GW & Karchmer AW, 1994, ‘Assessment and management of foot disease in patients with diabetes’, N Engl J Med, vol. 331, pp. 854-860

Di pietro LA & Burns AL 2003, Wound healing: methods and protocols. Humana press, New Meyer JS 1996, ‘Diabetes and wound healing’, Crit Care Nurs Clin North Am. Vol.8 no.2, pp. 195-201.

Dunning T 2005, Nursing care of older people with diabetes, Blackwell publishing, India.

Gates DJ & Mick D 2010, ‘Qigong: an innovative intervention for rural women at risk for type 2 diabetes’, Holistic Nursing Practice, vol. 24 , no. 6, pp. 345–354.

Gillibrand W 2010, ‘Survey of people with type 2 diabetes shows the majority prefer diabetes education to be given during regular diabetes check-ups; other education preferences and opinions on self-care vary depending on patient characteristics’, Evid Based Nurs vol.13, pp.113-114 .

Gillibrand, WP & Holdich P 2010, ‘Supporting people with diabetes related stress and depressio’. Practice Nursing, vol. 21, no. 7, pp. 362-365.

Hajer GR 2008, ‘Adipose tissue dysfunction in obesity, diabetes, and vascular diseases’, European Heart Journal , Vol.29, no.24, pp. 2959-2971.

Hampton S & Collins F, 2005, Tissue Viability, Whurr publishers, London.

Holzer SES, Camerota A, Martens L, Cuerdon T, Crystal-Peters J and Zagari M, 1998, ‘Pharmaceutical economics & health policy: costs and duration of care for lower extremity ulcers in patients with diabetes’, Clinical Therapeutics, Vol. 20, no.1, pp. 169-181.

Joslin EP & Kahn CR 2005, Joslin's diabetes mellitus. Lippincott Williams & Wilkins, New Jersey.

Mantzoros CS (ed.) 2006, Obesity and diabetes, Humana Press, New Jersey.

Margolis DJ, Allen-Taylor L, Hoffstad O, Berlin JA, 2003, ‘Diabetic neuropathic foot ulcers: predicting which ones will not heal’, American Journal of Medicine, Vol.115, no. 8, pp. 627-631.

Posnett J& Franks PJ 2008, ‘The burden of chronic wounds in the UK’, Nursing Times, vol.104, no. 3, pp. 44–45.

Shilling F 2003, ‘Foot care in patients with diabetes’, Nursing Standard, vol.17, no.23, pp. 61-68.

Sheehan P, Jones P, Caselli A, Giurini JM, & Veves A 2003, ‘Percent change in wound area of diabetic foot ulcers over a 4-week period is a robust predictor of complete healing in a 12-week prospective trial’, Diabetes Care, vol. 26, no. 6, pp. 1879-1882

Yue DK, McLennan S, Marsh M, Mai YW, Spaliviero J, Delbridge L, Reeve T and Turtle JR 1987, ‘Effects of experimental diabetes, uremia, and malnutrition on wound healing’, American Diabetes Association, vol. 36 no. 3, 295-299.

Yates T, Jarvis J, Troughton J, Davies MJ 2009, ‘Preventing type 2 diabetes: applying the evidence in nursing practice’, Nursing Times, vol.105 no. 41, pp.4-10

‘Decision coaching to support shared decision making: a framework, evidence, and implications for nursing practice, education, and policy’ 2008, Worldviews on Evidence-Based Nursing, Vol. 5, no.1, pp. 25–35.

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preview essay on The Effects of Diabetes on Wounds Healing
  • Pages: 11 (2750 words)
  • Document Type: Literature review
  • Subject: Health Sciences & Medicine
  • Level: Undergraduate
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