- Klíčová slova
- Amnioderm,
- MeSH
- amnion MeSH
- biologické krytí MeSH
- dermatologické látky terapeutické užití MeSH
- diabetická noha * farmakoterapie terapie MeSH
- hojení ran * MeSH
- komorbidita MeSH
- poranění nohy (od hlezna dolů) MeSH
- senioři MeSH
- Check Tag
- senioři MeSH
- Publikační typ
- kazuistiky MeSH
- MeSH
- chronická nemoc MeSH
- diabetická noha farmakoterapie ošetřování terapie MeSH
- Fournierova gangréna chirurgie farmakoterapie ošetřování terapie MeSH
- hojení ran MeSH
- komorbidita MeSH
- komplikace diabetu MeSH
- mezioborová komunikace MeSH
- noha (od hlezna dolů) MeSH
- osteomyelitida farmakoterapie ošetřování terapie MeSH
- perineum MeSH
- sepse MeSH
- terapie ran pomocí řízeného podtlaku MeSH
- týmová péče o pacienty MeSH
- výsledek terapie MeSH
- Publikační typ
- kazuistiky MeSH
- MeSH
- diabetická noha terapie MeSH
- hojení ran účinky léků MeSH
- komplikace diabetu MeSH
- výsledek terapie MeSH
- Publikační typ
- kazuistiky MeSH
- MeSH
- amputace MeSH
- gangréna terapie MeSH
- hojení ran MeSH
- komplikace diabetu MeSH
- prsty nohy chirurgie MeSH
- výsledek terapie MeSH
- Publikační typ
- kazuistiky MeSH
Introduction: On average, diabetic foot ulcerations heal within 3 to 6 months. By adhering to treatment measures this period can be shortened and re-ulcerations prevented. Aims: To analyze the causes and risk factors of re-ulcerations/recurrences/relapses of diabetic foot ulcers (DFU) on 1 case, to assess the effects of the applied treatment measures, and to suggest more effective methods to maintain motivation to treatment and successful healing of diabetic ulcerations.Methods: A case study of a client diagnosed with DFU who was monitored, treated and educated in a vascular-surgical outpatient ward for 11 years (2010-2021). For data collection we used monitoring, tests and scales, an interview, a medical documentation analysis including laboratory, physical, clinical and anthropometric indicators, and a DFU photo documentation.Result: A long-term DFU treatment (local surgical and wound therapy, pharmacological, short education about regimen measures) caused the client's loss of motivation and non- adherent behavior manifested by his nonadherence to the prescribed regimen measures (diet, relieving the ulcers), worsening of laboratory indicators (HbA1c), physical indicators (hypertension), clinical indicators (nonhealing scum of the wound, re-ulceration, infection), anthropometric indicators (BMI), insufficient treatment efficacy, and worsening of the prognosis of DFU (amputation). The fact that there were no physical inspections during the covid pandemic made this condition even worse.Conclusion: Despite a long DFU treatment the client's DFU did not heal. Such a long- term patient must not only be educated but also led and supported, positively motivated to undergo treatment and to adhere to the regimen measures through life values, individual lifestyle, and open partnership with healthcare professionals.
- MeSH
- adherence pacienta * MeSH
- diabetická noha * MeSH
- longitudinální studie MeSH
- rizikové faktory MeSH
- senioři MeSH
- terapie neúspěšná MeSH
- Check Tag
- mužské pohlaví MeSH
- senioři MeSH
- Publikační typ
- kazuistiky MeSH
