The guideline serve as an outline and recommendation for use of the Toolkit: Implementation of Best Practice Guidelines (2012), which provides an evidenced-informed process for a systematic, well-planned, implementation for the comprehensive care management of the diabetic patient with foot ulceration.
Emphasize the processes used to provide patient care:
The guideline process for use in patient care provides steps that begin with the comprehensive health history and performance of physical examination of the diabetic patient with or at risk for foot ulcerations. Furthermore, the following steps involved in the process of patient care include, but are not limited to, the below listed areas such as:
The initial …show more content…
The evaluation and in incorporation of evidence practice also included use of evidence gained from searching established list of websites for guidelines and other relevant content published between 2004 and 2012. The additional review of published meta-analyses, systematic review with evidence tables, quality appraisal of 17 articles that were independently assessed by the Registered Nurses' Association of Ontario (RNAO) Best Practice Guidelines (BPG) Program Research Assistants, were included as a portion of the evaluation of methods for providing evidence based car guidelines that contribute to care …show more content…
The potential for loss of work time associated with frequent appointments for wound care, modified, reduced or inability for the patient to work, hospitalization, and the risk for amputation increasing the risk for permanent disability.
The developers reviewed published cost analyses, method of guideline validation, external peer review and internal peer review regarding the economic impact associated with care of the diabetic foot ulcer patient.
In conclusion the guideline utilized the following research questions to establish and guide the systematic review of the evaluation methods:
1. What are the most effective methods for the assessment of foot ulcer in clients with diabetes?
2. What are the most effective interventions to manage foot ulcers and prevent re-ulceration in clients with diabetes?
3. What health-care professional education and training is required to ensure the provision of effective diabetic foot ulcer care?
4. How do health-care organizations support and promote optimal assessment and management of foot ulcers in clients with