Masters Thesis

Amputation prevention practices: preventing amputations for diabetics

Research has shown an increase in the national incidence rates of diabetes. National diabetes trends increase yearly along with associated co-morbidity. The diabetic population is at high-risk for an amputation and lower-extremity amputations in this group are high priority in today's medical community. Diabetes and amputations are costly to the nation and the individual. Patient outcomes of lower extremity amputations result in lowered quality of life, increased future medical costs, and high mortality rates. Various programs exist to combat amputations. Amputation prevention programs aim to reduce national amputation rates, improve quality of life, and reduce medical costs. Preventative medicine has shown to be effective in reducing chronic diseases. For this research paper the researcher seeks popular lower extremity amputation programs for diabetic individuals. Programs that are found relative to the study are interpreted and analyzed in order to determine how effective amputation prevention initiatives have been. There has been little research done to show the efficiency on current diabetic prevention programs. The purpose of this study is to do more research on current amputation prevention practices and determine how successful they have been. The research is performed in hermeneutics research methods and aims to find a solution to the lack of research on the efficiency and effectiveness. Any literature on current diabetic amputation prevention programs is the sample frame. After interpreting the literature the findings show that current plans have reduced amputation rates, however the prevention methods can be more effective. The researcher found pitfalls in prevention programs. The gaps found in the study include: poor communication within prevention practices, insufficient data on national amputation rates and trends, and a biased perspective on amputation prevention methods. In answer to these gaps found within the research, it is recommended to include case management for individuals in prevention programs, encourage more research on diabetic lower extremity amputation rates, and provide the patients perspective on prevention programs.

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