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Vol 17, No 1-2 (2015)
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Published online: 2016-06-30

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Critical lower limb ischemia. The chronic ischemic wound of the foot in patients without diabetes — medical and nursing recommendations. Part II

Mariola Sznapka, Krzysztof Ziaja, Jolanta Domalik, Jacek Kostecki, Wacław Kuczmik, Tomasz Urbanek, Jerzy Chudek, Damian Ziaja
Chirurgia Polska 2015;17(1-2):32-39.

Abstract

Authors presented management of a chronic foot wound in non-diabetic patients with peripheral atherosclerosis who have chronic and critical lower limb ischemia. Management of these patients is typically different from the one recommended in diabetic patients. In available literature, an issue of the chronic wound/necrosis of the foot in usually addressed in the context of diabetic complications and “diabetic foot” in particular. Authors proposed different approaches to management, dividing patients into groups based on severity of the condition and ABI value. Special focus of the authors was on basic nursing care which, one might think, is an obvious and well-known element of the treatment. Negligence in that area may still lead to limb amputation in some patients.

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