E N T W I T H D I A B E T I C F O O T ( P O S T B K A ) Placement: Level IV 2nd Semester, NCM 105-Surgical Nursing Rotation Topic: Care of patient with diabetic foot (post

BKA) Time Allotment: 1 Hour Topic Description: This topic provides the student nurse with an understanding of diabetes from a physical perspective. The diabetic patient is at increased risk of peripheral arterial disease that may lead to critical ischemia with subsequent sequelae for the legs and feet. Too frequently, surgical amputation is the only option for managing nonviable digits and feet. BKA or Below Knee Amputation is an inevitable option of managing diabetic food disease. Postoperative care of patients who underwent BKA will be discussed extensively. Such knowledge is required of the student nurse to enable her to optimally care for his/her patient. Central Objective: At the end of 1 hour discussion, the learners shall gain the knowledge, skills, and attitudes and values towards the care of clients with diabetic foot who underwent Below Knee Amputation. OBJECTIVES At the end of the 1 hour presentation the learners shall: I. Introduction Definition of terms: 1) Diabetic foot 2) Amputation 3) LOPS 4) Gangrene 5) Neuropathy 6) Limited Joint Mobility Overview of a Diabetic Foot 1) Epidemiology 2) Risk factors 3) Mechanism of injury 4) Treatment / Surgical intervention 5 mins 5 mins. Socialized Discussion CONTENT TA T-L ACTIVITIES RESOURCES EVALUATION At the end of the 1 hour presentation the learners were able to:

Linton, Adrianne
Dill & Nancy K. Maebius. (2003) Introduction to Medical-Surgical Nursing. London: Saunders Co.

1) Define the given terms at

75% level of competence.

II.

1) Defined the given terms

at 75% level of competence.

Lemone, Priscilla
15 mins. Lecture & Karen M. Burke (1996) MedicalSurgical Nursing: Critical Thinking in client care. NY: Benjamin/Cunnin gs Publishing Company Inc.

2) Briefly discuss the

overview of the condition at 75% level of competence. 3) Describe the changes in the extremity of a patient with a diabetic foot at 75% level of competency

III.

2) Briefly discussed the

overview of the condition at 75% level of competence.

IV. Nursing Intervention Assessment Foot history Medications Social habits

Lecture 5 mins.

Mosby Pocket Dictionary of Medicine, Nursing, and

3) Described the changes in the extremity of a patient with a diabetic foot at 75% level of

Previous surgeries Extremity assessment (Physical and Chemical examination) 2.) Diagnosis Nursing diagnosis Diagnostic procedures 3.) Planning and Goal setting Treatment- Below Knee Amputation 4.) Nursing Responsibility during post-op a) Monitor for cardiovascular complication b) Maintain adequate nutrition and blood glucose control c) Relieving pain d) Promoting wound healing e) Minimizing altered sensory perception f) Enhancing body image g) Helping the patient resolve grieving h) Promoting independent self-care i) Helping the patient achieve physical mobility j) Monitoring and managing potential complications 5.) Evaluation 7) Evaluate the patients response to treatment regimen 5 mins. 5mins. Lecture

Allied Health 4th ed. (2002) Philippines: Elsevier Pte. Ltd.

competency.

4) State the criteria for

diagnosis of Diabetic foot at 75% level of competence

5 mins. Socialized Discussion 15 mins.

Porth (2002), Pathophysiology: Concepts of Altered Health States. 6th Ed. Lippincott Williams & Wilkins. Smeltzer (2008) Brunner and Suddarths textbook of Medical-Surgical Nursing 11th ed. Lippincott Williams & Wilkins. Black, Joyce M. & Jane Hokanson Hawks (2005). Medical-Surgical Nursing: Clinical Management for Positive Outcomes, 7th ed. Vol.1. Philippines: Elsevier Inc

4) Stated the criteria for

diagnosis of Diabetic foot at 75% level of competence.

5) Identify methods for

meeting the needs of a patient who undergone BKA

5) Identified methods for

meeting the needs of a patient who undergone BKA.

6) Recognize the nursing

responsibilities in the care of patients with Diabetic foot postop BKA at 75% level of competence.

Socialized Discussion

6) Recognized the nursing

responsibilities in the care of patients with Diabetic foot postop BKA at 75% level of competence.

Socialized Discussion

7) Evaluated the patients

response to treatment regimen

COLLEGE OF NURSING
Silliman University

Syllabus on

C A R E O F P A T I E N T W I T H D I A B E T I C F O O T ( P O S T B K A )

Submitted by: Que, Maegilie C NCM 105 D3 Submitted to: Ms. Ma Theresa Belcina Jr. Surgical Rotation

November 7, 2008