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Document Type

Thesis - University Access Only

Award Date

1997

Degree Name

Master of Science (MS)

Department

Graduate Nursing

First Advisor

Penny Powers

Keywords

foot care and hygiene, foot amputation, non-insulin dependent diabetes, diseases of North American Indians

Abstract

Non-insulin dependent diabetes mellitus (NIDDM) is epidemic among the Native American population. In the Aberdeen Area Indian Health Service (AAIHS), approximately one in three Native Americans 45 years old have diabetes (AAIHS, 1991). Complications accompanying NIDDM are also more prevalent in the Native American population, including diabetic foot ulceration. Whether the ulcer is from neuropathy and/or impaired vasculature, the outcome for many NIDDM patients is amputation.
This study was a review of records, for the purpose of examining the relationship between documentation of foot care and amputation rates. A checklist of elements which comprise a basic foot exam was compiled so that a greater score indicates better care. The hypothesis was that better documentation would be associated with a lower amputation rate.

Library of Congress Subject Headings

Foot -- Care and hygiene
Foot -- Amputation
Non-insulin-dependent diabetes
Indians of North America -- Diseases

Number of Pages

95

Publisher

South Dakota State University

Rights

Copyright © 1997 Virginia Cozad. All rights reserved

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