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The Relationship Between Documented Foot Care and Amputation Rates in Native Americans with Diabetes on Two Midwest Reservations
Thesis - University Access Only
Master of Science (MS)
Department / School
foot care and hygiene, foot amputation, non-insulin dependent diabetes, diseases of North American Indians
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
Type 2 diabetes
Indians of North America -- Diseases
Number of Pages
South Dakota State University
Copyright © 1997 Virginia Cozad. All rights reserved
Cozad, Virginia, "The Relationship Between Documented Foot Care and Amputation Rates in Native Americans with Diabetes on Two Midwest Reservations" (1997). Electronic Theses and Dissertations. 826.