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Document Type

Thesis - University Access Only

Award Date


Degree Name

Master of Science (MS)

Department / School

Graduate Nursing

First Advisor

Penny Powers


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


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