Injuries and diabetic foot: Baixo Alentejo “at peak amputation rate” | Radio Voice of the Plain – 104.5FM

A chronic or complex wound is a wound that has delayed healing or does not heal, begins by defining Regina Candeias, general surgeon at Beja Hospital, with an area of ​​​​interest in wounds and the diabetic foot, which is also coordinator of the Commission for the Prevention and Treatment of Wounds of the Local Health Unit of Baixo Alentejo.

The diabetic foot is when the patient with long-term diabetes has decreased sensitivity and changes in the shape of the foot, for these reasons “they do not feel”, which leads to the existence of sores, who have a particular healing.

The problem that arises is that these patients have a decrease in their quality of life, pointed out Regina Candeias. Sometimes there are patients who “have had injuries for years, often decades, and end up living with them as if they were normal.” The pain and smell can be intense, leading to their own social exclusion. The diabetic foot is a real public health problem, he pleads.

In Baixo Alentejo, with the aging of the population, “there are more and more complex wounds”, which has forced health units to adapt to this reality.

The approach to these patients must be multidisciplinary, in which several health professionals must be included, namely doctors of various specialties, nurses, nutritionists, among other specialists. “They must be involved and in coordination with the different levels of health”, that is to say hospitals and primary care.

In the area covered by the ULSBA, the doctor says that “there is an increasing incidence of these types of wounds”. “In Baixo Alentejo there is a high rate of elderly people”, with several comorbidities, often with long-lasting diabetes.

“The diabetic foot is important because it has serious complications such as amputation.” “In recent years, we have been at the top of the amputation rate” underlined the specialist in the field, and it is a relevant objective to reduce this rate, which also involves “diabetes control”.

The promotion of literacy and education in this area, both at the level of patients and caregivers, is very important to prevent this type of disease and the associated complications.

About diabetic patients, the doctor explains that they often do not observe their own feet, which leads people, increasingly younger, to amputate the limb of the body. Educates patients to pay attention to signs, especially the feet.

The lack of vascular surgery in the Baixo Alentejo means that patients have to travel to Lisbon to be observed. There is often a delay in observing these patients, which can lead to amputations, warns doctor Regina Candeias.

This is the star topic of the section A matter of health this week, listen to the full interview starting Tuesday on our website or on our show at 9:30 a.m. with a replay at 4:30 p.m.

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