Wound Care Management

Diabetic/Neuropathic Ulcer

diabetic/neuropathic ulcer

What is a Diabetic/Neuropathic Ulcer?

  • Generally appear on the plantar surface of the foot, over the heels, and over the metatarsal heads
  • Dry, warm, cracked, fissured skin, thickened nails
  • Usually no edema is present
  • Minimal to no exudate
  • Wound margins are round with occasional periwound calluses
  • Caused by pressure, secondary to peripheral neuropathy or arterial insufficiency and Poor microvascular circulation, inadequate blood glucose control, and/or lack of sensation

What are the risk factors involved?

  • Increased risk for osteomyelitis
  • Renal disease
  • Vascular insuffienciency
  • Poor glycemic control
  • History of amputation
  • Limited joint mobility

Clinical Pearls:

  • Inspect BOTH feet daily
  • Avoid adhesives/chemicals/antiseptics on skin
  • Keep feet clean and dry