- New articles
- November 2020 issue
- October 2019 issue
- Previous articles
- Previous issues
- Submission of Manuscripts
- Author Guidelines
- Ethical Guidelines
- Editorial Policy
- Editorial Board
Authors: Juan José Téllez Zaya, Elena Conde-Montero, Lorena Recarte Marín, Laura Pérez Jerónimo, Alicia Peral Vázquez, Alba Casillas Pérez, Pablo de la Cueva Dobao
Megan R. Goldrick, BSc, MSc, Georgina T. Gethin, PhD, MSc, PG, RGN, FFNM RCSI
First published 29 March 2021
By Ahmed Hussein, RN, MScN; Magdalena A. Gershater, RN, PhD
First published 25 March 2021
This article should be referenced as: Hussein A, Gershater MA: The diabetic foot in hospitalised stroke patients: Documentation of nursing actions and the need for improvement, Journal of Wound Management, 2021
Background: Patients with diabetes and stroke have a high risk of injury to the paralysed side of the body, but are incapacitated and unable to maintain their self-care. In stroke units, registered nurses can assist patients through systematic assessments and nursing interventions, including preventive footcare.
Aim: To explore the documentation of preventive nursing actions regarding the risk of developing foot ulcers in patients with diabetes and stroke at a neurology clinic’s inpatient ward.
Method: A retrospective systematic review of computerised nursing records using the Global Trigger Tool (GTT). All records (n = 101) of patients with diabetes and stroke at the clinic between 1 January and 20 December 2015 were assessed. Descriptive statistics and manifest content analysis were used.
Results: Median age: 78 years (41–93). Male/Female: n = 61/40. The records revealed insufficient documentation: Risk for foot ulcers was not documented in any of the records. The GTT showed that three patients had a documented foot ulcer, all with localisation on the same side in which the patient was paralysed. Documented nursing actions for foot ulcer prevention in bed were provided for 12 patients, but none were provided for patients sitting in a chair. Risk factors, according to the International Working Group of the Diabetic Foot, were found in 12 of the patients’ records. The nursing process was not mentioned in the records.
Conclusion: Insufficient documentation indicates that the patients’ feet are not assessed and protected.