Podiatric care for elderly people with diabetes mellitus: an integrative review
DOI:
https://doi.org/10.33448/rsd-v11i7.29776Keywords:
Diabetes mellitus; Old man; Podiatry; Primary Prevention; Health Teaching.Abstract
This study aimed to identify podiatric care performed in the care of elderly people with diabetes mellitus to prevent ulcerations. This is an integrative review carried out in the MEDLINE, CINAHL, Science Direct, Web of Science, SCOPUS, IBECS and LILACS databases. Initially, 1,572 articles were identified, which were submitted to the research eligibility criteria, resulting in a final sample of three articles. The main podiatric care undertaken in elderly people with diabetes was evidenced: proper nail clipping performed by a professional; management of pain and deformities; footwear prescription; treatment of onychomycosis with laser; foot inspection; evaluation of foot pulses and protective sensitivity test with 10g monofilament, vibratory sensitivity with the tuning fork 128 Hz, pain sensitivity, Achilles reflex and vibration perception threshold. Much of the care is already recommended by national and international guidelines on the subject, emphasizing the absence of other care performed in clinical practice. It is concluded that it is necessary to advance in the discussion of podiatric care in elderly people with diabetes in the perspective of producing more studies on the subject of good methodological quality for clarification and theoretical basis of practices in clinical podiatry that contribute to the reduction of morbidity and mortality associated with the foot. diabetic.
References
American Diabetes Association. (2016). Guidelines Source: Standards of Medical Care in Diabetes. Diabetes Care, 39(1), 1-112.
Bakker, K., Apelqvist, J., Lipsky, B. A., & Van Netten, J. J. (2016). The 2015 IWGDF guidance documents on prevention and management of foot problems in diabetes: development of an evidence-based global consensus. Diabetes/Metabolism Research and Reviews, 32(1), 02-06.
Brasil. (2016) Ministério da Saúde. Manual do pé diabético 2016: estratégia para o cuidado da pessoa com doença crônica. Ministério da Saúde, Secretaria de Atenção á Saúde, Departamento de Atenção Básica. – Brasília.
Bus S, A., Waaijman, R., Arts, M., Haart, M. de., Busch-Westbroek, T., Baal, J. V., & Nollet, F. (2013). Effect of custom-made footwear on foot ulcer recurrence in diabetes: a multicenter randomized controlled trial. Diabetes Care, 36(12), 4109-4116.
Bus, S. A., Van Netten J. J., Lavery L. A., Soares, M. M., Rasmussen, A., Jubiz, Y., & Price, P. E. (2016a). IWGDF Guidance on the prevention of foot ulcers in at-risk patients with diabetes. Diabetes/Metabolism Research and Reviews, 32(1), 16-24.
Bus, S. A., Armstrong, D. G., Van Deursen, R. W., Lewis, J. E. A., Caravaggi, C. F., & Cavanagh, P. R. (2016b). IWGDF guidance on footwear and offloading interventions to prevent and heal foot ulcers in patients with diabetes. Diabetes Metabolism Research and Reviews, 32(1), 25-36.
Caiafa, J. S., Castro, A. A., Fidelis, C., Santos, V. P., Silva, E. S. da S., & Sitrângulo Junior, C. J. (2011). Atenção integral ao portador de pé diabético. J. Vasc. Bras, 10(4), 1-32.
COFEN. (2005). Resolução n.º 057/2005. Regulamenta a análise sob o aspecto legal do curso de atualização e especialização de podiatria clínica.
Consenso Internacional sobre Pé Diabético. (2001). Grupo de Trabalho Internacional sobre Pé diabético. Hermelinda Cordeiro Pedrosa e Ana Cláudia de Andrade (trads.). Brasília: Secretaria de Estado de Saúde do Distrito Federal.
Ferrari, S. C., Santos, F. C., Araújo, M. S. L., Cendoroglo, M. S., & Trevisani, V. F. M. (2009). Patologias no pé do idoso. RBCEH, 6(1), 106-118.
International Diabetes Federation. (2017). Diabetes Atlas. 8. ed. Brussels: International Diabetes Federation.
Ferreira, E. Avaliação da saúde dos pés de idosos institucionalizados, 2017. 174f. Dissertação (Mestrado em Envelhecimento Humano). Universidade de Passo Fundo. Passo Fundo. 2017. Disponível em: http://tede.upf.br/jspui/bitstream/tede/1324/2/2017EidimaraFerreira.pdf.
Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, et al. GRADE: an emerging consensus on rating quality of evidence
and strength of recommendations. BMJ 2008 Apr 26;336(7650):924-926.
Mantovani, A. M., Martinelli, A. R., Fortaleza, A. C. de S., Ferreira, D. M. A., & Fregonesi, C. E. P. T. (2014). Análise da pressão e área de superfície plantar em diabéticos neuropatas, que utilizam palmilhas. Arq. Ciênci. Saúde, 21(4), 43-47.
Markakis, K., Bowling, F. L., & Boulton, A. J. M. (2016). The diabetic foot in 2015: an overview. Diabetes/metabolism Research and Reviews, 32(1), 169-178.
Mendes, K. D. S., Silveira, R. C. C. P., & Galvão, C. M. (2019). Uso de gerenciador de referências bibliográficas na seleção dos estudos primários em revisão integrativa. Texto Contexto Enferm, 28, 1-13.
Miikkola, M., Lantta, T., Suhonen, R., & Stolt, M. (2019). Challenges of foot self-care in older people: a qualitative focus-group study. Journal of Foot and Ankle Research, 12(5), 2-10.
Moher, D., Liberati, A., Tetzlaff, J., & Altman D. G. (2009). The PRISMA Group". Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. Plos Medicine, 6(7).
Nijenhuis-Rosien, L., Kleefstra, N., Van Dijk, P. R., Wolfhagen, M. J. H. M., Groenier, K. H., Bilo, H. J. G., & Landman, G. W. D. (2019). Laser therapy for onychomycosis in patients with diabetes at risk for foot ulcers: a randomized, quadruple-blind, sham-controlled trial (LASER-1). J Eur Acad Dermatol Venereol, 33(11), 2143-2150.
Oliveira, J. C., Taquary, S. A. S., Barbosa, A. M., & Veronezi, R. J. B. (2016). Pé diabético e amputações em pessoas internadas em hospital público: estudo transversal. Arquivos Brasileiros de Ciências da Saúde, 41(1), 34-39.
Pedrosa, H. C., Leme, L. A. P., & Aguiar, C. S. H. (2014). Rastreamento do pé em risco de ulceração. AC Farmacêutica, 158-169.
Pereira, H. K. B., Moretto, N. F., & Paula, V. B. (2016). Guia de patologias ungueais para podólogos. http://siaibib01.univale.br/pdf/Helen%20Keller%20Borba%20Pereira%20e20Nura%20Ferreira%Moretto.pdf.
Pocuis, J., Man-Hoi, S., Janci, M. M., & Thompson, H. (2017). Exploring diabetic foot exam performance in a specialty clinic. Clin. Nurs Res., 26(1), 82-92.
Santos, M. M., Soethe, M. S., & Soares, A. V. (2018). Avaliação da polineuropatia diabética e a prevenção de úlceras em idosos. Revista Kairós – Gerontologia, 21(1), 355-376.
Santos, S. A. L., Tavares, D. M. S., & Barbosa, M. H. (2010) Fatores socioeconômicos, incapacidade funcional e número de doenças entre idosos. Rev Eletrôn Enferm, 12(4), 692-697.
Schaper, N. C., Van Netten, J. J., Apelqvist, J., Lipsky, B. A., & Bakker, K. (2015) Prevention and management of foot problems in diabetes: a Summary Guidance for Daily Practice 2015, based on the IWGDF Guidance Documents. Diabetes Metab Res Rev, 32(1), 7-15.
Sociedade Brasileira de Diabetes. (2020). Diretrizes da Sociedade Brasileira de Diabetes: 2018-2020. Adriana Costa e Forti et al. (Org). Clannad.
Souza, M. T., Silva, M. D., & Carvalho, R. (2010). Revisão integrativa: O que é e como fazer. Einstein, 8(1), 102-106.
Stolt, M., Suhonen, R., Puukka, P., Viitanen, M., Voutilainen, P., & Leino-Kilpi, H. (2012). Foot health and self-care activities of older people in home care. Journal of Clinical Nursing, 21, 3082-3095.
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Copyright (c) 2022 Joãoney Soares Chaves de Lavor; Glícia Uchôa Gomes Mendonça; Jameson Moreira Belém; Cícera Rejane Tavares de Oliveira; Sabryna Ernesto Moreira; Luis Rafael Leite Sampaio; Rita Neuma Dantas Cavalcante de Abreu; Fernanda Maria Silva; José Wicto Pereira Borges; Jayana Castelo Branco Cavalcante de Meneses
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