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Date of Graduation


Degree Type

Capstone Project (On-Campus Access Only)

Degree Name

Master of Science in Physician Assistant Studies

First Advisor

Robert P. Rosenow, PharmD, OD


Objective: Diabetic foot diseases in fonns of ulceration and amputation affect 15% of patients with diabetes. Various studies suggested that many of these tragic events are preventable within the framework of existing health care, particularly self-management education programs. Daily foot check is an integral component of these programs but since the success of the self-management program is credited to all components combined, it is hard to evaluate the relative effectiveness and benefit of daily foot check alone in preventing diabetic foot complications.

Method: A retrospective chart review yielded 115 patients that have completed the diabetes self-management education program from January 2001 to April 2002 sponsored by Tuality Health Education Center. Frequency of daily foot check were measured and compared before and after completed the program. In additional, a phone survey was conducted to solicit responses of current daily foot check practices as to whether there was a decreased in foot infection and ulceration rate, and were the results motivating to them to adhere to the recommended lifestyle changes.

Result: Forty-six percents of study group reported there was a decreased in foot infection and ulceration and credited the decreased in rate to the daily foot check; however, this did not proved enough as a motivational factors because the frequencies of daily foot check decreased as time passed from completion of the DSMEP. '

Conclusion: Daily foot check was proved to hold a place in DSMEP in prevention of diabetic foot complications but to as to the extent of its contribution to the overall success of the DSMEP, it remained undetermined.


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