0330_SHVGR_Diabetic Foot Management_Live
Description:
Ulcerations associated with diabetes are the most common cause of foot ulcers. Most of these ulcers are a direct result of loss of sensation secondary to peripheral neuropathy. Approximately 15% of persons with diabetes will develop foot ulceration during their lifetime. Most lower extremity amputations in the United States are preceded by a foot ulcer. Accurate diagnosis is the foundation of ulcer care. Misdiagnosis may result in mismanagement, with failure to heal, and may even have devastating consequences. This presentation will compare & contrast clinical versus surgical procedures as different options for patients dealing with lower extremity ulcerations related to diabetes.
Target Audience
Nurse Practitioner (NP)
Nurse, Registered (RN)
Pharmacists (PharmD)
Physicians (MD or DO)
Psychologists
Social Workers
Other Healthcare Professionals
Students of Health Professions
Learning Objectives
After completion of this activity, learners will be able to:
- Identify lower extremity ulcerations and effective treatments.
- Compare and contrast clinical and simple surgical procedures for lower extremity ulcerations.
- Consider when surgical intervention is warranted and predictors of surgical failure.
- Review typical podiatry pathology.
Assembly Bills 1195 & 241- Culturally Appropriate Care which is Free of Implicit Biases:
Learners are strongly encouraged to engage in self-directed learning related to the impact of implicit biases in this clinical area via the references provided below:
- Clayton, E. O., Njoku-Austin, C., Scott, D. M., Cain, J. D., & Hogan, M. V. (2023). Racial and Ethnic Disparities in the Management of Diabetic Feet. Current reviews in musculoskeletal medicine, 16(11), 550–556. https://doi.org/10.1007/s12178-023-09867-7
- Kumarasinghe SA, Hettiarachchi P, Wasalathanthri S. Nurses' knowledge on diabetic foot ulcer disease and their attitudes towards patients affected: A cross-sectional institution-based study. J Clin Nurs. 2018 Jan;27(1-2):e203-e212. doi: 10.1111/jocn.13917. Epub 2017 Aug 3. PMID: 28618043. https://pubmed.ncbi.nlm.nih.gov/28618043/
- Luo R, Ji Y, Liu YH, Sun H, Tang S, Li X. Relationships among social support, coping style, self-stigma, and quality of life in patients with diabetic foot ulcer: A multicentre, cross-sectional study. Int Wound J. 2023 Mar;20(3):716-724. doi: 10.1111/iwj.13914. Epub 2022 Aug 8. PMID: 36787266; PMCID: PMC9927899. https://pubmed.ncbi.nlm.nih.gov/36787266/
Disclosure of Financial or In-Kind Commercial Support & Conflict of Interest
Gnanagurudasan Prakasam, a planning team member for this activity, receives consultant fees from Novo Nordisk (related to growth hormones), Medtronic (related to insulin pumps), Dexcom (related to glucose sensors), Mannkind (related to inhaled insulin), Alexion (related to HPP), and K Kirin (related to XLH) as well as speaker fees from Lilly (related to diabetes), Sanozi (related to Diabetes Type 1 prevention), and Abbvie (related to puberty). These ineligible relationships were deemed not relevant to this activity’s topic, and thus mitigation was not needed.
Sophia Humphreys, a planning team member for this activity, receives honoraria/ consultant fees form Pharmacosmos for her role consulting on the IV Iron Consensus paper which was deemed not relevant to this activity’s topic. Further, she has recently ended financial relationships with the following ineligible companies: Fresenius Kabi (ended 10/2022) and Heron (ended 10/2022).
No one else involved in the planning or presentation of this educational activity have any relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. No financial or in-kind commercial support was received to produce or promote this educational activity.
– Provider Designee/Verification: Kerri Maya, PhD(c), MSL, RN, NPD-BC
Nicole Cates, DPM
Accreditation
In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.
Credit Designation Statement
Sutter Health designates this LIVE activity for a maximum of 1.00 AMA PRA Category 1 Credits™ for physicians, 1.00 continuing professional development contact hours for nurses, 1.00 knowledge-based contact hours for pharmacists, and 1.00 approved continuing education hours for social workers. Learners should claim only the credit commensurate with the extent of their participation in the activity.
Note to Other Disciplines: AMA PRA Category 1 Credits HOURS™ Continuing Medical Education is acceptable for meeting the continuing education requirements for Pharmacists, Physician Assistants, Psychologists, Registered Nurses, and Respiratory Care Practitioners. For other disciplines, please check with the regulatory board for your discipline to confirm what type of credits meet the continuing education requirements. Continuing education hours for nurses accredited by ANCC, via Joint Accreditation.
Attendance & Credit Claiming
Text the 6-letter attendance verification code to (916) 866-7913 to claim credit.
Available Credit
- 1.00 ACPE
In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Sutter Health designates this Live activity for a maximum of 1.00 of ACPE credit(s). Credits for pharmacists and technicians will be transmitted to CPE Monitor and will be available within 60 days post-activity pending submission of individual NABP e-PID and DOB (mm/dd only). Learners should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 AMA PRA Category 1 Credit™
In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Sutter Health designates this Live activity for a maximum of 1.00 AMA PRA Category 1 Credit™ for physicians. Learners should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 AMA PRA Category 1 Credit™ Hour(s)
In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Sutter Health certifies this Live activity was designated for a maximum of 1.00 AMA PRA Category 1 Credit™ Hour(s). Non-physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 ANCC
In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
This course/program has been awarded 1.00 ANCC contact hour(s). Sutter Health is accredited provider of nursing continuing professional development. Learners should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 ASWB-ACE
As a Jointly Accredited Organization, Sutter Health is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.00 continuing education credits.
- 1.00 CA BRN
This activity is approved for 1.00 contact hour(s) by Sutter Health, which is an approved provider by the California Board of Registered Nursing. (Provider Number 17182). Learners should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 IPCE
This activity was planned by and for the healthcare team, and learners will receive 1.00 Interprofessional Continuing Education (IPCE) credit for learning and change.