The Relationship Between Documented Foot Care and Amputation Rates in Native Americans with Diabetes on Two Midwest Reservations

<p>Non-insulin dependent diabetes mellitus (NIDDM) is epidemic among the Native American population. In the Aberdeen Area Indian Health Service (AAIHS), approximately one in three Native Americans 45 years old have diabetes (AAIHS, 1991). Complications accompanying NIDDM are also more prevalent in the Native American population, including diabetic foot ulceration. Whether the ulcer is from neuropathy and/or impaired vasculature, the outcome for many NIDDM patients is amputation.<br /> This study was a review of records, for the purpose of examining the relationship between documentation of foot care and amputation rates. A checklist of elements which comprise a basic foot exam was compiled so that a greater score indicates better care. The hypothesis was that better documentation would be associated with a lower amputation rate.</p>

Name thesis:degree_name

Master of Science (MS)

Level thesis:degree_level

Thesis - University Access Only

Discipline thesis:degree_discipline

Graduate Nursing

Year

1997

Author dc:creator

• Cozad, Virginia

Contributors dc:contributor

• Penny Powers

• foot care and hygiene
• foot amputation
• non-insulin dependent diabetes
• diseases of North American Indians
• Nursing

Statement dc:rights

• Copyright © 1997 Virginia Cozad. All rights reserved

Language dc:language

en

Repository record dc:identifier

https://openprairie.sdstate.edu/etd/826

OAI identifier oai:identifier

oai:openprairie.sdstate.edu:etd-1826