Wounds and diabetic foot: Baixo Alentejo “at the top of amputation rate” | Voice of the Plain Radio – 104.5FM

A chronic or complex wound is a wound that has delayed healing or that does not heal, begins by defining Regina Candeias, general surgeon at Hospital de Beja, with an area of ​​interest in wounds and diabetic foot, who is also coordinator of the Prevention and Treatment Commission of Wounds at the Baixo Alentejo Local Health Unit.

Diabetic foot is when the patient with long-term diabetes has decreased sensitivity and changes in the shape of the foot, for these reasons “they do not feel”, which leads to the existence of wounds, which have a particular healing.

The problem that arises is that these patients have a decrease in their quality of life, stressed Regina Candeias. Sometimes, there are patients who “have had wounds for years, often decades, and end up living with them as if they were normal”. The pain and odor can be intense which leads to their own social exclusion. Diabetic foot is a real public health problem, she argues.

In Baixo Alentejo, with the aging of the population, “there are more and more complex wounds”, which has forced health units to adapt to this reality.

The approach to these patients must be multidisciplinary, in which several health professionals must be included, namely doctors of various specialties, nurses, nutritionists, among other specialists. “They have to be involved and in articulation with the different levels of health”, that is, hospitals and primary care.

In the area covered by the ULSBA, the doctor says that “there is an increasing incidence of this type of wounds”. “In Baixo Alentejo there is a high rate of elderly people”, with several comorbidities, often with long-term diabetes.

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“The diabetic foot is important as it has serious complications such as amputation”. “In recent years we have been at the top of the amputation rate” highlighted the specialist in this area, and it is a relevant objective to reduce this rate, which also involves “diabetes control”.

Promoting literacy and education in this area, both at the level of patients and caregivers, is very important in preventing this type of disease and associated complications.

About diabetic patients, the doctor explains that they often do not observe their own feet, which leads people, increasingly younger, to amputate the limb of the body. It encourages patients to pay attention to signs, particularly the feet.

The lack of vascular surgery in Baixo Alentejo means that patients have to travel to Lisbon to be observed. There is often a delay in the observation of these patients, which can lead to amputations, warns the doctor Regina Candeias.

This is the main topic of this week’s A Matter of Health section, listen to the full interview starting Tuesday on our website or in our broadcast, at 9:30 am with a repeat at 4:30 pm.