TABLE OF CONTENT

Title page …………………………………………………………………………               i

Certification ………………………………………………………………………               ii

Dedication …………………………………………………………………………             iii

Acknowledgement …………………………………………………………………             iv

Table of content ……………………………………………………………………             v         

CHAPTER ONE

INTRODUCTION

Background of the study …………………………………………………………….            1

Purpose of the study …………………………………………………………………            2

Significant of the study ……………………………………………………………             3

CHAPTER  TWO

LITERATURE REVIEW OF DIABETES MELLITUS FOOT ULCER

Definition of diabetic foot ulcer  ……………………………………………………            5

Causes of diabetes foot ulcer ……………………………………………………….            6

Risk factor for diabetes foot ulcer ……………………………………………………            6

Foot ulcer assessment and classification ……………………………………………            11

Pathophysiology of diabetes foot ulcer ………………………………………………            13

Clinical manifestation of diabetes foot ulcer …………………………………………            14

Complication of diabetes foot ulcer …………………………………………………            15

Wound healing ………………………………………………………………………            16

Factor influencing wound healing in diabetic patient ………………………………            18

How to improve diabetes foot ulcer healing ………………………………………             20

Management of patient with diabetes foot ulcer ………………………………..                 21

Prevention of diabetes mellitus foot ulcer ………………………………………                 25

Prognosis …………………………………………………………………………               26

CHAPTER THREE

Demographic data and history of the patient ……………………………………                .28

Source of data ……………………………………………………………………                29

Patient family and social history…...........................................................................             29

Past medical history …………………………………………………………………….            29

Present history of illness……………………………………………………………….            30

Clinical features presented by the patient ……………………………………………..            30

Nursing history/ assessment …………………………………………………………..            31

CHAPTER FOUR

MANAGEMENT OF THE PATIENT WITH DIABETES MELLITUS  FOOT ULCER

Physician systemic review ……………………………………………………………….            34

Physician diagnosis ………………………………………………………………………            36

Medical management of the patient with diabetic foot ulcer ……………………………            36

Pharmacology of drug used on the patient …………………………………………….            37

Daily nursing care and progress of the patient …………………………………………            42

Health education ………………………………………………………………………..            48

Rehabilitation …………………………………………………………………………..            49

Discharge ………………………………………………………………………………            50

Home visit ……………………………………………………………………………..            50

CHAPTER FIVE

Summary ………………………………………………………………………………            53

Conclusion …………………………………………………………………………….            53

Recommendation………………………………………………………………………            53

Reference …………………