Diabetic foot VSD (Vacuum Sealing Drainage) nursing key points

Written by Zhao Xin Lan
Endocrinology
Updated on September 18, 2024
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If you have diabetic foot, it is necessary to check the condition of your feet every day. When washing your feet daily, observe the color and shape of the feet, whether there is any skin damage, and whether there are changes in local color.

Secondly, more professionally, you can feel the pulsation of the dorsal artery of the foot to see if it is normal.

Third, insist on washing your feet daily to maintain cleanliness and hygiene. Be careful that the water temperature for soaking should not be too high, preferably not exceeding 40 degrees Celsius, and do not soak for more than 30 minutes.

Additionally, trimming nails is very important. Do not tear them with your hands to avoid damaging the skin of your feet; use scissors to cut long nails.

Another important aspect is shoe wearing. It is best to wear loose-fitting shoes to avoid rubbing against the feet and breaking the skin.

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Written by Li Hui Zhi
Endocrinology
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What are the symptoms of diabetic foot infection?

Symptoms of diabetic foot infections can include localized gradual wound ulceration, suppuration, and odor. In severe cases, patients may observe necrosis of the foot with a dark color. Some patients may experience systemic effects, including fever. Therefore, the progression of diabetic foot can be rapid. It is recommended that diabetic patients seek medical attention promptly when they notice any wound ulceration to prevent worsening of the infection.

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Written by Yang Li
Endocrinology
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Early signs of diabetic foot disease

Some early signs of diabetic foot disease include a decrease in skin temperature of both feet, such as constantly feeling coldness in the feet, which indicates insufficient blood supply. Another symptom is peripheral neuropathy, which manifests as numbness or burning in both feet, and unusual sensations like stepping on cotton or feeling like ants are crawling. These are also early signs of diabetic foot disease. Once there is a break in the skin surface, it is crucial to be vigilant as it might be diabetic foot disease. Diabetic foot disease is a very serious condition and one must take early preventive measures. At the slightest sign of any skin break, it is essential to seek proper treatment at a standard hospital.

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Written by Chen Kai
Endocrinology
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How to treat diabetic foot pain

Diabetic foot is a chronic complication of diabetes, characterized by arteriosclerosis, narrowing, and occlusion of the lower limb vessels, and peripheral neuropathy caused by multiple factors following diabetes. Treatment mainly involves improving circulation and nourishing nerves, including performing lower limb arterial ultrasound to assess the extent of vascular occlusion. When necessary, stenting or vascular recanalization can be performed, and treatments including stem cell therapy are also viable options. For pain, severe pain can generally be managed by vasodilation and symptomatic treatment.

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Written by Li Hui Zhi
Endocrinology
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Is it good for people with diabetes to soak their feet?

Whether soaking the feet is beneficial for diabetic foot or not first depends on whether there are any wounds on the feet. If it is a grade 0 diabetic foot, where the diabetic only experiences abnormal sensations, numbness, or pain in the foot without any wound, then soaking the feet is permissible. However, it is crucial to be mindful of the water temperature during soaking; it generally should not exceed 40°C to avoid burns. If the diabetic foot has open wounds, foot soaking is not recommended. Soaking feet with wounds can easily lead to increased infection of the wounds.

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Written by Li Hui Zhi
Endocrinology
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Is it good for people with diabetes to soak their feet?

Diabetic foot is primarily classified into a level 0 diabetic foot and levels 1 to 5 diabetic foot. If it is a level 0 diabetic foot and the patient does not have any wounds, then soaking the feet is permissible. Level 0 diabetic foot mainly refers to a high-risk diabetic foot, in which case soaking is allowed. However, care must be taken to ensure that the water temperature is not too high to avoid scalding the skin. If the diabetic foot has reached levels 1 to 5, where the patient has wounds and ulcerations, soaking the feet is not recommended, as it can easily worsen and exacerbate the wound ulcerations. Therefore, people with diabetes should consider their individual conditions to determine whether foot soaking is suitable.