MULTIDISCIPLINARY MONITORING FOR HEALING CHRONIC WOUNDS

Diabetes mellitus is a metabolic syndrome that occurs due to the inability or decreased insulin production by the pancreas. One of the complications of this disease is the diabetic neuropathy that affects the sensory peripheral nervous system, motor and autonomic, which can lead to the formation of a wound. Another complication is the peripheral vascular disease which in turn may lead to the amputation due to the arterial ischemia caused by atheromatous plaques obstruction. If the diabetic individual unknowns its condition and presents asymptomatic, he can develop a sore in the foot without noticing, and may progress to amputation if he had developed diabetic neuropathy and/or vascular disease. We aim with this study describe the multidisciplinary treatment of a diabetic user with neuropathic ulcers which evolved to an amputation. This is a case report in the west of the city of Rio de Janeiro, R. R., male, lives alone, DN: 11/27/1947, DM patient, difficult adherence to the prescribed treatment. Attends Family Clinic on 07/29/2014, uncompensated glucose, cellulitis and necrosis on the fifth toe of MIE. After medical and nursing assessment, he was sent to an emergency where he suffered amputation of the toe. After approximately two months of hospitalization, the patient returns to the Unit for monitoring diabetes and dressing. Curative witch hidropolymer foam, nutritional guidance and adjustment of medications were prescribed. In less than three months, the wound was healed and the glucose was normalized. It is primordial to evaluate each user holistically, stimulate self-care and a multidisciplinary evaluation to successful healing of chronic wound.