Managemen Perawatan LUka Diabetes
Managemen Perawatan LUka Diabetes
Setiap 30 detik terjadi amputasi pada kaki diabetik di seluruh
dunia
ANATOMI KULIT
EPIDERMIS
tdd 5 lap korneum, lusidum,
granulosum, spinosum dan
basale (germinativum)
DERMIS
Lap.papilaris & retikularis
FUNGSI HIPODERMIS
Sebagai pelindung, Sensasi, Komunikasi, Termoregulasi, Sintesis
metabolic, & Kosmetik
Fisiologi Penyembuhan Luka
http://www.worldwidewounds.com/2004/august/Enoch/images/enochfig1.jpg
Tahap luka
In vitro activity
Rapidly inactivated by organic matter, is extremely toxic to granulation tissue and may bleach the
surrounding skin. There is evidence to show that chlorine based solutions destroy the micro-
circulation of the wound and slow down the healing process
Hydrogen peroxide
DEHISCENE
Langer’s Lines
CARA DEBRIDEMANG (CERTIFIED COMPETENCY )
•ENZYMATIC
•MECHANICAL
•GAUZE
•HYDROPRESSURE
•CSWD
• AUTOLYSIS DEBRIDMENT
•BIOLOGICAL
•MAGGOT
•Surgical
M3 CARA MEMBALUT LUKA
BALUTAN
BALUTAN
SEKUNDE
PRIMER
R
BALUTAN
LUKA
Balutan Tertutup = IDEAL
(1) Proteksi dr bakteri, (2) Mekanikal faktor, (3) Kehilangan panas, (4) Pengaruh
suhu, (5) Dehidrasi, (6) Kontaminasi & substansi kimia
RECOMMENDED DRESSING
Dry non adherents
Island dressing
Semipermeable films
Hydrocolloids
Foams
26/09/2011
12/01/2012
23/08/2011
Study kasus
20/08/2011
16/10/2011
02/1/2011
04/01/2011 02/05/2011
Study kasus
Study kasus
23 / 08/2011
23/08/2011
28/10/2011
30/08/2011
Study kasus
10/08/2011
08/10/2011
Study kasus 20/11/2011
30/ 10 /2011
11/12/2011
11 -05-20 12 13-05-2012 14-05-2012 16-05-2012
11-05-2012 – 24-06-2012
UPAYA
PENCEGAHAN
KAMPANYE LUKA KAKI DIABETES
THE GOLDENS CARE
Periksa kaki setiap hari
SENAM KAKI
Beri perlindungan EXTRA
◦ PERAWATAN KUKU KAKI atau FOOT SPA MEDIC
◦ MEMAKAI ALAS KAKI
◦ MENGGUNAKAN KAOS KAKI DAN SEPATU YANG
TEPAT
◦ PERIKSA GULA DARAH
◦ STOP MEROKOK
SELF ASSESSMENT
Skin lesion check with mirror :
Xerosis, Challus or chorn
(hyperkeratotic)
Between toes
Pulse
Inside your shoes
SENAM KAKI : KORAN
FOOT WEAR EVALUATION
Foot map with size
Kind of shoes
Pressure are
Mapping your foot
Make your own shoes size
Minimize complications
Pactice: Steps for foot
mapping
SENAM KAKI : KARET
POTONG KUKU DAN
PEMIJATAN
SEPATU YANG BAIK
Alas kaki yang lembut dan tebal berfungsi Untuk melindungi kaki neurophaty
dari terinjak benda tajam. Bentuknya lebar sehingga terhindar dari gesekan
sepatu yang sempit.
LEBIH BAIK MERAWAT KAKI
SEBELUM TERLAMBAT
KESIMPULAN
ifulpsikuh@yahoo.co.id
HP / WA 085242430145 BB 5AFCC5F0
SUQRAN