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The Diabetic Foot Amputation Decision-Making Process.

Shou-Yu Wang1, Ju-Fen Liu, Yu-Ping Huang

  • 1In Taichung City, Taiwan, Shou-Yu Wang, PhD, RN, is Assistant Professor, Department of Nursing, Hungkang University; Ju-Fen Liu, MSN, is Head Nurse, Department of Nursing, Kuang Tien General Hospital; Yu-Ping Huang, PhD, RN, is Associate Professor, School of Nursing, National Quemoy University; and Ying-Ying Chang, MSN, RN, is Supervisor, Department of Nursing, Taichung Veterans General Hospital.

Advances in Skin & Wound Care
|August 23, 2018
PubMed
Summary
This summary is machine-generated.

Patients facing diabetic foot amputation prioritize survival, weighing disease impact and wound care. Understanding this decision-making process is crucial for healthcare providers to offer empathetic support and necessary care.

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Area of Science:

  • Medical research
  • Diabetology
  • Surgical outcomes

Background:

  • Diabetes is a leading cause of death globally and in Taiwan.
  • Diabetic foot complications can necessitate limb amputation, posing significant burdens.
  • Understanding patient and family decision-making is vital for effective care.

Purpose of the Study:

  • To explore the amputation decision-making process for patients with diabetic foot.
  • To investigate the perspectives of patients and their families regarding amputation.

Main Methods:

  • Grounded theory approach utilized.
  • Data collected from 16 participants at a Taiwanese regional hospital.
  • Rigorous data analysis including open, axial, and selective coding.

Main Results:

  • The primary driver for amputation decisions was 'amputation in order to survive'.
  • Key considerations included the impact of multiple diseases, challenges in wound healing, and the decision to amputate.
  • Patient and family perspectives were central to the decision-making process.

Conclusions:

  • Healthcare providers should empathize with patients undergoing amputation decisions.
  • Respect for patient and family autonomy in decision-making is essential.
  • Future research should examine professional perspectives and family care processes for amputees.