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Updated: Jun 22, 2025

Evaluating the Function of the Foot Core System in the Elderly
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Diabetic Foot Ulcers in Geriatric Patients.

Arthur Stone1, Cornelius Michael Donohue2

  • 1MedNexus, Inc., 1 Applewood Drive, Greenville, SC 29615, USA.

Clinics in Geriatric Medicine
|July 3, 2024
PubMed
Summary

This review covers diabetic foot ulcers (DFUs) in older adults, focusing on diabetes pathophysiology, epidemiology, and management. It outlines a comprehensive "Plan for Healing" applicable to chronic wounds.

Keywords:
DFUDiabetic ulcerPlantar woundsWound healing

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Area of Science:

  • Geriatric Medicine
  • Endocrinology
  • Wound Care

Background:

  • Diabetic foot ulcers (DFUs) represent a significant complication of diabetes mellitus.
  • Geriatric patients with diabetes face unique challenges in DFU management due to comorbidities and physiological changes.
  • Effective DFU care requires understanding underlying pathophysiology and epidemiological trends.

Purpose of the Study:

  • To review the epidemiology and pathophysiology of diabetic foot ulcers (DFUs) specifically in geriatric patients.
  • To outline a systematic approach to the diagnosis and management of DFUs in older adults.
  • To discuss the principles of a comprehensive "Plan for Healing" for chronic wounds, with an emphasis on DFUs.

Main Methods:

  • Literature review focusing on DFU epidemiology, pathophysiology, and management in geriatric populations.
  • Synthesis of current evidence regarding diabetes and wound healing in older adults.
  • Framework development for a "Plan for Healing" tailored to chronic wounds.

Main Results:

  • DFUs in geriatric patients are influenced by diabetes-related pathophysiology and specific epidemiological factors.
  • A structured "Plan for Healing" is crucial for managing chronic wounds, including DFUs.
  • Comprehensive care addresses pathophysiology, diagnosis, and tailored treatment strategies.

Conclusions:

  • Understanding DFU pathophysiology and epidemiology in geriatric patients is essential for effective care.
  • Implementing a "Plan for Healing" provides a systematic framework for managing chronic wounds.
  • Integrated care approaches are vital for improving outcomes in older adults with diabetic foot complications.