Preventing amputations in patients with end stage renal disease: whatever happened to foot care?

ANNA J. 1998 Feb;25(1):13-20.


Lower extremity amputations in patients with diabetes are largely preventable through proper foot hygiene, routine foot surveillance, and patient education about proper foot care. Diabetics with end stage renal disease are at especially high risk for foot complications, but nephrology nursing has been largely silent about the importance of diabetic foot care. This article discusses the diabetic pathophysiology underlying the development of most foot complications and outlines the basic principles of safe and effective foot care.

Publication types

  • Review

MeSH terms

  • Amputation*
  • Diabetic Foot / etiology
  • Diabetic Foot / physiopathology
  • Diabetic Foot / surgery*
  • Humans
  • Kidney Failure, Chronic / complications*
  • Patient Care Planning
  • Risk Factors
  • Skin Care / nursing*