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Do not miss your chance to get the best place, Diabetic Foot workshop
Dates and Venue
Diabetic Foot & Painful Neuropathy
will take place on 13 – 14 March 2020 at Cairo, Egypt
Clinical Challenges in Diabetic foot Disease
Diabetes and the bone
Update on the Classification and Diagnosis of Diabetic Foot Disease
Improving Care and Quality of Life for Patients with Diabetic Foot
New Technologies and Strategies for Management of Diabetic Foot
The latest information on prevention of Diabetic Foot lesions
Practical tips and proven strategies for improving patient care
Translation of the latest diabetes research into clinical practice
Medical doctors with Specialization in General medicine, Internal medicine, Endocrinology, Surgery Neurology and Nurses
Diabetic polyneuropathy (DPN) and diabetic foot lesions are common complications of diabetes developing in at least 30% of patients. In a population-based study including all ages in Qena Governorate Egypt the prevalence of clinical DPN was 18.5% with an increased prevalence in rural residents compared to urban residents and in illiterate than in educated population.
Painful DPN represents half of cases of DPN . While the excruciating question on the reasons why some people develop insensate DPN and diabetic foot lesions whilst others do not is still unresolved. Patients with diabetic foot and/or painful DPN have significantly greater healthcare resource utilization than patients with diabetes without these complications, including direct and indirect costs, and social costs (i.e. employment disruption, loss of ability to work, need for caregivers and live assistance).
All these aspects emphasize the need to early recognize these conditions and to effectively manage pain and foot lesions in patients with diabetes as early as possible. However, DPN and minor foot lesions are widely under-diagnosed and therefore undertreated or treated inappropriately.
Lack of diabetes education has been reported as a main barrier to good management especially in the developing countries.
This course is aimed at favouring a correct practical approach to the identification of diabetic foot lesions and neuropathic pain of painful DPN and at giving tools for an appropriate management.
To provide learners an easy set of knowledge and practical experience, including a brief supervised traineeship, to be used for the diagnosis and treatment of diabetic foot and painful DPN and transmitted to other colleagues.
To increase the learners’ awareness about the epidemiological and clinical burden of diabetic foot and painful DPN
To increase the learners’ knowledge of the diagnostic pathway of diabetic foot and painful DPN, taking into accounts the possible complexity of clinical scenario;
To pursue enough learners’ skill in using point-of-care diagnostic tools and questionnaires for diabetic foot and painful DPN
To increase the learners’ knowledge of the mechanisms of foot lesions and neuropathic pain and the available therapeutic and/or surgical options
To promote an appropriate therapeutic strategy based on assessment, evidence-based therapeutic choices according to guidelines and tailored on patients’ characteristics and comorbidities.
Education activities structure
Theoretical and practical education activities: 10-h mixed interactive and didactic education and training workshop
diabetic foot and painful DPN: epidemiology and impact on quality of life: 30 min talk each
Diagnostic pathway for diabetic foot and painful DPN: 30 min talk each
Training on the use of diagnostic tools for DPN and neuropathic pain and diabetic foot lesions: 90 min training each
Mechanisms of neuropathic pain and pharmacological and non pharmacological options for treatment: 30 min talk
Mechanisms of diabetic foot pharmacological and non pharmacological options for treatment: 30 min talk
Treatment of a person with painful DPN: from guidelines to the choices in a patient with comorbidities: 30 min talk
Treatment of a person with diabetic foot lesions: from guidelines to the choices in a patient with comorbidities: 30 min talk
Training on the use of neuropathic pain questionnaires and discussion on clinical cases of painful DPN: 90 min interactive session
Training on the use of neuropathic pain questionnaires and discussion on clinical cases of diabetic foot lesions: 90 min interactive session
Questionnaires for neuropathic symptoms and instructions for use: Michigan Neuropathy Screening Instrument (MNSI)-Q, Neuropathy Symptom Score (NSS)
Scoring systems for neurological examination: forms and instructions for use: Michigan Neuropathy Screening Instrument (MNSI), Michigan Diabetic Neuropathy Score (MDNS), Neuropathy Disability Score (NDS), Toronto Clinical Neuropathy Scoring System (Toronto CSS)
Neuropathic pain screening and assessment tools: instructions for use and sheets: DouleurNeuropathique en 4 questions (DN4), Brief Pain Inventory, Pain scales (Numerical Rating Scale), Patient’s Global Impression of Change (PGIC)
Queen Square reflex hammer
128-Hz tuning fork
Neurotip or Wooden cocktail sticks
Pieces of cotton wool
An appropriate number of these handheld devices should be available in place to allow concomitant training of many learners.
Examination tables with paper sheets: 2 or 3 if learners are around 40-50.
Other possible tools to give learners for dissemination
Main articles (including guidelines) on diagnosis and treatment of diabetic foot and painful DPN
Posters on diagnostic and therapeutic approach to diabetic foot and painful DPN
Electronic educational materials on USB
Handheld devices kit: hammer, tuning fork, 10 g monofilament
Educational brochures for patients
Who should attend?
Physicians, Researchers, Physician Assistants Nurses, Nurse Practitioners, Dietitians, Podiatrists, Pharmacists, Psychologists, Endocrinologists, Diabetes Educators, People Interested in Diabetes, People With Diabetes, Diabetes Health Professionals and Other Healthcare Professionals.