Cooperation for foot treatment for dialysis patients

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  • 透析患者の足と連携

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Abstract

Plastic surgeons are the gatekeepers of limb salvage and examine patients with foot disease at my hospital. Multidisciplinary care is important for limb salvage; therefore, plastic surgeons, cardiologists, vascular surgeons, dermatologists, nephrologists, nurses and the others work together as the foot team. We examine several diseases such as nail disorders, calluses, corns, foot deformities, diabetic foot ulcers, and critical limb ischemia. The number of dialysis patients with critical limb ischemia is increasing and they are referred by a nearby dialysis clinic. We perform specialized wound therapy and prevent ulcers in cooperation with a specialized hospital and the dialysis clinic. Thus, we carry out limb salvage for dialysis patients at my hospital and in the surrounding area. If wounded patients are hospitalized for a long time, they often have trouble returning home. The Ministry of Health, Labour and Welfare promoted integrated community care systems and comprehensive community care systems that enable individuals to live out their lives in the local community by their own values. Regional cooperation is a challenge for the future.

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