Cultura

A Framework For Dental And Nursing Collaboration In Oral Healthcare Research Across Palliative Inpatient Settings

VOLUME 21, 2024

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Abdulaziz Fahad AlShalhoub, Mohammed Saeed Alotaibi, Feras Hamoud Alshehri, Haifa Abdulkader Bajunaid, Reham Mohammed Salman Alzaki, Walid Mohammed Alqahtani, Rakan Nejer Alotaibi
Bassem Othman Ahmad Alomari, Majed alotaibi, Mishari Saleh Jrais, Farah Mohammed Alhawil, Aisha Abdullah Mohammed Al Assiri, Yousef Mohammed Alharbi

Abstract

Oral health remains a frequently overlooked yet critical component of comprehensive palliative care. Patients in palliative care settings often experience significant oral health complications that negatively impact their quality of life, nutrition, communication, and dignity during their final stages of life. Despite the recognized importance of oral care, there exists a substantial gap in structured interdisciplinary approaches to oral healthcare research in palliative settings. This study presents a framework for meaningful collaboration between dental and nursing professionals to advance oral healthcare research in palliative inpatient environments. By examining current challenges, identifying opportunities for interprofessional cooperation, and outlining methodological considerations specific to this vulnerable population, this framework seeks to address the existing research-practice gap. Through intentional partnership between dental expertise and nursing's continuous bedside presence, this collaborative model aims to improve assessment tools, intervention strategies, and implementation approaches for oral care in palliative settings, ultimately enhancing patient comfort and dignity at the end of life.

Keywords : .
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty