Reimagining Workforce Well-Being: An Evidence-Based Review of Holistic Health in Healthcare Workers
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
Maged Bander Sanhat Alotaibi, Salman Mutlaq Mohsen Alghadhbani, Meshari Abdulrahman Saud Alotaibi, Ahmed Faraj Aloufi, Rayan Hassan Hamed Alamri, Majed Sannat Aziz Alotaibi, Nawaf Bin Mutlaq Bin Hulayil Alharbi, Yousef Naif Alharbi
Khalid Gaied H Al-Mutari, Alhassan Ibrahim Almasudi, Majed Talq Alotaibi, Ahmed Saleh Alzahrani, Meshal Sair Shadad Alharbi, Soaad Awad Saeed Alahmari, Wardah Ibrahim Musa Asiri
Abstract
Holistic health in healthcare workers represents a multidimensional construct integrating physical, psychological, emotional, and social well-being into a unified framework of professional sustainability. Unlike traditional occupational health models that focus primarily on illness prevention, holistic health emphasizes balance, vitality, and resilience within complex work environments. Healthcare systems increasingly recognize that workforce well-being directly influences quality of care, patient safety, and organizational stability. When providers function within balanced health domains, clinical performance improves and systemic efficiency strengthens. Holistic frameworks thus extend beyond individual wellness to institutional sustainability. By aligning workforce well-being with healthcare quality imperatives, organizations create conditions where caregivers remain capable of delivering safe and compassionate care over time (Engle et al., 2021; Warner et al., 2020).
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Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
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