Diabetic foot ulcers care: case report with Eva insole experience
Diabetic foot ulcers care: case report with Eva insole experience
DOI:
https://doi.org/10.51473/rcmos.v1i1.2025.1188Keywords:
Diabetes Mellitus; Management; Diabetic foot; Plantar pressure; Treatment; Diabetic foot ulcer.Abstract
Diabetic foot ulcers are a common complication in diabetic patients and affect a significant number of patients worldwide. They are associated with impaired physical function, related mortality and morbidity, decreased quality of life, and increased use of health services. If left untreated, they can progress to soft tissue infection, hemorrhage, and even limb loss. Relief of palmar tension is one of the treatment possibilities. The objective of this article was to report the case of a patient with diabetic foot ulcers, discussing the use of an EVA (Ethylene-Vinyl Acetate). insole adapted to the patient's footwear, which contributed to the healing of the ulcer. This is a case report of a 64-year-old male patient diagnosed with diabetic foot ulcers who underwent treatment with an EVA insole. The results were justified by the existing literature, considering publications between 2015 and 2025. It was demonstrated, from the analyzed case, that nurses and physiotherapists of the Municipal Health System - Curitiba have participated in actions related to the diabetic foot for some years, and today they are the professionals who play a fundamental role in supporting the development of skills of primary care teams for the evaluation of feet at risk, in the guidance of the management of identified neuropathies, in the regulation of care and materials related to diabetic feet. In the case reported here, the mentioned professionals, involved in the treatment of the patient based on the development of an EVA insole, found a significant reduction in plantar pressure in the affected area. The evaluation of the effectiveness of this insole was carried out by monitoring the patient in which a significant reduction in the ulcer was observed, which was in line with the scarce existing literature and exposed as a parameter. This material is recommended for the creation of new models of insoles for the relief of plantar ulcers, together with new clinical studies with greater methodological precision
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