Việc quản lý của viêm loét bàn chân đái tháo đường là đa ngành trong hình thức hiệu quả nhất, và yêu cầu thông tin liên lạc giữa các nhà cung cấp dịch vụ chăm sóc tiểu học và trung học. Ngoài ra, vai trò ngày càng tăng của thực hành researchbased, kiểm toán và hiệu quả lâm sàng trong việc cung cấp các hệ thống chăm sóc sức khỏe | Foot Biomechanics 59 29. Cavanagh PR Ulbrecht JS. Clinical plantar pressure measurement in diabetes rationale and methodology. Foot 1994 4 123-35. 30. Cavanagh PR Ulbrecht JS Caputo GM. Biomechanics of the foot in diabetes mellitus. In Bowker JH Pfiefer M eds The Diabetic Foot 6th edn. Philadelphia PA WB Saunders 2000. The Foot in Diabetes. Third Edition. Edited by . Boulton H. Connor . Cavanagh Copyright 2000 John Wiley Sons Inc. ISBNs 0-471-48974-3 Hardback 0-470-84639-9 Electronic 5 Classification of Ulcers and Its Relevance to Management MATTHEW J. YOUNG Royal Infirmary Edinburgh UK The management of diabetic foot ulceration is multidisciplinary in its most effective form and requires communication between primary and secondary care providers. In addition the increasing role of researchbased practice audit and clinical effectiveness in the provision of managed health care systems means that accurate and concise ulcer description and classification models are required to improve interdisciplinary collaboration and communication and to allow meaningful comparisons between and within centres1. The classification of an ulcer should delineate a single type of ulcer with definable characteristics which are distinct from other ulcer categories. Examples of potential classification systems are detailed below. They are often related to the risk factors which led to the ulcer and in at least two cases they do not use any of the descriptive characteristics of the ulcer to categorize it. As well as being a basis for clinical care a classification should provide a guide to prognosis and should facilitate audit and research. A good example is the classification of ulcers by their suspected aetiology such as neuropathic or neuro-ischaemic or by their perceived severity for example superficial or deep. The classification of an ulcer should be applied once based on the initial characteristics and should not alter with the progress of therapy. A description is based upon
