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O c t o b e r 1 5 - 1 6 , 2 0 1 8 | T o k y o , J a p a n
Obesity Congress 2018, Diabetes Congress 2018 & Vaccines Congress 2018
Note:
Page 18
Biomedical Research | ISSN: 0976-1683| Volume 29
2nd WORLD OBESITY CONGRESS
2nd WORLD VACCINES AND IMMUNOLOGY CONGRESS
&
&
DIABETES AND ENDOCRINOLOGY
International Conference on
Joint Event on
OF EXCELLENCE
IN INTERNATIONAL
MEETINGS
YEARS
Orlando Leite de Carvalho, Biomed Res 2018, Volume 29 | DOI: 10.4066/biomedicalresearch-C5-012
DIABETES MELLITUS AND LEPROSY: NEW
EDUCATION PROTOCOL IN FOOT AT RISK
AT THE SANTA MARCELINA HOSPITAL,
AMAZON, BRAZIL
Objective: To apply an intensive and multidisciplinary education protocol to de-
crease, improve, delay or cancel the beginning of neuropathy and the manifes-
tation of lesions in diabetic patients.
Methodology: This is a cross-sectional descriptive study carried out at the Dia-
betes Mellitus Outpatient Clinic and ward of Santa Marcelina Hospital in Porto
Velho. This research was based on cases of patients with Diabetes and Diabet-
ics with Leprosy. The criteria used to include the patients were: being treated
with insulin therapy, not to be amputated, being on high medication of the lep-
rosy now of the evaluation and to present nutritional risk classification by the
screening. The population was divided into two groups of fifteen patients: eight
diabetic patients, four male and four females. Seven diabetics associated with
leprosy were free males and three females.
Results & Discussion: Group A, called the intensive care group, began diabe-
tes education work with medical, nutritional and rehabilitation guidelines by a
multidisciplinary team. Group B, called conventional care, received the same
guidelines in outpatient care and the monitoring followed the quarterly proto-
col. Both groups were evaluated and reassessed for a period of 180 days in
the outpatient clinic. Group A consisted of eight (100%) patients, four (50%)
diabetics and four (50%) diabetics and leprosy patients.
Conclusion: This research highlights, once again, the importance of integration
among the specialties. Therefore, experimental models of multidisciplinary
clinic outpatient of clinics should be encouraged in clinical practice to promote
a more comprehensive care on different functional aspects. Intensive educa-
tion in diabetes showed an improvement in the sensitivity, healing and nutri-
tional status of the patients, leading to an improvement in quality of life and
disability, reducing or delaying the inception of neurological complications. The
intensive form of the protocol demonstrated a 100% improvement in patients
in group A.
Biography
Orlando Leite de Carvalho has completed his Med-
ical College from Amazon Federal Medical College,
and he was specialist in Endocrinology from Gama
Filho University. He is the Director of Santa Marce-
lina Hospital, Porto Velho. He is the Coordinator of
The State Service of Endocrinology, Diabetic Foot
Service Coordinator, Professor of Medical School
São Lucas, Porto Velho, Rondônia , Amazon, Brazil.
Orlando Leite de Carvalho
The Santa Marcelina Hospital, Brazil