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The Diabetic Foot pp 471–483Cite as

Psychosocial and Educational Implications of Diabetic Foot Complications

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Part of the book series: Contemporary Diabetes ((CDI))

Abstract

Although interest is increasing, behavioral aspects of the diabetic foot remain emerging science. Researchers are only now beginning to investigate the psychological response to diabetic foot ulceration and amputation and the behavioral and psychological factors that influence self-care. Although cross-sectional and short-term studies have explored these areas, little long-term longitudinal data currently exist. In this chapter we review the current state of behavioral science pertaining to individuals with diabetic foot disease including barriers to prevention, precipitating factors, and therapeutic interventions. The first section describes some of the behavioral/psychological issues faced by individuals with diabetes during the course of their illness. We describe four phases of psychological responses and attempt to relate these phases to the prevention, diagnosis, or treatment of foot problems. Then, we discuss quality of life for those with peripheral neuropathy, lower extremity wounds, or amputations. Next, we discuss depression, its impact on self-care, signs and symptoms, and implications of treatment. Finally, we describe measurement instruments, strategies, and interventions that may be useful for clinicians either to incorporate into their clinical practice or as a referral for struggling patients.

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Author information

Authors and Affiliations

  1. Behavioral Research, Joslin Diabetes Center, Boston, MA, USA

    Katie Weinger EdD, RN

  2. Department of Psychiatry, Harvard Medical School, Boston, MA, USA

    Katie Weinger EdD, RN

  3. Department of Nursing and Dental Behavioral Sciences, CUMC, New York, NY, USA

    Arlene Smaldone PhD, CPNP, CDE

  4. Scholarship and Research, School of Nursing, Columbia University, New York, NY, USA

    Arlene Smaldone PhD, CPNP, CDE

  5. Department of Family Medicine, Ohio University Heritage College of Osteopathic Medicine, Athens, OH, USA

    Elizabeth A. Beverly PhD

Authors
  1. Katie Weinger EdD, RN
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  2. Arlene Smaldone PhD, CPNP, CDE
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  3. Elizabeth A. Beverly PhD
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Corresponding author

Correspondence to Katie Weinger EdD, RN .

Editor information

Editors and Affiliations

  1. Rongxiang Xu, MD, Professor of Surgery, Harvard Medical School Director, The Rongxiang Xu, MD, Center for Regenerative Therapeutics Research Director, Joslin-Beth Israel Deaconess Foot Center Beth Israel Deaconess Medical Center, Boston, MA, USA

    Aristidis Veves

  2. Chief, Division of Podiatry, Beth Israel Deaconess Medical Center, Associate Professor of Surgery, Harvard Medical School, Co-director, Joslin-Bl Deaconess Diabetic Foot Center Consultant, Joslin Diabetes Center, Boston, MA, USA

    John M. Giurini

  3. Associate Professor of Surgery, Harvard Medical School, Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Joslin Diabetes Center, Boston, MA, USA

    Raul J. Guzman

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Weinger, K., Smaldone, A., Beverly, E.A. (2018). Psychosocial and Educational Implications of Diabetic Foot Complications. In: Veves, A., Giurini, J., Guzman, R. (eds) The Diabetic Foot. Contemporary Diabetes. Humana, Cham. https://doi.org/10.1007/978-3-319-89869-8_26

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  • DOI: https://doi.org/10.1007/978-3-319-89869-8_26

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  • Publisher Name: Humana, Cham

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  • Online ISBN: 978-3-319-89869-8

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