Anatomical Concepts (UK)
Masters of Rehabilitation Engineering


Opinions, Ideas & News from Anatomical Concepts

Posts in Diabetic Foot
Saving the NHS money by preventing pressure ulcers

For decades now pressure sores have been recognised as a serious yet preventable world-wide problem.  Here we are in 2017 and we still are not doing enough to prevent these even though we know who is at risk and we know what factors elevate the risk.  In Scotland, the Diabetic Foot Action Group has been working hard to both raise the quality of care and consistency across Scotland.  As we described in our last article on CPR for the Diabetic Foot, a Scottish system audit identified potential savings of £15 million per year if even 75% of diabetic foot ulcers could be prevented. 

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CPR for diabetic feet?

The NHS in Scotland could save £15m a year by implementing "CPR" for the diabetic foot. An audit organised by the Scottish Foot Action Group has shown the potential impact of taking the prevention of hospital-acquired diabetic foot ulcers seriously. By checking patients feet on admission, protecting the foot if at risk and referring for treatment if necessary. So often pressure relief devices like the PRAFO are looked on as a "cost" when this study clearly shows that using these devices can produce a massive saving both in money and distress when used thoughtfully and appropriately.

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What use is a PRAFO Ankle Foot Orthosis?

Lack of mobility tends to increase the risk of pressure sores and the heel is particularly vulnerable to ulceration. The PRAFO® range is perfect for all patients with compromised mobility and at risk of developing pressure sores at the heel.  It is not the only device on the market now but it still offers the best spread of functionality. When thinking about pressure relief it is important to remember some broader clinical objectives that can shape your choice of device.

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Dealing with pressure ulcers - then and now

The costs of dealing with pressure and diabetic foot ulcers are staggering. Pressure relief orthotic interventions should be more widely understood and used.  We started Anatomical Concepts more than 20 years ago after I saw a great product (The PRAFO Ankle Foot Orthosis) which we still deal with today.  It's not quite as "sexy" as some of the products we deal with, but in terms of it's clinical signficance and impact it is by far the best product range we have.

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