Impact of Nurse-Led Home Visits on Foot Ulcer Prevention in Elderly Type 2 Diabetics:
| dc.contributor.author | Kirenyo Nalubega F. | |
| dc.date.accessioned | 2025-07-01T07:43:52Z | |
| dc.date.available | 2025-07-01T07:43:52Z | |
| dc.date.issued | 2025 | |
| dc.description.abstract | Foot ulcers are a prevalent and debilitating complication among elderly individuals with type 2 diabetes mellitus (T2DM), often resulting in increased morbidity, reduced mobility, and a heightened risk of lower limb amputation. As traditional outpatient models may fall short in addressing the preventive needs of this high-risk population, nurse-led home visits have emerged as a promising alternative. This review evaluated the impact of such interventions on foot ulcer prevention in elderly T2DM patients, synthesizing evidence from cluster randomized trials (CRTs). A narrative review methodology was employed, drawing insights from peer-reviewed CRTs that investigated clinical efficacy, behavioral outcomes, and implementation challenges associated with nurse-led home care models. Key components of these interventions include foot risk assessment, individualized education, self-care reinforcement, environmental hazard evaluation, and early referral for advanced care. Findings from CRTs consistently demonstrate a significant reduction in foot ulcer incidence and improvement in foot care practices among patients receiving home-based nursing care. Moreover, these interventions prove feasible and cost-effective, although challenges such as staffing limitations and reimbursement barriers persist. Nurse-led home visits not only enhance clinical outcomes but also align with broader goals of aging-in-place and chronic disease management. They represent a scalable and patient-centered strategy with substantial implications for geriatric diabetes care | |
| dc.description.sponsorship | Kampala International University | |
| dc.identifier.issn | 1115-6155 | |
| dc.identifier.uri | http://hdl.handle.net/20.500.12493/14782 | |
| dc.language.iso | en | |
| dc.publisher | Research Output Journal of Engineering and Scientific Research( ROJESR) | |
| dc.title | Impact of Nurse-Led Home Visits on Foot Ulcer Prevention in Elderly Type 2 Diabetics: | |
| dc.type | Article |