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Transitional Off-loading: An Evidence-Based Approach to Pressure Redistribution in the Diabetic Foot

McGuire, James DPM, PT, CPed, FAPWCA

Advances in Skin & Wound Care: April 2010 - Volume 23 - Issue 4 - pp 175-188
doi: 10.1097/01.ASW.0000363528.16125.a7
Features: Clinical Management Extra

PURPOSE: To enhance the learner's competence in providing pressure redistribution therapy for the diabetic foot.

TARGET AUDIENCE: This continuing education activity is intended for physicians and nurses with an interest in skin and wound care.

OBJECTIVES: After participating in this educational activity, the participant should be better able to:

1. Relate diabetic foot problems to the need for using off-loading devices.

2. Distinguish between the various types of dressings and off-loading devices used for diabetic foot wounds.

3. Apply the "transitional approach" to off-loading the diabetic foot.

In this continuing education activity, the author reviews the available evidence on off-loading devices and teaches the clinician steps on how to apply a transitional approach to off-loading the diabetic foot.

James McGuire, DPM, PT, CPed, FAPWCA • Certified in Wound Care by the Council for Medical Education and Testing • Associate Professor • Temple University School of Podiatric Medicine, Department of Podiatric Medicine and Orthopedics • Director • Leonard S. Abrams Center for Advanced Wound Healing • Philadelphia, Pennsylvania

Dr McGuire has disclosed that he is/was a consultant/advisor to Silipos and Zeomedix; is/was a member of the speaker's bureau for Systagenix and Healthpoint; and is was a stock shareholder of Creative Footwear Technology.

All staff and faculty, including spouses/partners (if any), in a position to control the content of this CME activity have disclosed that they have no financial relationships with, or financial interests in, any commercial companies pertaining to this educational activity.

This continuing educational activity will expire for physicians on April 30, 2011.

© 2010 Lippincott Williams & Wilkins, Inc.