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Preventing Amputations in Patients with Diabetes and Chronic Kidney Disease
(Vol 31/No. 1. On-line test expires: 02/20/2006)
To receive continuing education credit, you must read the information in this article and take an on-line post test and fill out an on-line program evaluation form. The certificate will then be generated for you as a .pdf file which you can print out locally on your computer.

CE Certification by ANNA requires a handling charge that must be paid by credit card. Pricing information is available by clicking on the "Post-Test Evaluation" link below.
  DOWNLOAD TEST ARTICLE
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  AUTHOR
Annette Broersma, MSN, RN, NP-C,CNN
 Annette Broersma, MSN, RN, NP-C,CNN, is Nurse Practitioner for Renal Associates, Grand Rapids, MI, and a member of ANNA's Michigan Chapter.
  OUTLINE

Amputations of the lower extremities add significantly to the morbidity and mortality of patients with diabetes and chronic kidney disease (CKD). Dialysis nurses are in an optimal position to make a positive impact on the high rate of amputation among patients with diabetes receiving dialysis through early detection and intervention. Routine foot screening and education can assist in identifying and preventing ulcer-initiating events and reduce the incidence of lower extremity amputation in these patients. This article provides a review of the literature on evidence that assessment of the feet of patients with diabetes is successful in preventing amputations, as well as identifying risk factors for foot ulcers and amputation, assessment methods. The article will also describe a foot risk classification system that can predict the risk for amputations of the lower extremities.
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  CE RELATED INFORMATION
This offering for 2.6 contact hours is being provided by the American Nephrology Nurses’ Association (ANNA), which is accredited as a provider and approver of continuing education in nursing by the American Nurses’ Credentialing Center-Commission on Accreditation (ANCCCOA). This educational activity is approved by most states and specialty organizations that recognize the ANCC-COA accreditation process. ANNA is an approved provider of continuing education in nursing by the California Board of Registered Nursing, BRN Provider No. 00910.

  EDUCATIONAL OBJECTIVES

Goal:
Nurses in the dialytic arena will identify their unique position to positively impact the high rate of amputations among dialysis patients with diabetes.

Objectives:
1. Discuss the impact of amputation in patients with diabetes and chronic kidney disease (CKD).
2. List risk factors for the increased incidence of lower extremity amputations among patients with diabetes and CKD.
3. Describe assessment methods and a foot classification system to reduce amputations.

AUTHOR DISCLOSURE STATEMENT
Annette Broersma has no conflicts of interest to disclose.


 ANNA and HDCN CE POLICY STATEMENTS

The CE policy and disclosure statements of the American Nephrology Nurses' Association are given in detail on the Symposium Home Page. The CE policy statements of HDCN are listed on this page.