The Need for Improved Management of Painful Diabetic Neuropathy in Primary Care

The provision of care for patients with type II diabetes in primary care must involve assessing patients for peripheral neuropathy of the feet. Objectives. This paper will demonstrate that painful diabetic neuropathy (PDN) is poorly assessed for and treated in primary care. Methods. A critical analy...

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Main Author: Teresa Sobhy
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2016/1974863
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author Teresa Sobhy
author_facet Teresa Sobhy
author_sort Teresa Sobhy
collection DOAJ
description The provision of care for patients with type II diabetes in primary care must involve assessing patients for peripheral neuropathy of the feet. Objectives. This paper will demonstrate that painful diabetic neuropathy (PDN) is poorly assessed for and treated in primary care. Methods. A critical analysis of research will be conducted to identify the prevalence and impact of PDN among individuals with type II diabetes. Results. Research evidence and best practice guidelines are widely available in supporting primary care practitioners to better assess for and treat PDN. However, the lack of knowledge, awareness, and implementation of such research and guidelines prevents patients with PDN from receiving appropriate care. Discussion. Much international research exists on the prevalence and impact of PDN in primary care; however, Canadian research is lacking. Furthermore, the quantity and quality of research on treatment modalities for PDN are inadequate. Finally, current research and guidelines on PDN management are inadequately implemented in the clinical setting. Conclusion. The undertreatment of PDN has significant implications on the individual, family, and society. Healthcare practitioners must be more aware of and better implement current research and guidelines into practice to resolve this clinical issue.
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spelling doaj-art-524aa6eee58f4e019507dfbac6c00dbd2025-02-03T01:10:29ZengWileyPain Research and Management1203-67651918-15232016-01-01201610.1155/2016/19748631974863The Need for Improved Management of Painful Diabetic Neuropathy in Primary CareTeresa Sobhy0McMaster University, Hamilton, ON, L8S 4L8, CanadaThe provision of care for patients with type II diabetes in primary care must involve assessing patients for peripheral neuropathy of the feet. Objectives. This paper will demonstrate that painful diabetic neuropathy (PDN) is poorly assessed for and treated in primary care. Methods. A critical analysis of research will be conducted to identify the prevalence and impact of PDN among individuals with type II diabetes. Results. Research evidence and best practice guidelines are widely available in supporting primary care practitioners to better assess for and treat PDN. However, the lack of knowledge, awareness, and implementation of such research and guidelines prevents patients with PDN from receiving appropriate care. Discussion. Much international research exists on the prevalence and impact of PDN in primary care; however, Canadian research is lacking. Furthermore, the quantity and quality of research on treatment modalities for PDN are inadequate. Finally, current research and guidelines on PDN management are inadequately implemented in the clinical setting. Conclusion. The undertreatment of PDN has significant implications on the individual, family, and society. Healthcare practitioners must be more aware of and better implement current research and guidelines into practice to resolve this clinical issue.http://dx.doi.org/10.1155/2016/1974863
spellingShingle Teresa Sobhy
The Need for Improved Management of Painful Diabetic Neuropathy in Primary Care
Pain Research and Management
title The Need for Improved Management of Painful Diabetic Neuropathy in Primary Care
title_full The Need for Improved Management of Painful Diabetic Neuropathy in Primary Care
title_fullStr The Need for Improved Management of Painful Diabetic Neuropathy in Primary Care
title_full_unstemmed The Need for Improved Management of Painful Diabetic Neuropathy in Primary Care
title_short The Need for Improved Management of Painful Diabetic Neuropathy in Primary Care
title_sort need for improved management of painful diabetic neuropathy in primary care
url http://dx.doi.org/10.1155/2016/1974863
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