How should rehospitalisation of subjectfs with diabetic foot ulcer be prevented ?

The objective of this quick reference guide is to define key action plans as well as coordination of care for patients with diabetic foot ulcer at the time of hospital discharge in order to prevent related readmissions.

Key points

• Initiate contact with community care team after patient admission, collect information data on patients living conditions and select the modality of discharge ;
• Identify a healthcare professional responsible for coaching the discharge;
• Forward the information: discharge document including care plan, education monitoring form, contact number in the event of problems
• Coordinate monitoring between the diabetic foot care team and the healthcare and social workers in the community;
• If necessary, strengthen the coordination of monitoring in the community