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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:

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

Annette Broersma MSN, RN, NP-C, CNN

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