Healthy People 2020 Reducing the Degree of Lower Extremity Amputation (LEA) Diabetic Patients Name

HealthyPeople 2020: Reducing the Degree of Lower Extremity Amputation (LEA)Diabetic Patients Name

HealthyPeople 2020: Reducing the Degree of Lower Extremity Amputation (LEA)in Diabetic Patients

HealthyPeopleis an initiative that aims at promoting health and preventingdiseases at local, state, and national levels. Itisa science-based report that indicates a 10-year objective strategyfor improving the health of the country (Centers for Disease Controland Prevention, 2016). This paper examines the HealthyPeople 2020plan to lessen the degree of lower extremity amputation in diabeticpeople.


Theleading purposes of HealthyPeople 2020is to minimize the number of LEA among patients diagnosed withdiabetes. Baseline statistics show that between 2005 and 2007, 3.5LEA for every 1,000 diabetic persons were reported (Healthy People,2016). Authorities are yet to set a reasonable target that aims atreducing the prevalence of LEA in the U.S. However, physicians areaiming at lowering or preventing the rate of diabetic complicationusing effective therapy. Delaying the burden of diabetes mellitus(DM) and complications associated with lower extremity amputation canimprove people’s quality of life.

Effectson Practice Area

Iwork in a rehabilitation facility where I have witnessed severalpatients with LEAs being rehabilitated as a result of recentamputation associated with diabetes. Diabetes mellitus is responsiblefor between 45% and 70% of all nontraumatic LEAs, and is regarded oneof the leading cause of disability in the U.S (Baba, Davis, Norman, &ampDavis, 2015). Baba et al. (2015) posit that the risk of LEA isapproximately 15 to 40 times higher for patients with diabetes, withclose to half of these cases affecting patients aged 65 years andabove. In the U.S., approximately 29.1 million individuals areaffected by diabetes, which is also the 7th leading cause of death.Healthcare practitioners are aiming at controlling extendedcomplications which are associated with lower limb complications,disability, increased cost of medication, and premature death.

Howthe objective is being addressed

Nursesin the rehabilitation facility are using the Healthy People 2020objectives to address the medical issues associated with foot health,and inform people on ways in which diabetes affects the feet of thepatient. Studies have shown that complications associated withdiabetes can initially be presented in the foot, with nontraumaticLEAs being the greatest cause of concern for comorbiditycomplications (Centers for Disease Control and Prevention, n.d.). Theissue is currently being addressed through early intervention,patient education, and providing special footwear to avoidcomplications and consequently prevent LEAs.

Implementationat the facility/Unit

Nursesconduct a thorough foot examination to identify any abnormalities,and this includes analysis of sensation, pulses, and nails. Footassessment and foot biomechanics, which involves examination of thegeneral function and structure of the foot, enables healthcareprofessionals to establish the kind of risk of experiencing footcomplications that may lead to amputation. Various procedures havebeen implemented to address complications related to amputation, suchas wound vacuum on the amputated limbs. The rehabilitation facilityneeds to implement policies that can enable diabetic patients at agreat danger of developing complications to identify the mosteffective preventative strategies. For instance, the characteristicsthat increase the risk of developing complications include theabsence of protective sensation, foot deformity, loss of pedalpulses, foot ulcers, and prior amputation (Xu, Town &amp Balluz,2013). Additional resources, both financial and human resources willbe essential in assessing risk status and identifying those whorequire early intervention and intensive care.

Impactsof Culture

Thepatient’s culture, family history, and lifestyle tend to impact onthe effectiveness of the implemented strategy. For instance, diabeticpatients who smoke cigarettes are four times more likely to beexposed to lower-extremity vascular complications compared todiabetic patients who do not smoke (Centers for Disease Control andPrevention, n.d.). In addition, lack of physical activity and poorlybalanced diet among people in the Western culture increases thepersistence of the disease, which may cause the disorder to progressto complicated stages that may require LEA.

Effectsof patient Education

Theobjective of patient education is to prevent patients who are atlower risks from progressing to the high-rate group. Better educationalso leads to proper diet and regular physical exercises allowingpatients to monitor their blood sugar levels in order to care fortheir wounds and prevent amputation (Xu et al., 2013). Patients alsolearn about the association between diabetes and foot health.Patients are also encouraged to prevent ailments such as ulcersthrough regular education, proper healthcare, and appropriatefootwear. Foot exams would also enable patients to understandsymptoms to look for and prevent minor foot injuries and trauma.


Thispaper has examined the objectives of Healthy People 2020 and how itplans to reduce the rate of LEA among patients diagnosed withdiabetes. It is evident that the health of patients with diabetes canonly be enhanced through increased patient education, earlyintervention measures, and regular foot exams to prevent theadvancement of the disease. Patients who have undergone LEAs alsorequire proper treatment therapies and a balanced diet to increasethe rate at which their wounds heal. At the rehabilitation facility,a team of dedicated healthcare professionals offers up-to-date,comprehensive strategies that should be followed to manage LEA andprevent complications.


Baba,M., Davis, W. A., Norman, P. E., &amp Davis, T. M. (2015). Temporalchanges in the prevalence and associates of diabetes-related lowerextremity amputations in patients with type 2 diabetes: the FremantleDiabetes Study.&nbspCardiovasculardiabetology,&nbsp14(1),1.

Centersfor Disease Control and Prevention. (2016). Healthypeople 2020 objectives for the nation.Centers for Disease Control and Prevention. Retrieved 2 November2016, from

Centersfor Disease Control and Prevention. (n.d.). Whatpodiatrists would like team members to know about foot health anddiabetes? Centersfor Disease Control and Prevention. Retrieved 2 November 2016, from

HealthyPeople. (2016). D-4reduce the rate of lower extremity amputations in persons withdiagnosed diabetes. Officeof Disease Prevention and Health Promotion. Retrieved 2 November2016, from

Xu,F., Town, M., &amp Balluz, L. S. (2013). Surveillancefor Certain Health Behaviors Among States and Selected Local Areas —United States, 2010.Retrieved November 2, 2016, from