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Conceptualisation In General System Theory

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Conceptualisation is a process of forming ideas which are utilized for development of a research design. It helps to know the actual data need to be collected and give to direction to an entire research process. This study model has been divided in to three phases as input, throughput, output and feedback. In the present study the investigator has selected the General System Theory (input- throughput- output Model) developed in 1968, by Karl Ludwig Von Bertalanffy and modified (in, 2012) as a pedestal to assess the effectiveness of herbal formulation over the topically applied conventional treatment on healing diabetic wound. (Figure 2:1) (Nursing theories a companion to nursing theories and models- discover the efficacy of the 3 D experience …show more content…

These parameters were throughly checked in pre test- visit, post test 1 after 15 days and post test 2 after 30 days. If the wound is infected there will be changes in vital signs. The patients need to be checked RBS during each visit and maintain normoglyceamic level of blood sugar. Since hypertension come under the category of metabolic disorder there is close association with diabetes. The Texas wound classification scale used, to assess the stage and grade of the wound. Stage include A- no infection or ischemia, B- infection present, C- ischemia present and D- infection and ischemia present. In Texas grading system 0- epithelialised wound, 1- superficial wound, 2- wound penetrates to tendon or capsule and 3- wound penetrates in to bone or capsule. The Wagner scale also used as input in this study. The grading system consists of 5, the 1-intact skin(no ulcer in a high risk foot), 2- superficial ulcer of the skin or subcutaneous tissue, 3- ulcers extend into tendon, bone, or capsule, 4- gangrene of toes or forefoot and 5- mid foot or hind gangrene. The Bates Jensen wound assessment scale also used in this study. This scale covers wound size, depth, edges, exudates type, exudates amount, skin colour surrounding wound, peripheral tissue oedema, peripheral tissue …show more content…

In conventional treatment group and in herbal treatment group the stage, grade and bates Jensen wound assessment tools were assessed in pre-test and post test 1 after 15 days and post test 2 after 30 days. In the conventional group the wound dressing was done by using of povidonee iodine ointment and in herbal treatment group the wound dressing was done by using the new herbal formulation which was prepared by the researcher. Herbal oil is prepared by using 50 grams of turmeric (Curcuma longa) powder dissolved in 1000 ml of coconut oil (Cocos nucifera) with 1000 gm of green neem- (Azadirachta Indica) leaves boiled up with, 2040C(4000F). Once the neem leaves reach golden yellow color the compound is cooled, strained and taken as a new solution tested in the lab for its purity and for chemical components and on the

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This scale is frequently used with good outcome with stage and grade of wounds. The wound with ischemia goes for gangrene; Charcot foot ends up with amputation. In this study there is improvement in wound healing effect in herbal treatment and in conventional treatment but the herbal treatment seems to be much better and cheaper on the economic burden of the patient. (Jain, 2012)

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Many patients coming for regular check up are diagnosed as diabetes. The normal random blood sugar is 80 mg to 140 mg. The persistent hyperglycemia leads to many complications in the long run like neuropathy, nephropathy, CAD, foot ulcer and gangrene resulting finally in amputation of the limb. The high blood glucose causes the cell walls to become stiff and rigid, impairing the flow of blood throughout the small vessels located at the surface of the wound. This reduces the blood flow and permeability of red blood cells, which are required for the development of dermal tissue.

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