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AUTH Why you should read this article: • To understand the factors that contribute to the development of Charcot's foot in patients with diabetes mellitus • To recognise the signs and symptoms of acute Charcot's foot on presentation to an emergency department • To improve your knowledge of the treatment options available for patients with Charcot's foot Charcot neuropathy osteoarthropathy, known as Charcot's foot, is a condition of the foot most frequently related to diabetes mellitus. It is associated with a high mortality rate, especially among patients with diabetes, therefore prompt identification and management of the condition by nurses in emergency departments is important. This article describes the pathophysiology, signs and symptoms and diagnosis of Charcot's foot, and offers guidance for initial care in emergency settings. Emergency nurses in the UK have an important role in recognising patients with this condition to ensure they receive optimal treatment and follow-up. [ABSTRACT FROM AUTHOR]

Introduction: The increased prevalence, severity, and mortality of heart disease and specifically heart failure among Hispanic and Black populations are a concern for clinicians and researchers. Additionally, patients of poor socioeconomic status also have worse outcomes for cardiovascular disease. To address disparities, it is necessary to address the persistent lack of representation in clinical research of diverse populations, including the Hispanic and Black populations and individuals who are of low socioeconomic status. Method: This study was a pilot randomized trial of a medication adherence intervention for heart failure patients conducted at a safety net hospital and affiliated pharmacy with a diverse patient population. Using an evidence-based multifactorial approach, this investigation implemented and adapted best practices to support the inclusion of Hispanic, Black, and socioeconomically diverse participants. Results: A total of 40 participants were recruited, 58% were Hispanic, 38% Black, and 5% White. A total of 40% reported the need for socioeconomic assistance. At 30 days after discharge, follow-up data were obtained for 37 of 40 (93%) of participants either by interview, electronic record, or both. Conclusion: Findings suggest that a combination of strategies used in this trial can be applied to recruit and retain ethnically and socioeconomically diverse participants., Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Charged with making decisions to protect and enhance patient well-being, a nurse relies on nursing judgment to render effective patient care. Nursing judgment is the culmination of education, experience, and insight that allows nurses to execute the best action possible on behalf of patients. This concept analysis uses the Walker and Avant method to demonstrate the role of nursing judgment in assessments and interventions, delegation of tasks, and prioritization of care. Nurses, other health care collaborators, and recipients of health care should be aware of the role played by nursing judgment to improve patient care and the health care system.