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Lower Limb Wound Prevention and Treatment Clinic

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What is the Lower Limb Preservation Strategy (LLPS)?

The LLPS is a provincial initiative aimed at reducing avoidable, non-traumatic limb amputations caused by vascular disease and diabetes. The Windsor Team Care Centre is participating in this initiative and has established the Lower Limb Wound Prevention & Treatment Clinic offering comprehensive care, including wound management, personalized treatment plans, and educational resources to support lower limb health.

Who can benefit?

The Lower Limb Wound Prevention & Treatment Clinic is designed for individuals at high risk of limb amputations, particularly those dealing with complications from diabetes and vascular disease. This includes:

  • Individuals with diabetes who are at risk of foot ulcers and other lower limb complications
  • Patients suffering from peripheral artery disease (PAD) and other vascular conditions affecting the lower limbs
  • Homeless and street-involved individuals with limited access to healthcare
  • Indigenous communities experiencing higher rates of lower limb complications
  • Residents of high-priority neighborhoods with elevated amputation rates
  • Patients of the Windsor Family Health Team (WFHT) and the Windsor Team Care Centre (TCC)

What to Expect

When you visit the Lower Limb Wound Prevention & Treatment Clinic, you can expect:

  1. Comprehensive Assessment: Our team, led by experienced Nurse Practitioners, will conduct thorough assessments of your lower limb health, including wound evaluations and risk assessments for limb loss.
  2. Personalized Treatment Plans: Based on your assessment, we will develop a personalized care plan that addresses your specific needs, including wound care, dressing changes, comorbidity management, and referrals to additional services if necessary.
  3. Integrated Care Coordination: We collaborate with various health and social service providers to ensure you receive holistic care. This includes coordinated follow-ups and facilitating access to preventive and investigative services.
  4. Support and Supplies: We provide essential supplies such as diabetic socks, compression stockings, and appropriate footwear to support your lower limb health. Our team also offers immediate care for urgent primary care needs that may arise during your visit.
  5. Educational Resources: To empower you in managing your health, we offer educational sessions and self-service modules that cover various aspects of lower limb care, including prevention strategies and self-care techniques.

How to Access Our Services

Primary Care Providers can refer patients to the Lower Limb Wound Prevention & Treatment Clinic using our dedicated referral form. Our aim is to see and assess referred clients within 72 hours of receipt of a referral.

For clients without a primary care provider or are who are experiencing homelessness, can attend the Shelter Health walk in clinics where they may receive a virtual consultation with our Nurse Practitioner.

The following are details on our locations:

TCC

Hours: Monday – Thursday during business hours. Booked appointment only.

Who can come: Any individual who have been referred by a physician and has a booked appointment with our team.

2475 McDougall St., Unit 150, Windsor ON

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Provider Education

On April 8, 2025, the Windsor Family Health Team, in partnership with Windsor Regional Hospital and the Windsor Essex Ontario Health Team hosted an Ontario-wide accredited education session for physicians and healthcare professionals. This Continuing Medical Education program focused on providing clinicians with essential strategies, best practices and pathways to address preventative and urgent care for lower limb health.

Topics included: assessing, diagnosing and treating Diabetic Foot Ulcers, Peripheral Arterial Disease, Ischemia, Osteomyelitis, and more.

Speakers:

  • Dr. J.R. Coates (BSc, MD, CCFP, FCFP), Windsor Family Health Team – Family Physician and Lower Limb Wound Prevention & Treatment Clinic Physician Lead
  • Dr. Maher Sabalbal (MD, MSc, RPVI, FRCSC), Windsor Vascular Care -Vascular Surgeon
  • Harleen Sanghera (BScN, MN, NP-PHC), Windsor Family Health Team – Lower Limb Wound Prevention & Treatment Clinic
  • Dr. Lyndsay Orr (PhD, MClSc & PT), Ontario Health – Lead, Integrated Care
  • Harrison Tocco, Windsor Regional Hospital, Operations Manager for Allied Health Services
  • Christen Abraham (BS, BA, MBA, SSBBP), Windsor Family Health Team – Clinical Coordinator Lower Limb Wound Prevention & Treatment Clinic

Click on the links below to download the presentation, associated clinical tools and resource materials:

Lower Limb Health Facts

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Every 20 seconds worldwide a limb is lost to diabetes – 85% of these amputations are due to diabetic foot ulcers.
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Life-time risk of a diabetic foot ulcer is 25%. Risk factors contributing to foot ulceration include neuropathy, associated deformities, and resultant trauma.
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Incidence of lower extremity amputation in those with a diabetic foot ulcer is 20%.
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Peripheral arterial disease is present in 20% of people over the age of 70.

Acknowledgements

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Contact Us

For more information or to refer a patient, please contact our team at 519-250-5656. We are committed to providing the best possible care to our community and look forward to supporting you in maintaining lower limb health.

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