Wednesday, March 6, 2019
DQ Patho
It is important to know what medications the  uncomplaining is on and has been taking, what  take chances factors she has, and what other medical conditions she may be battling. The labs show an elevated  snow-white blood cell count with a high interruption  take aim both Of which argon indicators Of a serious infection. The  smart culture shows a presence of Staphylococcus erasures which could be the culprit of the infection to the wound. She is also a diabetic who is over load and of a short stature. I would  flat  redact Ms.G on a broad spectrum IV antibiotic for the cellulite and the open wound.  garish call to order a Doppler study to be d adept to  ruler out a DTV because she has been immobile for as m whatsoever as  trey days and there is a signifi do-nothingt difference between the sizes of her calves. I would order pain medication, antipathetic, and cold packs to provide comfort for the  affected role. I would immediately have a wound care nurse assist in the care and docume   ntation of the wound and to  stand by provide education to the patient on how to care for the patient.Blood sugars should be checked and a Hemoglobin IAC should be  move to see how compliant of a diabetic Ms. G is. A diabetic educator should be consulted to help educate the patient on a proper  sustenance, how to test her blood sugars, and how to proper use insulin if it is  dictated that is needed. I would also contact the case manager to help the patient set up home health visits because depending on the wound she could go home with drains, special dressings or possibly a wound Vic. I would also assess the patients living conditions. Loud also take the  era to educate the patient on the grandness of exercise, a healthier diet, weight loss techniques, and the importance of a healthier lifestyle. . Identify the muscle groups  possible to be affected by Ms. Gs condition. The muscles that are affected include the Fibular longs, the extensor muscle digitized longs, the tabloids anterio   r, and the gastronomic coleus. 3. What is the significance of the subjective and  target data provided with regard to  come out up diagnostic/laboratory testing, education, and future preventative care? add rationale for your answer. Subjective data is the information that the patient reports concerning symptoms, previous treatments, medications used, and any other information the patient can provide you while objective data is collected from the physical exam, lab results, diagnostic test, and other  measurable data (Altered, Cornell, and Ernst, 2012). In our patients case follow up labs should be  skeletal to make sure that our interventions are working appropriately.A CB with differential should be drawn to make sure the infection IS subsiding and her WEB and interruption are  indemnificationing back to normal. Continued blood sugars should be monitored. Fasting and one hour postprandial should be completed and be maintained  at heart normal limits. Our patient should be educated    on her Diabetes. She should understand that this  unhealthiness process increases her susceptibility to infection and can cause any wound she receives to have some delayed healing.She should be educated on the importance of a healthy diabetic diet and keeping her blood sugars  indoors normal limits. If she has never learned how to test herself, she should provide a return demonstration to either the nurse or the diabetic educator so she knows she is doing it properly. The patient should be provided with education regarding weight loss. She is obese and of short stature. This increases the risks for  fall physical activity, commodities like diabetes, and can delay wound healing.She needs to be provided with not only information on a healthy diet but also programs that can provide her with meals if she is unable to cook for herself.  physical therapy might also be an excellent idea for her to participate in. She could do nice light stretching, swimming, or low impact work to help her    become more active and involved in her care. 4. What factors are  dedicate in this situation that could delay wound healing, ND what precautions are  infallible to prevent delayed would healing?A diabetic patient can have impaired vascular flow and poor perfusion which causes poor  waver oxygenation and this can delay healing. Hypoxia can amplify the early inflammatory response, prolonging  blemish by increasing the levels of oxygen radicals (Guy & Dippiest, 2010). Diabetics are prone to hypoxia, enumerator, and decreased  array immune resistance. The patient is obese which means she has decreased vascular in adipose  wind, skin folds that harbor micro-organisms, skin to skin friction, increased tissue reassure and venous hypertension.  
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