Marjorie Templeton Case Study

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When providing patients with acute care in a hospital setting it is imperative to know the type of care that is required for each patient and ensuring you have the evidence and practice in order to implement the care efficiently. As part of the Nursing Integrating Concepts this semester there has been a huge emphasis on evidence and how this backs up the type of care, we as nurses should provide to patients. In this essay I will be discussing what evidence is in the form of infection control in relation to the case study of Marjorie Templeton and how it is relevant to the care that is provided to her. The three main evidence based practices that I will be discussing are healthcare-associated infections (HAIs), intra venous infections in relation …show more content…
An estimation of 380,000 bed days are being lost each year, this study was undertaken in three large hospitals. Over a 32 week period an intervention of chlorexidine (0.1%) solution was used as a cleaning method prior to catheter insertion. For Marjorie Templeton’s case this is extremely relevant as upon admission she had received an intravenous and was given antibiotics. Due to the high risk rate of acquiring HAUTIs it is important to monitor Marjorie not only throughout her stay, but over at least a 48hr period to ensure she does not acquire a urinary tract …show more content…
In the article ‘Characteristics of Diabetic foot ulcers in western Sydney Australia’ diabetics have a 25% risk of a foot ulcer developing which can turn into a chronic non-healing ulcer. Ethical approval had been granted for this report and based on the PEDIS (Perfusion, Extent, Depth, Infection, Sensation) classification there are four grades of foot ulcers with the probe to bone technique being used. Of this study on 195 patients, 49% of ulcers were infected, 21.5% were of Grade 2 and 26.7% of Grade 3 and a total of 25.6% of patients were prevalent of osteomyelitis. Within a year 20-58% of diabetic patients would develop another ulcer, which was said to be due to increasing age as skin easily damages. Osteomyleitis is relevant to Marjori’es case as she is on alendronate and a 25.6% chance would place Marjorie at 3:1 ratio of future

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