The clinical presentation in Ms. G is redness of the left leg, swelling, increase the diameter of the left calf and wound above medial malleolus; yellowish drainage, elevated temperature of 38.9 degree Celsius. The systematic manifestations are fever and elevated white blood cells count. The infection continues to spread from the ankle to the knee.
The treatment rationale will be to control pain and fever using analgesics such as ibuprofen and acetaminophen. Since the culture of the wound is staphylococcus aureus, antibiotic from the sensitivity result of blood sugar monitoring to make sure the blood sugar is within range. Wound care to prevent worsening of the using surgical debridement or enzymatic products. Dieting consultancy to assist with diet recommendation that will help in maintaining the blood sugar. Rehabilitative services from physical …show more content…
G are flexor digitorium longus, flexor halluces longus, and tibialis anterior muscles, soleus, peroneus longus, and gastrocnemius.
The structure data are numbness, chilling of the limb, pain, even when at rest. This signifies ischemia (shortage of oxygen, nutrients) needed for tissues to be alive. Per Alfred (2012) these may affect future care by necessitating amputation or debridement of devitalized tissue to prevent the spread of the infection to the rest of the body.
During Ms. G’s stay in the hospital, she will be educated on the needs for care of the lower extremities, the type of shoes, socks to use, how to trim her toenails, podiatric appointments. Follow up with her out patient wound care, endocrinology and how to exercise to reduce weight. Family helping in dietary preparation and in following up with her appointments.
The factors that will delay or prevent wound healing will be poor control of blood glucose related to the infection, inadequate blood supply to the extremity due to ischemia, infection, and co-morbidity of Ms. G being overweight and poor
The treatment rationale will be to control pain and fever using analgesics such as ibuprofen and acetaminophen. Since the culture of the wound is staphylococcus aureus, antibiotic from the sensitivity result of blood sugar monitoring to make sure the blood sugar is within range. Wound care to prevent worsening of the using surgical debridement or enzymatic products. Dieting consultancy to assist with diet recommendation that will help in maintaining the blood sugar. Rehabilitative services from physical …show more content…
G are flexor digitorium longus, flexor halluces longus, and tibialis anterior muscles, soleus, peroneus longus, and gastrocnemius.
The structure data are numbness, chilling of the limb, pain, even when at rest. This signifies ischemia (shortage of oxygen, nutrients) needed for tissues to be alive. Per Alfred (2012) these may affect future care by necessitating amputation or debridement of devitalized tissue to prevent the spread of the infection to the rest of the body.
During Ms. G’s stay in the hospital, she will be educated on the needs for care of the lower extremities, the type of shoes, socks to use, how to trim her toenails, podiatric appointments. Follow up with her out patient wound care, endocrinology and how to exercise to reduce weight. Family helping in dietary preparation and in following up with her appointments.
The factors that will delay or prevent wound healing will be poor control of blood glucose related to the infection, inadequate blood supply to the extremity due to ischemia, infection, and co-morbidity of Ms. G being overweight and poor