Patient-Focused Concept Map Case Study

958 Words 4 Pages
Patient-Focused Concept Map
Introduction
M.P. is a 42-year-old male patient admitted on 2/22/2016 for infected stage IV decubitus ulcers, and penile deformity caused by urethral erosion from indwelling catheter. Patient is also anemic, and is on isolation precaution due to MRSA, staphylococcus aureus, and Escherichia coli infections. M.P. is a homeless paraplegic with double above the knee amputations (due to a motor vehicle accident in 2013) with an opiate addiction suffering from severe malnutrition, extreme depression, and failure to thrive. He has been on the med surge floor since being admitted. I previously cared for M.P. on another floor for a different set of stage IV pressure ulcers, which eventually healed and he was discharged
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has several serious physical conditions that require treatment. However, in my opinion this is secondary to the mental and community help that the patient needs in order to return to some semblance of a quality life. If we just treat his wounds, and discharge him back to the streets it will only be a matter of months before he is either back again in a similar condition to when he was admitted, or dead. He obviously does not have the resources to take care of himself, at least not without some serious mental counselling first. The serious nature of his infections put the hospital staff, and other patients at risk let alone the financial burden put on the hospital for his care. So his return does not affect just him, but really the community at large as due to increased infection risk, and resources that could be used for other patients will be needed for M.P. which will be used needlessly if he ends up back in the same condition again and …show more content…
I did contribute to his care by getting him to open up a little, talk about his family, and his condition. However, it was obvious that he is more depressed now than on this previous visit. He really needs someone to talk to, someone who will listen and can provide him guidance to get his life back on track. Because of his socioeconomic status he is certainly at a disadvantage in terms of getting the mental help he needs. His isolation precaution status only compounds this problem making it less likely for nursing staff to check in. In order to provide better care for this patient we have room to improve on mental health counselling resources provided, and outpatient support for patients similar to M.P. who without additional support will vary likely be back in the hospital soon after discharge. As far as the physical care I was asked to leave the room when the wound-vac nurse came in, so I did not have the opportunity to help with the wound care this time. He was offered reconstructive surgery for his penis which he denied, and I did not get a chance to follow up with the nurse to ask what would happen to his penis but do to the condition without reconstructive surgery I assume it will be amputated. This will only compound the patients need for mental health support,

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