Diabetic Foot Ulcers: A Case Study

Improved Essays
The patient I received is a 66-year old man with Type 2 diabetes mellitus. He is having trouble controlling his diabetes and developed diabetic neuropathy. Because of this, he began to lose sensation in his feet and soon developed a diabetic foot ulcer. Having a well informed and trained care team is essential to the improvement of patient health. The facility can provide nurses with further education about diabetic foot ulcers and specific wound care and treatment. Having this extra knowledge allows the nurses to look for warning signs of a developing ulcer, educate about preventative measures, and know how to care for a patient with this issue. Nurses will work together with providers, pharmacies, and patients to get the best possible outcome. Having good communication between members of the health care team will improve patient’s overall health. A difficult part about working with patients with chronic illnesses is figuring out a motivator to help them to change. Motivational interviewing can help nurses and healthcare providers identify the patient’s barrier from a healthy lifestyle. For the diabetic patient, we want to figure out how the patient’s life has changed since they got into this …show more content…
Each decision affects their health and gives them the confidence to manage and conquer their disease. It is important for the nurse to educate the patient to allow them to make these important decisions. Developing a goal provides the patient with motivation and something to look forward to. A goal for the patient could be to limit or completely remove junk food from the diet. You think about difficulties with this such as the increased cost of paying for healthier foods, or when the patient is in a social setting and wants to eat junk food with his friends. We try this goal for a week and check in at that time to see if this goal was successful and if it can be extended for another

Related Documents

  • Superior Essays

    The topic of my disease diary is Diabetes Type 2. In the following report I will talk about the characteristic of diabetes, the causes and symptoms, what happens chemically, the treatment of the disorder and how the relationship to other body systems is. In general Diabetes is a long-term disease, what means the patient has to handle his whole life with the disease. Diabetes mellitus Type 2, also known as noninsulin-dependent diabetes mellitus (NIDDM) or adult-onset diabetes, is an illness of the metabolism, what means it interrupts the ability to use glucose and the human needs glucose for the carbohydrate digestion.…

    • 836 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    The impact that diabetes can have on someone’s life is truly great. Everyone who has experienced diabetes has a different tale of the hardships that they have endured throughout their lives. As a human being it is important to have an understanding of the feeling of those who suffer around us. All too often we jump at a conclusion without actually putting much thought into the situation before us. As a current student pharmacist one of my goals is to improve my understanding of what it is like to live with a disease.…

    • 849 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Horace quotes that “Adversity has the effect of eliciting talents which is prosperous circumstances would have lain dormant.” I believe Horace is right because adversity causes difficulty and people perform better than they would if they were not facing adversity. Adversity is a difficult or unlucky situation or event. When circumstances or situations work against someone, they face adversity.…

    • 800 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    This must be obtained of the nurse’s self and his/her patients. It is important for the nurses to understand their own self, values, and goals before they began to understand and assist with the care of others. Taking the initiative to understand the patient’s beliefs, values, and goals will increase the compliance and obtainable outcomes of their treatment plan. I implement personal knowledge in the clinical setting by being honest to myself concerning my own thoughts and feelings. When I become occasionally overwhelmed, I take a moment to myself to reflect on my thoughts and what is the true factor that is causing me conflict.…

    • 820 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Nurse Wound Care Specialist Preventing Pressure Ulcers Pressure ulcers is an issue that nurses have been trying to solve for years, yet it is still a current issue in long term hospital stays and long term care facilities. Pressure ulcers could better be prevented if facilities had a wound care team to provide skin assessment and management of pressure ulcers. The need in facilities is to have nurses that are responsible for preventing pressure ulcers. Pressure ulcers occur on boney prominences like the sacrum, heels, or scapula’s.…

    • 1313 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    A. Four Guiding Principles of MI The four guiding principles of Motivational Interviewing guide the clinician in a technique designed to create greater behavior change with clients. Successfully empowering individuals to create lasting healthy behavioral changes means establishing a trusting rapport and empathetically listening to their needs while maintaining a clear agenda that sets the stage for progressive “change speech” (Matulich, 2013). According to Matulich (2013), when a client expresses more and greater intent to change the more likely they are to initiate actions that mirror their intentional spoken wishes. The acronym, RULE stands for the four guiding principles of Motivational Interviewing: Resist, Understand, Listen, and Empower. When used strategically throughout a client interview they will guide a…

    • 1052 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Pressure Ulcer Critique

    • 1094 Words
    • 5 Pages

    Research Critique Research Purpose: Pressure ulcers are a key-contributing factor to health problems in the inpatient setting. On average, those who acquire pressure ulcers are individuals in the elderly community. It plays a part in a patient’s well-being and standard of living. The phenomenological study of this qualitative research study indicates that the impact of pressure ulcers caused patients to live with challenges through their daily lives physically, emotionally and both mentally and socially (Spilsbury, et al., 2007).…

    • 1094 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    In addition, it also causes pain, suffering, infection, a lower quality of life, extended hospital stay and even death in severe cases. In reviewing the “Improving wound and pressure area care in a nursing home” Sprakes, K., & Tyrer, J. (2010) demonstrated the authors worked with the nursing home supervisor to recognize four key staff medical attendants who might be upheld through the competency-based system. Two hypothetical instructional courses were conveyed by the authors and included one day on wound evaluation and one day on pressure ulcer anticipation and administration Sprakes, K., & Tyrer, J. (2010). The study also clarified that…

    • 758 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Integrated-Managed Care

    • 812 Words
    • 4 Pages

    Using podiatric services diabetic patients are not only able to check their feet for ulcers, but also to get their ingrown nails cut which prevents infections and delayed wound healing. Coverage of needles and alcohol avoids infection at the site of insulin injection or where finger stick blood sugar check are performed. Site rotation of the insulin injection is also important consideration that prevents tissue necrosis. In addition patient with diabetes mellitus are recommended to receive yearly influenza vaccine and every 5 ear pneumococcal…

    • 812 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Valeria Johnson coming to me today made me realized that although we work together and have a good working relationship she was willing after our session to tell me she would work with me in this health concern. Most people for the most part do not like being told what to do and it gets worse if it is about their bodies and how they should live. What does MI look like? It involves asking questions and responding to patients' comments in a way that validates their experiences, helps them develop reasons for making health behavior changes, and acknowledges patients' control of the decision to change. So a better way to get to help her was introduced motivational interviewing (MI) and by using this method I was providing advice and feedback.…

    • 523 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Approximately 5.9 percent of the U.S. population has diabetes, and about 65 percent of these people will also develop neuropathy — nervous system damage that can cause people with diabetes to lose feeling in their hands or feet. This condition is just one reason why Louise E. Tortora, DPM, an ankle and foot care doctor in Fairfield, CT, educates her patients on the importance of diabetic foot care. If you have diabetes, here are a few reasons why you should have a diabetic foot care exam performed regularly: Slow Healing Time: Not only are diabetics less likely to feel wounds because of neuropathy, they also tend to have slow healing times due to peripheral artery disease, which decreases the blood flow to the feet and other parts of the…

    • 365 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    The model fits a patient education approach to resolving the problem with poor patient compliance. Using HPM, the nurse takes on the role of educator and performs the initial task of assessing the patient’s perception of health in order to develop individual plans of care. This allows the nurse to create a comprehensive plan tailored to the individual patient so that the patient is able to achieve optimal self-care and disease prevention. By performing a thorough assessment and constructing a highly individualized plan of care, the nurse is able to focus on the patient’s strengths and identify weaknesses that prevent the patient from achieving compliance, and to take responsibility for their role in their own health and wellness. Empowering the patients will motivate them to make the necessary changes in behavior as well as their environment in order to promote better health outcomes (Petiprin,…

    • 1252 Words
    • 6 Pages
    Improved Essays
  • Superior Essays

    We are their teachers, advocates, friends, and confidants. By acting as all of these, we are able to have an influence in our patient’s feelings towards medicine and the medical world. It is my belief that with this influence, we should be providing our patients with the tools they need to promote a healthy wellbeing for themselves. As nurses, we should be advocating for preventive measures to keep our patients healthy, such as yearly physicals, smoking cessation, and methods of reducing and dealing with life’s stressors in a positive manner. It is my belief that if we provide these outlets to our patients, we are giving them the keys to a much healthier lifestyle, in which they will likely reduce the amount of illness they may encounter.…

    • 1108 Words
    • 5 Pages
    • 2 Works Cited
    Superior Essays
  • Improved Essays

    Diabetic Reflective Essay

    • 771 Words
    • 4 Pages

    Stage (3): Analyzing the Experience: (250 words) I was trying to improve my patient condition by regulating her blood sugar level to reduce the risk of developing complications. After the assist of my tutor to give good health education, Ms.S.K.’s start asking me questions about the complications. I felt happy because she interacts with me.…

    • 771 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    First, the nurse assessed the patient’s needs and the problems of the patient and their family. Second, the nurse formulated a diagnosis and treatment plan for the patient appropriate for the patient’s educational level. Third, the nurse emphasized strategies to help motivate what is necessary for the patient. The nurse planned their teaching during an interrupted time and the nurse used provided pamphlets were written based on a 4th grade reading level. Fourth, the nurse implemented teaching about self-monitoring of blood glucose, exercise, healthy food choices, controlling blood pressure, and insulin treatment if necessary.…

    • 782 Words
    • 4 Pages
    Improved Essays