Please respond with a paragraph to the following post, add citations and references:
1. Clinical manifestations present in Ms. G are left leg red from knee to ankle. It presents as round, yellow-red, 2 cm diameter, 1 cm deep, open wound with moderate amount of thick yellow drainage. Temperature is 38.9C and has developed chills. Patient complains of pain and there is swelling present on left leg compared to right; 3 inches more than right leg. Her labs are elevated as evidenced by her heightened WBC 18.3 x1012, and bands 12% and 80% neutrophils. Additionally, her wound culture came back positive for staphylococcus aureus which means it is infected.
Recommendations for continued treatment are antibiotics. According to the MD’s order she had an acute infection that can only be treated with antibiotic. Patient should on contact precautions because her staphylococcus can infect others (U.S. National Library of Medicine, 2019). Additionally, it is not known if it is Methicillin-Resistant Staphylococcus Aureus so precautions should be undertaken. She should be on IV fluids because on the MD order she has fever and diabetes. Fever and diabetes could lead dehydration (American Diabetes Association, 2015). She should have pain medication administered as per doctor since patient has expressed pain. Wound treatment should be administered because patient has open wound with drainage. Blood sugar should be checked since on the MD’s order her diabetes cannot be left unchecked because infection raises blood sugar. Skin assessments should be done regularly for discoloration or necrosis because of her cellulitis and heightened risk of diabetic related injuries. She should be turned every 2 hours so there will be no further breakdown. Neurovascular checks should be performed due to her diabetic status. Her diet should adhere to diabetic protocols but also nutrients for her body to heal. Leg should be elevated to reduce swelling. Vital signs should be checked regularly to monitor her fever and blood pressure.
2. Based on the “ARC: Anatomy Resource Center”, the muscle groups most likely to be affected by Ms. G’s condition are the gastrocnemius muscle, soleus muscle, extensor digitorum longus and tibialis anterior.
3. Subjective data is important because it provides us with background information about the patient that the health personnel otherwise would not know. Patient lives alone and has hard time making meals. Additionally, she has a hard time moving because of her leg. Since Ms. G lives alone she must be educated on her condition and instructed on how to make skin checks regularly. Proper hand washing technique must be taught along disposal because of her cellulitis and staphylococcus infection. Patient must be taught proper diet in relation to her diabetes since she professes to have a hard time making meals. Objective data is also important because they are observations made by trained hospital staff backed by data. Through objective data it is known Ms. G has staphylococcus aureus, she must be checked again for her CBC to see if the infection is subsiding. Her wound culture should be checked to see if antibiotics are effective in treating her staphylococcus infection. For future prevention, she must be taught to be cautious about her skin care and should note any redness or breakdown and have them be taken care of promptly.
4. Factors that are present in Ms. G’s case that could delay her wound healing are that she is a diabetic and immobile. Additionally, her difficulty in making meals since she has no one to help her which could cause a delay in her wound healing since she is not getting nutrients. Her blood sugar should be closely monitored and controlled in order to facilitate normal wound healing. The patient should also be moved every 2 hours to prevent further skin breakdown. Additionally, patient should be referred to diabetic diet counseling.
American Diabetes Association. (2015). When You’re Sick. Retrieved February 25, 2019, from http://www.diabetes.org/living-with-diabetes/treatment-and-care/whos-on-your-health-care-team/when-youre-sick.html
Grand Canyon University. (n.d.). Anatomy Resource Center. Retrieved February 25, 2019, from https://lc.gcumedia.com/bio155l/anatomy-resource-c…
U.S. National Library of Medicine. (2019). Staphylococcal Infections. Retrieved February 25, 2019, from https://medlineplus.gov/staphylococcalinfections.h…
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