The case scenario provided will be used to answer the discussion questions that
ID: 122196 • Letter: T
Question
The case scenario provided will be used to answer the discussion questions that follow.
Case Scenario
Ms. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.
Subjective Data
Complains of pain and heaviness in her leg.
States she cannot bear weight on her leg and has been in bed for 3 days.
Lives alone and has not had anyone to help her with meals.
Objective Data
Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount of thick yellow drainage
Left leg red from knee to ankle
Calf measurement on left 3 in > than right
Temperature: 38.9 degrees C
Height: 160 cm; Weight: 83.7 kg
Laboratory Results
WBC 18.3 x 10¹² / L; 80% neutrophils, 12% bands
Wound culture: Staphylococcus aureus
Critical Thinking Questions
What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.
Identify the muscle groups likely to be affected by Ms. G's condition by referring to "ARC: Anatomy Resource Center."
What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.
What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.
Explanation / Answer
Ans: The Clinical manifestations present in Ms. G are the following:
- Pain in the leg
- Heaviness of leg
- wound above the medial malleolus
- Yellow discharge likely pus
- Swelling and redness in the left leg
Recommendations for continues treatment are as follows:
- Daily wound dressing:
Rationale: To promote early healing
- Elevate leg:
Rationale: to promote drainage of extracellular fluid to intracellular area to decrease swelling
- Antibiotics:
Rationale: To treat the infection caused by Staphylococcus aureus
- High protein diet:
Rationale: To promote healing as protein is required to build new tissues.
Muscle group likely to be affected by Ms. G's conditions are as follows:
- The posterior tibial
- The anterior tibial
- The peroneal tibial
- the extensors
The significance of subjective or objective data provided with regards to follow up, diagnostic/lab testing, education and future preventive care is that it helps to quantify the improvement. For example decrease in swelling observed during visit helps to know that Ms. G is improving moreover subjective data like decrease in pain also helps to do the same.
The factors that can delay wound healing are the poor dietary habit as she has no one to support her for food and another factor could be the inability to maintain the adequate hygiene as he not able to bear her weight on the leg and will face difficulties in performing the activity of daily living.
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