logo

HLTEN512B – Implement and Monitor Nursing Care for Clients

   

Added on  2020-04-13

8 Pages2197 Words115 Views
Running head: NURSING NursingName of the student:Name of the University:Author’s note
HLTEN512B – Implement and Monitor Nursing Care for Clients_1
1NURSINGAnswer 1Toula Giannopoulos, a 56 year old female has been admitted to the surgical ward forongoing management of infected diabetic ulcer on her right foot. Before planning care plan forToula, the important nursing assessment that would be necessary for Toula would include:Conducting physical assessment and reviewing comprehensive health history of patientsPhysical examination of affected limbs in relation to location, classification of foot ulcer.Length, depth and width of wound. The nurse will also assess exudates and odour ofwoundNursing assessment and documentation of pain in Toula by considering the pain history,location, intensity and patient’s understanding of painAssessment of ADLs (activities of daily living) in Toula by observing gait abnormality inpatients and ability to exercise (Alavi et al. 2014)In response to pain assessment and assessment of ADL in Toula, the important nursingintervention for Toula would be to provide non-weight bearing devices such as crutches orwheelchairs to patient to reduce pain and reduce pressure in foot. This would facilitate healingof diabetic foot ulcers (Bus et al. 2017). In addition, management and care of wound in the rightfoot would also be essential to prevent infection and promote healing. The Enrolled nurse willalso play a critical role in educating Toula to prevent injury and take care of the diabetic foot.Another important nursing intervention would be to provide appropriate medication to patientto manage pain and promote recovery of wound (Dimitriadou and Lavdaniti, 2017). Answer 2The review of medical history of Toula has revealed that she suffered from uncontrolledType 2 Diabetes, hypertension and obesity. Uncontrolled diabetes is the main risk factor thathas contributed to the development of her diabetic foot ulcer. This is because uncontrolleddiabetes is one of the major risk factor for diabetic foot ulcer. About 10% people with diabetesare likely to develop ulcer loose normal nerve functioning due to peripheral diabetic
HLTEN512B – Implement and Monitor Nursing Care for Clients_2
2NURSINGneuropathy. Due to this condition, patients like Toula loose pain sensation in foot and theycannot sense any damage to their foot in case of bruises or cuts (Strauss et al. 2016). Hence,small cuts or bruises eventually develop into diabetic foot ulcers because blood flow to the feetis restricted in diabetic patients and it has a negative impact on healing process. Answer 3Debridement is one of the treatment options for patients with diabetic foot ulcers to prevent further complication and increase the pace of ulcer healing. After the process of debridement in Toula, there are chances of many negative or positive implications in patient. The first implication might be that ulcer healing process may enhance and patients might be discharged early from hospital. However, there is also chance of acute infection in patient after the debridement process due to poor hygiene standards in hospital setting. MRSA (Methillin-resistant S. aureus) is often a causative agent in diabetic foot infections in hospitalized patient because of contact with other patient with MRSA. The implication of MRSA infection is that the characteristics of wound will change in patient and their discharged may be delayed (Edmonds 2009). Such infection will also create treatment challenges for clinicians. Toula also developed MRSA infection after debridement evident from the assessment of wound swab. Hence, she had to be hospitalized again to manage the infected diabetic ulcer. Another implication of debridement is that debridement will have an impact on living arrangement and ability to perform ADLs. The patient may lose normal capacity to mobilize andthey may require walking aid and other mobility devices to reduce pressure on foot. Toula experienced mobility issues due to excessive pain in her right foot after MRSA infection post debridement. Answer 4. Toula had a wound at her foot which had aggravated and formed ulcer. This can betreated by the help of dressings. The dressings reduce the moist environment of the wound andhelps in curing the wound (Mills, Cowin, and Kaur 2013). Simple gauze is used along with the
HLTEN512B – Implement and Monitor Nursing Care for Clients_3

End of preview

Want to access all the pages? Upload your documents or become a member.

Related Documents
Wound Assessment and Management Plan for Diabetic Foot Ulcer Patient
|9
|2631
|284

Narratives Of illness and Wellbeing in Patients Research Paper 2022
|8
|2215
|33

Nursing Care for Mr Paisley's Diabetic Foot Ulcer
|10
|2783
|30

Pathophysiological Assessment and Nursing Care Priorities on Case Study Review
|9
|2534
|342

Medical Surgical Nursing Assignment
|11
|3325
|74

Nursing Diagnosis for Mr Jones
|11
|3776
|297