Nursing Assessment and Interventions for Leg Ulcer and Type 1 Diabetes Mellitus

Running head: NURSING
NURSING
Name of the Student:
Name of the University:
Author Note:

1NURSING
The patient here is Mr. Trevor Wilkins, who is a 37 years old male who is being
attended by a registered nurse, Jess for his leg ulcer. His leg ulcer has not been healing. While
he was intoxicated, the patient suffered a fall. The past clinical history of the patient shows
that he has been suffering from type 1 diabetes mellitus. He is a social drinker. There is also
no record of any drug allergies that is known. On examination of the vitals of the patient, the
results were as followed: HR 112, BP 98/58, RR 18, T 37.6, SpO2 99%. The weight was
97kg. The height of the patient was 167cm and the Blood Glucose Level was 13.6mmol/L.
The patient is comfortable with doing the activities of daily life independently. On
examination the registered nurse found out that his wound area had turned red and there was
slight odour in the wounded area. Mr. Wilkins lacked family support since he had no close
family or friends.
For this case, the health assessment framework used is the National Clinical
Assessment Framework (Attard, Baldacchino & Camilleri, 2014). The framework comprises
of the following aspects which are as follows:
Areas Aspects of performance
Preliminary health check HR 112, BP 98/58, RR 18, T 37.6, SpO2
99%. The weight was 97kg. The height of
the patient was 167cm and the Blood
Glucose Level was 13.6mmol/L
Comprehensive health and
developmental assessment
The wound area of the patient had turned
red and there was slight odour in the
wounded area.
It was perceived that Mr. Wilkins lacked

2NURSING
family support since he had no close family
or friends.
His past clinical history of the patient shows
that he has been suffering from type 1
diabetes mellitus.
Ongoing, age appropriate assessments
and health monitoring
The patient is comfortable with doing the
activities of daily life independently.
However he needed care from the registered
nurse regarding his leg ulcer, which had not
been healing from a long time.
In accordance to this framework the normal finding were that that patient was
independent enough to perform his activities of daily life. His vitals were also under control.
However he was a little obese as perceive by his body mass index. The abnormal findings
were that he was diabetic as shown by his blood glucose level results. His leg ulcer had not
been healing now for a long time. Additionally his wound area has now turned red and there
was odour discharging from the area. He lacked any emotional support from his family and
friends hence had no support.
Part B
After the registered nurse conducted a focussed assessment on the patient, she
identified several problems that were evident with the patient. One of the major problems was