Referral for Mrs. Spring: Healthy Diet Interventions for Diabetic Wound Ulcer

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

1NURSING
Dr. Shane Anderson
Dietician, 123 New Town street,
Melbourne
Dear Dr. Anderson,
RE- Referral for Mrs. Spring for a healthy diet based interventions.
Thank you for seeing Mrs Spring, 72-year-old lady, regarding severe diabetic wound ulcer on leg
possibly requiring proper diet planning. She had been suffering from ulcer from last five months.
Her reports showed her feet had become quite puffy and she is unable to wear her shoes. She is
having a dull ache in her legs. Her condition is deteriorating because of uncontrolled Diabetes.
Current medication
Her current medications are:
 Diabex 500mg twice
 Digoxin 125 mg daily
 Aspirin 100 mg daily
She needs a diet plan that has the potential to control as Diabetes. I request you to go through her
past medical records and assist her with a proper diet plan.

2NURSING
Patient History
Mrs Spring was suffering from type II diabetes for a long time and was in a controlled
state. However, recently her blood glucose level was noted to be high, and she was finding it
difficult to control it. She also had a health history of congenital heart failure and had a varicose
vein surgery 30 years ago. Other than these issues, she remains quite well for a long time now.
Since five months she had been suffering from leg ulcer, and her foot has become quite
puffy these days. She also finds it quite challenging to wear shoes for a longer time. She also
experienced some dull aches in the leg quite often. Also, she reported having thick prudent
exudate that comes out from the wound regularly. Sometimes, the flow of exudate becomes high,
and it makes the wound appears red, heated and painful. She developed foul smell in her feet and
due to which children had stopped visiting her.
Social history/medical history
 Mrs Springs is an independent resident of a two-bedroom house.
 She likes socializing at the local citizen center, gardening, cooking.
 She has two children who live nearby and regularly visits her
 Her feet become quite puffy, and she finds it difficult to wear her shoe for very long, they
become more swollen as the day progress.
 Diagnosed with wound infection, by a wound swab growth of Staphylococcus aureus,
which was prescribed Clarithromycin 500mg twice daily for 14 days.
 Following the course of antibiotics, Mrs Springs wound her left outer gaiter show
improvement and reduction in pain.
 She was administered with a mild compression therapy until she undergoes formal
vascular assessment due to her pain and discomfort with the application