Case Study: Analysis of Leg Ulcer Treatment in Elderly Patients

This case study focuses on the management of a 72-year-old man, Mr. X, admitted to the hospital with a chronic leg ulcer, complicated by his history of type 2 diabetes. The case outlines the nursing assessment, including biological, psychological, and sociological evaluations. The clinical priorities and patient problems are identified, followed by the planning phase, which includes setting goals to remove dead tissues, promote ulcer healing, and improve leg circulation. The interventions involve appropriate wound dressing and the application of a compression bandage. The evaluation section details the assessment findings, highlighting the patient's high-risk status. The reflective points emphasize the importance of clinical priorities, planning, and patient assessment in providing effective treatment for leg ulcers. The case study offers valuable insights into the comprehensive care required for patients with leg ulcers, emphasizing the significance of a multidisciplinary approach and effective nursing interventions. The study also reflects on the learning outcomes of the case study, including a deep understanding of patient assessment, setting clinical priorities, and providing medical interventions and care.

NSB026: Nursing Practice Capstone Insert student name and number here
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Case Study Abstract
TITLE OF CASE
 A descriptive title – “Management of elderly patient with leg ulcer”
RELEVANCE OF CASE
The case is relevant as it provide details about treatment which is provided to patients
suffering from leg ulcers. The case will provide information to RN's on how to Render better
and effective care to patients suffering from leg ulcer.
CASE PRESENTATION – NURSING ASSESSMENT
 Mr X is a 72-year-old man and he was admitted to the hospital with a chronic leg
ulcer. Earlier he was having history of type 2 Diabetes and he has struggled for
controlling his blood sugar levels. He has developed leg ulcer and it requires regular
dressing. The patient has also reduced his mobility and due to this he is unable to
perform his routine functions effectively. Three types of assessment will be
performed on the patient and it comprise -
 Biological assessment
 Psychological assessment
 Sociological assessment
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NSB026: Nursing Practice Capstone Insert student name and number here
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CLINICAL PRIORITIES – PATIENT PROBLEMS
 Initially assessment of the patient will be carried out by RN and after that cleaning
and dressing of the ulcer will be performed.
PLANNING
 Patient goals: -
 First goal is to remove the dead tissues from the ulcer and appropriate dressing will be
done for healing the Ulcer.
 Second goal is to improve vein circulation in the legs of patient. by applying
compression bandage.
INTERVENTIONS
 Initially appropriate dressing will be done for healing the Ulcer.
 For improving the blood circulation, a firm compression bandage will be applied on
the affected leg part.
EVALUATION
 Three types of evaluation will be performed and It comprise of Biological,
sociological and psychophysiological evaluation. Data received from the biological
assessment of the patient is as received: -
Assessment area for Mr X Points received
Build/Weight for Height 2
Skin Type/Visual Risk 1
Continence 2
Mobility 3
Appetite 1
Sex/Age 2
Neurological Deficit 3
Tissue Malnutrition 4
Medication 2
Major Surgery/Trauma 1
It has been analysed from the evaluation chart of patient that he is at a high risk and requires
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NSB026: Nursing Practice Capstone Insert student name and number here
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immediate treatment.
REFLECTIVE POINTS
 I have selected a case in which the patient Mr W is suffering from Leg ulcer and due
to that he has been admitted in the hospital. I have identified that initially clinical
priorities needs to be determined and on the basis of that further treatment should be
recommended.
 Further, I have learnt that setting priorities support for determining priorities for the
patient and on the basis of that better and effective treatment is provided to the
patient. Moreover, I have also learnt that after setting clinical priorities planning is
done and on the basis of that most important tasks to be completed are identified for
the patients.
 In addition to that I have learnt how assessment of patient is performed before giving
them medical treatment and on the basis of that medical care is rendered to them. I
have learnt about what are the priorities which need to be set and on the basis of that
medical interventions and care are provided to the patients. I have gained knowledge
about how to provide treatment to the patient suffering from leg ulcer.
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