Case Study: Assessment, Treatment Plan for a 70-Year-Old Male Patient

This case study assesses a 70-year-old male patient, Rob, who experienced a fall and was diagnosed with a fracture and hypoglycemia due to his type-2 diabetes. The paper discusses the patient's history, symptoms, and the critical care nursing priorities, including managing hypoglycemia, addressing the fracture, and preventing infection. The treatment plan involves intravenous dextrose to manage hypoglycemia, pain medication and bandaging for the fracture, and wound care to prevent infection. The case study emphasizes the importance of a comprehensive care plan that addresses both the immediate and potential long-term health risks associated with the patient's condition. References are provided to support the analysis and treatment strategies. The case study aims to provide a clear understanding of the patient's condition and the necessary nursing interventions.

Running head: CASE STUDY ASSESSMENT
CASE STUDY ASSESSMENT
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Introduction:
The paper aims for discussing a case study on a 70 year old male patient, named Rob.
After that the paper will be making necessary assessments on his condition along with
designing a treatment plan for him.
Discussion:
The patient was 70 years old and had a history of type-2 diabetes. The patient
experienced a sudden fall, when taking a walk in the morning after taking his regular
medications. The reason behind his fall was that he felt dizzy and passed out suddenly. He
was taken to the nearest healthcare center, where the healthcare staffs noticed there is a deep
cut on the patient’s leg, which was bleeding profusely. After the patient got his senses back,
he seemed confused but started to complain about a severe pain in his leg. Upon performing
an X-ray test, it was found that there was a fracture in the patient’s leg.
The patient had a history of type-2 diabetes, which is associated with the inability of
producing insulin in body. The patients are treated with regular dosage of insulin to control
their blood sugar level. If the insulin uptake is more than someone’s body requirements, the
blood glucose level falls dangerously, which in turn results in hypoglycaemia. In case of
hypoglycaemic shock, the patients experience symptoms like confusion, feeling dizzy,
fatigue and even fainting (Aggarwal et al., 2016). Since Rob displayed most of those
symptoms along with having a history of diabetes, it can be decided that he experienced
hypoglycaemic shock prior to his fall. Hence the first priority of the critical care nurses will
be to bring his blood sugar level back to normal in order to lower further risk of proceeding
the condition to a diabetic coma. The next risk to the patient’s condition is the fracture in his
leg. The condition is associated with severe pain in the patient. The old age is associated with
lower strength of the bones and thus the fall experienced by the patient caused the fracture

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easily (Napoli et al., 2014). The nursing care plan for Rob should also be focused on lowering
the pain in the patient resulting from this condition. The next risk to the patient’s health
condition is associated with the risk of microbial infection at the site of deep cut on his leg.
The nursing staffs must take the situation into consideration and take necessary measures to
prevent the risk of infection along with the further risk of septicaemia (Vongpaisarnsin,
Tansrisawad, Hoonwijit & Jongsakul, 2015).
The first treatment plan for the patient will involve controlling his hypoglycaemic
condition (Ly et al., 2014). For this the intravenous administration of dextrose can be
considered. The next focus of the treatment plan will be the lowering the pain from the
fracture in the patient, which can be achieved by administering medications for pain
management along with applying proper bandage to mend the fracture (Rantala, Kankkunen,
Kvist & Hartikainen, 2014). The last focus of the care plan will be reducing the risk of
microbial infection in the patient, which can be achieved by cleaning the site of cut properly
and bandaging it properly to stop the bleeding.
Conclusion:
Hence it can be concluded that Rob experienced hypoglycaemic shock, which resulted
in him experiencing the sudden fall. His leg was fractured and there was a deep cut on his leg
as a result of the fall. The conditions can be managed by administering dextrose
intravenously along with applying bandages and administering pain medications in the
patient.

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References:
Aggarwal, H. K., Jain, D., Pawar, S., Mittal, A., & Jain, P. (2016). Recurrent Hypoglycaemia:
an Uncommon Presentation in Sheehan Syndrome. European Journal of General
Medicine, 13(2), 155-157.
Ly, T. T., Maahs, D. M., Rewers, A., Dunger, D., Oduwole, A., & Jones, T. W. (2014).
Assessment and management of hypoglycemia in children and adolescents with
diabetes. Pediatric Diabetes, 15(S20), 180-192.
Napoli, N., Strotmeyer, E. S., Ensrud, K. E., Sellmeyer, D. E., Bauer, D. C., Hoffman, A.
R., ... & Cummings, S. R. (2014). Fracture risk in diabetic elderly men: the MrOS
study. Diabetologia, 57(10), 2057-2065.
Rantala, M., Kankkunen, P., Kvist, T., & Hartikainen, S. (2014). Barriers to postoperative
pain management in hip fracture patients with dementia as evaluated by nursing
staff. Pain Management Nursing, 15(1), 208-219.
Vongpaisarnsin, K., Tansrisawad, N., Hoonwijit, U., & Jongsakul, T. (2015). Pseudomonas
aeruginosa septicemia causes death following liposuction with allogenic fat transfer
and gluteal augmentation. International journal of legal medicine, 129(4), 815-818.