Case Study The nurse is caring for a 50-year-old client who has peripheral neuropathy in their feet to the level of thei

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Case Study The Nurse Is Caring For A 50 Year Old Client Who Has Peripheral Neuropathy In Their Feet To The Level Of Thei 1 (109.24 KiB) Viewed 340 times

Case Study The nurse is caring for a 50-year-old client who has peripheral neuropathy in their feet to the level of their ankles secondary to diabetes. The client is admitted to the hospital due to an infected wound that has developed in the left foot near the client's heel. The client had been walking barefoot in their yard and stepped on a piece of glass three weeks prior. The client noticed the wound at the end of the day after being in the yard and removed the glass fragment. The client cleaned the wound at the time using soap and water. After a week, the client's spouse noticed the foot had a large, reddened area on the bottom with purulent drainage. The client denied symptoms of pain or discomfort. The couple attempted to further clean and treat the wound at home with antibiotic ointment and a bandage. However, the redness became more extensive, and drainage did not clear up. The client was admitted to the hospital for treatment of the wound, including IV antibiotics. The client denies doing daily foot assessments and admits to routinely walking in and around the house in bare feet. The client indicates they routinely have a burning and tingling sensation in their feet as well as difficulty sensing temperature differences. Assessment Questions 1. Identify the relevant subjective and objective assessment information related to the client's condition and place the findings in the assessment data box below. (Recognizing Cues; Assessment) 2. Based upon assessment information, identify and prioritize the top 3 client problems. Write one client problem in each of the Client Problem boxes below. (Analyze Cues; Analysis and Prioritize Hypothesis; Planning) 3. Below each client problem, determine and enter the relevant assessment information that supports the identified client problem. (Analyze Cues; Analysis and Prioritize Hypothesis; Planning) 4. Identify important nursing interventions that should be taken to address each client problem and enter them in the related intervention box for the associated client problem. (Take Action; Implementation)