PLEASE Type the answer Case Scenario: Mr George McFarlane is a 53-year-old Caucasian Male, admitted to hospital after se

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PLEASE Type the answer
Case Scenario:
Mr George McFarlane is a 53-year-old Caucasian Male, admitted to
hospital after seeing his General Practitioner (GP) for an infected
Left (L) toe, caused by a blister/ lesion, possibly from
ill-fitting shoes. When Mr McFarlane realised there was a lesion
present, he initially did not consider it serious and did not seek
medical treatment straight away. After a week, the smell disturbed
him and he sought advice from his General Practitioner (GP) who
prescribed oral antibiotics and stressed the importance of
cleansing and changing the dressing on his wound regularly. Due to
Mr McFarlane’s job which required being on the road for long hours
at a time, these regular dressing changes did not occur.
Subsequently, due to irregular dressing changes, Mr
McFarlane’s Methicillin-resistant Staphylococcus Aureus (MRSA)
positive status and Type II diabetes, the lesion failed to
heal and became larger and deeper. Mr McFarlane returned to his GP
five (5) weeks later. The GP immediately referred him to
a specialist wound clinic. Investigations included a full
blood count (FBC). The white blood cell (WBC) count was 17x 10⁹/L,
predominantly neutrophils. The erythrocyte sedimentation rate (ESR)
was 75mm/hr. An x-ray showed changes consistent with
osteomyelitis.
Mr George McFarlane was admitted to hospital for surgical
debridement of his wound. A large amount of tissue was excised from
his left foot, which resulted in amputation of all 5 toes. The
wound was packed and placed on a suction wound dressing
(negative-pressure wound therapy), to minimise the exudate at the
wound surface and promote healing by granulation. Post-operatively,
he initially did well. However, on the seventh day after surgery,
he developed pyrexia and his diabetic control deteriorated. His
left foot had swollen above the bandaging. The dressing was removed
and there was tissue engorgement and cellulitis surrounding the
wound and evidence of necrosis (as shown in the photograph
below).
Mr McFarlane has a Past Medical History (PMHx):
Social History (SHx):
Mr McFarlane’s current assessment consists of the
following:
Q1 Discuss how Mr McFarlane’s chronic illnesses
could impact on wound healing and the cause of his
wound.
References required
(word limit 400-500 words)
Q2:
References required
Q3:
What education should be provided to Mr McFarlane and his family
in relation to his wound? Your answer should be specific to Mr
McFarlane.
Consider in your answer:
References required
(word limit 250-350 words)