Norma James, a 65-year-old widow who lives alone, presents at the geriatric nursing clinic at the local senior center wi...
Norma James, a 65-year-old widow who lives alone, presents at the geriatric nursing clinic at the local senior center with a wound on her ankle about the size of a quarter. The wound is sore, with yellowish drainage. The skin around the wound is red and inflamed. Ms. James says that she has had the sore about 3 weeks and that she treated it with butter for a while but that that seemed to make it worse. Ms. James says that her foot hurts when she walks on it. The nurse at the clinic smells cigarette smoke on Mrs. James clothing. When asked, Ms. James reports that she smokes about a pack a day. In response to a question from the nurse, Ms. James says that she has diabetes and high blood pressure. Ms. James is not able to say what medicines she takes but estimates that she takes "about four different ones."
Question 1
What metabolic factors will increase the risk of delayed wound healing?
Question 2
What teaching can the nurse provide Ms. James to promote wound healing in relation to metabolic concerns?
Linking the exemplar of wound healing with the concept of perfusion:
Question 3
What factors related to perfusion will increase the risk of delayed wound healing for Ms. James?
Homework Answers
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Norma James, a 65-year-old widow who lives alone, presents at the geriatric nursing clinic at the local senior center wi...
Norma James, a 65-year-old widow who lives alone, presents at the geriatric nursing clinic at the...
Norma James, a 65-year-old widow who lives alone, presents at the geriatric nursing clinic at the local senior center with a wound on her ankle about the size of a quarter. The wound is sore, with yellowish drainage. The skin around the wound is red and inflamed. Ms. James says that she has had the sore about 3 weeks and that she treated it with butter for a while but that that seemed to make it worse. Ms. James says...
R.H. is a 62-year-old woman who comes to the clinic for a routine physical examination. She works as a banking executi...
R.H. is a 62-year-old woman who comes to the clinic for a routine physical examination. She works as a banking executive and gets little exercise. She says she is “just tired.” She has gained 18 pounds over the past year and eats a high-fat diet. Her blood pressure is 162/98, heart rate is 92, and respiration rate is 20 R.H. complains of some weakness in her right foot that began about a month ago. She says it also feels a...
Background Jeraldine Yates is a 70-year-old woman originally from Alabama. She lives alone and is able...
Background Jeraldine Yates is a 70-year-old woman originally from Alabama. She lives alone and is able to manage herself independently. She is active in her community and church. Mrs. Yates was admitted to the hospital two months ago with heart failure. Since her discharge, a visiting nurse visits every other week to assess for symptoms of heart failure and see that Mrs. Yates is continuing to manage well on her own. Case Study The visiting nurse stops in to see...
Background Jeraldine Yates is a 70-year-old woman originally from Alabama. She lives alone and is able to manage herself...
Background Jeraldine Yates is a 70-year-old woman originally from Alabama. She lives alone and is able to manage herself independently. She is active in her community and church. Mrs. Yates was admitted to the hospital two months ago with heart failure. Since her discharge, a visiting nurse visits every other week to assess for symptoms of heart failure and see that Mrs. Yates is continuing to manage well on her own. Case Study The visiting nurse stops in to see...
26% -), AT&T LTE 10:08 AM Capstone Case Studies.. Case Study and Questions A 65-year old...
26% -), AT&T LTE 10:08 AM Capstone Case Studies.. Case Study and Questions A 65-year old man entered the emergency department of a local hospital. He appeared to be acutely ill with abdominal tenderness and a temperature ef 40" C. The patient was taken to urpery because appendicitis was suspected. A ruptured appendix surounded by 20 ml of foul-smelling pus was Sound at laparotomy. The pus was drained and submitied Sor acrobic and anacrobie bacterial culture analysis. Postoperatively, the patient...
26% -), AT&T LTE 10:08 AM Capstone Case Studies.. Case Study and Questions A 65-year old man entered the emergency department of a local hospital. He appeared to be acutely ill with abdominal tenderness and a temperature ef 40" C. The patient was taken to urpery because appendicitis was suspected. A ruptured appendix surounded by 20 ml of foul-smelling pus was Sound at laparotomy. The pus was drained and submitied Sor acrobic and anacrobie bacterial culture analysis. Postoperatively, the patient...
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