relates that he is a newly insulin-dependent diabetic and has an open wound on his big toe…
HISTORY: The patient is a 53-year-old black individual, who has had diabetes for at least six months, but thinks it has been longer than that. He has had a foot ulcer since January.…
HISTORY OF PRESENT ILLNESS: This is a 53-year-old black individual a patient of Dr. Shelton, who has had diabetes for at least six months, but he thinks it has been longer than that. He says his last known blood sugar was in the 300’s. He presents in the ER today with a foot ulcer since January of this year. He stated that it started with blisters where he had soaked his feet too long in hot water. He has had no eye examination for two years. There has been no surveillance of chronic complications of diabetes.…
This would be under Endocrine, Nutritional, and Metabolic Diseases, and immunity Disorders – Codes 240-279, these codes classify a variety of conditions. The most common disease here is diabetes mellitus, which is a progressive disease of either type 1 or type 11. The nonhealing would on her left foot, cause be because she is a…
Diabetic Neuropathy, the areas where the nerves are damaged, are very common. It's caused by the high concentration of glucose. It can cause a patient to lose the control of an area in the body. The common areas are either the arm, feet or even both. Diabetics frequently feel numbness, tingling or even burning in their feet, and it can make the diabetic to injure themselves without them noticing. Cuts and blisters can turn to pressure sores, which become infected and very difficult to heal. These sores can cause the patient to lose a leg, foot, and even can cause the patient to…
Moffatt, C.J., Franks, P.J., Doherty, D.C, et al (2004), Prevelence of Leg ulcers in a London population…
Conditions that affect the flow of blood through the body, such as type 2 diabetes, can also make a person more vulnerable to pressure ulcers.…
In the United States pressure ulcers affect 3 million adults across the health care setting. Pressure ulcers have a major impact on quality of life, health status, and the cost of health care. The Centers for Medicare and Medicaid Services announced that they will not pay for additional costs due incurred for hospital-acquired pressure ulcers. They consider pressure ulcers acquired after admission to be preventable and will not reimburse hospitals for pressure ulcer treatment, these are considered secondary diagnoses and not their main reason for admission.1 Patients that are non-ambulatory due to physical or medical reasons are at a high risk for developing pressure ulcers with the highest incidence being in the ICU setting because…
234). It is estimated that the cost of diabetic foot ulcers is between 5 to 14 billion dollars annually (Guffanti, 2014). The need for new research on ways to decrease diabetic foot ulcers is extremely important in order to control this epidemic cost to the stakeholders (hospitals, patients, and communities). “Stakeholders include all individuals or groups who will be directly or indirectly affected by the change or a solution to the problem” (Guffanti, 2014, p. 234). Stakeholders involved in this proposal will include management, nurses, patients with diabetic foot ulcers, and the community surrounding this area. Diabetic foot ulcers do not happen overnight, but is a long process that is influenced by many factors that need to be addressed. Change agents (person(s) inside/outside the organization) can help the facility focus on organizational effectiveness, improvements, and developments that can transform the issue (diabetic foot ulcers) (Guffanti, 2014). Change agents will be the nurses actively involved in this proposal, so it will be important to involve them throughout the process to have a better outcme. Consistent systematic research results can then be applied in new treatment plans (NPWT) for all the parties involved. This institution, nurses, and…
Khardori, R. (2012, October 8). Medscape references. Retrieved October 14, 2012, from Type 2 diabetes mellitus treatment & management: http://emedicine.medscape.com/article/117853-treatment…
There are instances where an acute condition can become a chronic condition an example of this would be a skin tear on the foot of a diabetic patient. Due to a patient’s co-morbidity of diabetes and the associated issues, healing time is lengthened, therefore it becomes a chronic condition that can involve treating a possible infection, and complex wound management, diabetic management, and review of nutrition…
Hack, A. (2003) Leg ulcers wounds - taking the patient 's perspective into account. Journal of Wound Care; 12: 8, 319-321.…
HISTORY: Diabetic patient with ulcer on the bottom right foot. Images of the feet were obtained in a plane perpendicular to the long axis of the foot. Utilizing a T1-sequence an effective double-echo sequence and in a plane nearly paralleling the long axis of the foot utilizing an effective double-echo sequence. An additional sequence was performed in an attempt to do a fat saturation technique. However, motion artifact degrades the detail on these images limiting the use for evaluation. There is prominent abnormality evident in the right midfoot and forefoot. This consists of abnormally increased soft tissue present, predominantly plantar, medial to the tarsals and proximal to the metatarsals but also dorsal to the proximal metatarsals. At the distal aspect of this abnormality near the…
Postoperative Diagnosis: Diabetic plantar space abscess of the right foot, and grade 2 diabetic ulceration of the right foot.…
Presented to ED with SOB, vomiting, chest pressure, anorexia, and an infected, slow-healing foot wound. Blood glucose was 579 mg/dL and BUN was 21. Was admitted with exacerbation of unmanaged diabetes mellitus, diabetic ketoacidosis, and gastritis r/t excess aspirin intake.…