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Provide a response post to the discussion below. Include the following:

Answer the 2 questions written by your peers.
Identify the strengths of their response to the case study.
Identify possible areas of improvement for their response to the case study.

 

DISCUSSION: 

The patients primary nursing diagnosis is acute sharp pain in the right foot, and possible right foot infection.  As stated in the case study, Mr. Mathis came in for right foot problem after walking barefoot and stepping on something sharp. After assessing the patient, we see Mr. Mathis is in 8/10 pain, has an infected wound that is red, inflamed, and leaking purulent drainage. Mr. Mathis has also been staying in bed to avoid putting pressure on his right foot. My nursing diagnosis would be possible infection, acute sharp pain,  patient is at fall risk due to not using his right foot, and pain level is 8/10 as that was subjective data that was collected. We plan to take care of Mr. Mathis, who appears very anxious, being his first time hospitalized, and in pain, by informing him of every step we plan on taking, such as wound care and cleaning, pain medication, and possible antibiotics for the infection. These plans will be implemented,  and evaluated to see how Mr. Mathis is doing and how his recovery is looking like.

     This case takes priority because we see signs of infection due to the red, inflamed site, and the purulent drainage, which indicates possible infected wound (Young 2017), also the skin appears to be not intact- due to drainage being noted. Thus, Mr. Mathis foot is more prone to further infection. 

     Nursing actions i would take includes bedside care and assistance, its clear Mr. Mathis is very anxious and keeps turning to his wife for reassurance, so being able to show Mr. Mathis we are aware of his problems, and walking him through the steps to get him better so he feels less anxious and safe. Proper administration of topical wound, pain medication, and antibiotics to help treat his right foot, all while going over each medication and its usage with Mr. Mathis so he is aware of whats going on.   

     When it comes to intervention, i believe education on the issue is most important. Educating Mr. Mathis the importance of not walking around barefoot to avoid these types of incidents, or at least make sure the walking ground is clean and clear of all hazards. Making sure Mr. Mathis is up to date on his Tetanus vaccinations and the importance of it since he cut himself against something sharp, presumably metal. Further interventions include teaching Mr. Mathis how to spot a possible infection and signs to look out for, such as red inflamed skin, and drainage. (Young 2017) 

     Further interventions to prevent venous thromboembolism in Mr. Mathis legs includes teaching him on the importance of moving around, getting up and walking, since he has been bed resting. Exercising his legs/foot lightly, raising and lowering his toes. all to get circulation to move around to avoid venous thromboembolism. If Mr. Mathis has to remain bed rested or cant put pressure on his foot right away, then the use of compression stockings or air boots can help. Nursing interventions i could personally implement on the patient as a nurse would be dressing the patient in compression socks, doing range of motion on the legs, and changing patient positions while in bed. 

     The nurse, or me as a nurse, i would implement certain actions to help reduce the patients anxiety during the admission process by providing proper communication to establish patient-centered care and patient comfort. I would address all questions and concerns if possible and appropriate. I would also, as mentioned before, walk the patient through the process and what they could expect in the next stages of their hospitalization so their is no worry or anxiety.  

 

QUESTIONS:

1. Would you recommended to the provider that the patient possibly needs medication/sedation medication to help assist with the anxiety of Mr. Mathis? Why or why not.

2.  As a nurse, what interventions would you take to prevent further infection of the wound?

SCIENCE
HEALTH SCIENCE
NURSING
NUR 3480

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