Ms. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.
Subjective Data
•Complains of pain and heaviness in her leg.
•States she cannot bear weight on her leg and has been in bed
for 3 days.
•Lives alone and has not had anyone to help her with
meals.
Objective Data
•Round, yellow-red, 2 cm diameter, 1 cm deep, open wound
above medial malleolus with moderate amount of thick yellow
drainage
•Left leg red from knee to ankle
•Calf measurement on left 3 in > than right
•Temperature: 38.9 degrees C
•Height: 160 cm; Weight: 83.7 kg
Laboratory Results
•WBC 18.3 x 10¹² / L; 80% neutrophils, 12% bands
•Wound culture: Staphylococcus aureus
Critical Thinking Questions
1.What clinical manifestations are present in Ms. G and what
recommendations would you make for continued treatment? Provide
rationale for your recommendations.
2.Identify the muscle groups likely to be affected by Ms. G’s
condition by referring to “ARC: Anatomy Resource Center.”
3.What is the significance of the subjective and objective
data provided with regard to follow-up diagnostic/laboratory
testing, education, and future preventative care? Provide rationale
for your answer.
4.What factors are present in this situation that could delay
wound healing, and what precautions are required to prevent delayed
wound healing? Explain.
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