Patient Information And Current Hospital Course

HISTORY OF PRESENT ILLNESS: Patient is a candidate for a total right hip revision. She has 2 units of directed packed red blood cells. It is not autologous. She does had Hepatitis B. She has arthrogryposis. She had a right total hip replacement many years ago by Dr. Dodd at the University of Miami. She has had multiple other surgical procedures as follows. A: She had bilateral foot surgery In the remote past. B: She had left hip surgery a year ago. C: She had right foot

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

The patient is an 86-year-old female who was brought to the emergency room because of bilateral leg swelling. She was recently discharged from the Arbor Glen Reha and she's developed increasing bilateral leg edema. Her medical history is significant for hypothyroidism, chronic kidney disease stage II, anemia which is a chronic, ulcer in the sacral ulcer stage III and she denies any other symptoms. Review of the lab work does show a bump in her creatinine from 1.27 baseline in February of 18 to 1.54 on this admission with an increase in her BUN. She also demonstrates a mild anemia of 10 with a MCV of 90. Her edema is described as massive by the attending physician. PT examination reveals she needs significant assistance to moneuver her

Mrs. R said medical treatments in the 1980s were not as advanced as today’s standards for diabetes treatments. Diabetic individuals commonly developed gangrene it results in amputation of the damaged limb. Even then, a diabetic individual could still die from easily treatable infections after the operation. The survival rate of a diabetic individual was fairly

The unique and complicated factors that surround neuropathy often make it difficult for someone to communicate what they’re going through. Particularly

Good post! Very informative and well thought out plan of treatment. Diabetic peripheral neuropathy (DPN) occurs in 20% of patients with a diagnosis of diabetes. Along with the complaints that our patient reported in the case study, many patients report deep aching, allodynia worse at nighttime, and paraesthaesia in their lower extremities (Malik, 2012). I agree with your suggested treatment of pain of Gabapentin, including Tramadol and Tylenol. Many people assume that pain should be treated with opioids; however, this presents more challenges. With opioid treatment, there are concerns for addiction, misuse, and adverse effects (Pesa, Meyer, Quock, Rattana, & Mody, 2013). When we are able, I think it is beneficial to prescribe

An article published by the Journal of Clinical Nursing discusses one of the complications of diabetes and how education could possibly have a roll in prevention. The Efficacy of Diabetic Foot Care Education by Jana Nemcova and Edita Hlinkova is a research article based on the concept that proper foot care education may be an imperative element in the prevention of foot complications and ulcers in the type 2 diabetic patient. The concept of education can be applied to any patient and any diagnosis, however this articles primary focus is on the patient with type 2 diabetes.

A Phase III, Double-Blinded, Randomized, Placebo-Controlled, Multicenter Superiority Trial to Assess the VM202 in Painful Diabetic Peripheral Neuropathy

This article is about the intervention to reduce plantar pressure, heal and prevent foot ulcers in people with diabetes. People who use insulin are at higher risk of developing foot ulcers, even people who have other diseases including kidney disease, eye disease, or heart disease. Use of alcohol and tobacco, and being overweight play a key role in the development of foot ulcers. Ulcers form due to the combination of different factors, including poor circulation, foot deformities, irritation (friction or pressure), trauma, and lack of feeling in the foot. People who had diabetes for many years can develop neuropathy, a reduced or complete lack of ability to feel pain in the foot due to the nerve damage caused by the elevated glucose levels over time. Redness and swelling of the foot may also be associated with ulceration, and if it’s progressed significantly, an odor may be present.

Diabetic foot ulcers are considered one of the most problematic developments in diabetics (Shokoh, Mahvash, and Mohammad, 2013). The deterioration of the foot has been proven by research to be associated with the debridement of skin tissue and impaired blood circulation to the lower extremities (Huether & McCance, 2012). With

The patient’s chief complaint is pain to the left anterior area of his right knee.

Management of diabetic neuropathy will reduce the symptoms of the pain and improve the quality of life of an individual. However, it important that clinicians are thorough in clinical evaluation of patients to be aware of the indirect warnings of disease process (Cox, DeGraauw, & Klein, 2016). One cannot design a treatment plan, until a complete history and physical examination are necessary. Armed with extensive information about diabetes, signs, complications, and cognizance to make appropriate therapeutic intervention then it can be anticipated that we can take account of any possibility of differential diagnosis, so as to efficiently classify the patient for treatment or to direct patients to the proper healthcare provider, thereby minimizing and preventing mortality and morbidity (Mathers, 2012, p. 216).

The patient was a 69-year-old male. He was experiencing fluid buildup around his previous knee replacement. His past medical history includes hyperactive thyroid, glaucoma, osteopenia, coronary artery disease, GERD, hyperlipidemia, hypertension, marfan syndrome, trans ischemia attack, hearing loss, osteoarthritis and neuropathy. He has also had a lumbar laminectomy, bilateral knee replacements, a right shoulder replacement and clavicle repair. The patient was having this procedure because he was experiencing a chronic buildup of fluid around L knee replacement. This was an interventional surgery.

The patient is a 68-year-old Caucasian female who presents with a swelling of her left lower extremity with acute pain. The patient's history is significant for end-stage kidney disease on peritoneal dialysis, insulin-dependent diabetes mellitus, and neurogenic bladder. She was recently in the hospital for C. difficile colitis. This is a recurrent DVTs. The first episode was 4 years ago. She was on Coumadin for 6 months at the time. The left leg is described as being warm to touch, 1+ edema and tender. The ultrasound describes a chronic occlusive thrombus of the popliteal vein with developed collateral circulation but the physical findings would suggest there is some acuity going and the patient will be placed on anticoagulation and

My training plan is for patient lookup function which to me would be hands on training. For maybe few patients that can’t look up information on a computer a training program would be beneficial for them. There needs to be a complete understanding of the information system in order to look up information. To me patient looks up function can mean the patient can look up information or what it probably means is that information system programmer can look up all the information system programmers can look up. All the information needed for that patient and what sort of treatment they have had and any other information for their quality care.