The Combination Of Immune System Deficits And Diabetes

904 WordsAug 23, 20164 Pages
The combination of immune system deficits and diabetes in the elderly can lead to serious and life threatening complications of infection. As Red’s foot is red and swollen, it is important to further assess for infection. Because of the presence of diabetes, Red is at increased risk of the infection getting severe quicker than expected. When infection overwhelms the body, the body can respond by developing sepsis and going into septic shock. According to the Hartford Institute for Geriatric Nursing (2005), “the lack of typical signs of infection in older adults is common. Older adults with sepsis may not present with the usual leukocytosis and fever but rather with a decreased appetite and or functional status”. In older adults, atypical presentations are actually quite common. For example, a change in behavior or functional ability is often the only sign of a new, potentially serious illness. With this in mind, it would be appropriate to use the Confusion Assessment Method tool. The Confusion Assessment Method (CAM) assesses for the presence of delirium. To assess for delirium using the CAM tool, a series of questions are asked. These questions focus on acute onset and fluctuation, inattention, disorganized thinking, and altered level of consciousness. If there is evidence of acute onset and inattention plus disorganized thinking, then a diagnoses of delirium is suggested. After discharge, living at home alone would not be the best option for Red. Red has already put
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