Case Study/Care Plan Daron Lewis is a

Case Study/Care Plan Daron Lewis is a 65 year old single male who has a 20 year history of type 2 diabetes. Both of his parents also had type 2 diabetes. He had a myocardial infarction at age 57 and states that he was told his cholesterol is high. He smokes 15 cigarettes per day for the past 40 years. WT 99.8 kg (220 lbs) HT 172 cm (5 feet 8 inches). He has been in hospital for three days due to diabetes complications and poorly controlled blood glucose levels. His blood glucose on admission was 40 mmol/L. He reported blurred vision, polyuria, and severe polydipsia. Skin was warm and dry and temperature was 38.3 C. He was very lethargic. He reports numbness on the soles of both feet and a small, round, well-demarcated ulcer was noted on the ball of his left foot. He notes that he has not taken his anti-hypertensive medication or anti-diabetic medications for the past few days as he is recently unemployed and is trying to ration his medication and he has been sick in bed with a cold. Risk for Impaired Skin Integrity related to numbness and decreased circulation as evidenced by ulcer on patient’s left foot Make a detailed care plan for Risk for Impaired Skin Integrity related to this situation Nursing Diagnosis (Problem statement/related to): Assessment Findings (subjective/objective) Planning (Goals/objectives) Interventions Evaluation SCIENCE HEALTH SCIENCE NURSING NURSING 110

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