Mr. Shyam Thapa is a 64-year-old male with MRI number

Mr. Shyam Thapa is a 64-year-old male with MRI number 496321 and no known allergies, with a complex medical history of multiple chronic health conditions. Throughout the past four weeks of my placement at the community center, I have encountered Shaym on various occasions for chronic wound care. His primary health issue is a diabetic ulcer located on the anterior right leg, which has resulted in several complications. Shaym’s chronic conditions include Type 2 diabetes mellitus (T2DM), obesity, hypertension, peripheral vascular disease (PVD), rheumatoid arthritis, plaque psoriasis, and osteomyelitis. These interconnected conditions have profoundly impacted Shaym’s overall health and well-being. Due to his T2DM, Shaym has developed neuropathy, leading to a loss of sensation in his feet. This, coupled with PVD, has compromised blood circulation to his limbs, resulting in poor wound healing, frequent infections, and a lack of pain sensation, even with severe conditions like his chronic ulcer. This wound, which measures 2 cm deep and 3 cm wide, has been open for an extended period and is infected. As the infection has spread to the bone, Shaym has developed osteomyelitis, a serious complication. The vascular team has assessed his condition and scheduled surgery to amputate all the toes on his right foot to prevent the infection from spreading and to avoid a more extensive amputation, such as the entire leg. Shaym’s obesity, weighing 115 kg, further complicates his physical health. It exacerbates his discomfort, limits his mobility, and hinders his ability to perform daily activities. Living alone without regular support makes managing these chronic conditions even more challenging for Shaym, intensifying his social isolation and affecting his mental health and self-care capacity. Housing instability and social determinants of health also add complexity to his care plan. Shaym’s inability to engage in regular exercise due to his health conditions, his social isolation, and housing challenges are significant factors that impact his ability to maintain optimal health and access appropriate care. Assessments, medications, and specific treatments required: Comprehensive nursing and risk assessments are crucial in managing Shaym’s complex health conditions and preventing further complications. A thorough physical assessment is necessary to evaluate the severity of his diabetic ulcers, including regular wound assessments to monitor infection indicators such as redness, warmth, drainage, size, and depth. Additionally, monitoring vital signs like blood glucose levels, and blood pressure, and assessing his mobility, foot sensation, peripheral circulation, and skin integrity, will help detect early signs of deterioration. Evaluating his medication regimen, including insulin and oral hypoglycemics, is also essential to optimize his diabetes management. Nurses should closely monitor and provide education on maintaining stable blood glucose levels to prevent further complications and promote healing. Risk assessments for fall risk, infection, pain, and pressure injuries are crucial. Routine fall risk and mobility assessments, especially after surgery, are vital to prevent further injury. Due to neuropathy, impaired balance, and obesity, Shaym is at a heightened risk of falls, particularly post-surgery. Implementing a fall prevention plan, including installing grab bars and removing home obstacles, will help minimize this risk. Given the presence of osteomyelitis and the upcoming surgery, Shaym is also at risk for complications such as sepsis or the further spread of the infection. Although he has lost sensation in his foot due to diabetic neuropathy, Shaym may still experience pain related to his osteomyelitis during post-surgical recovery. Ongoing pain assessments using tools like the Visual Analog Scale (VAS) will ensure his pain is effectively managed, minimizing discomfort and enhancing recovery. Based on Shaym Thapa’s complex medical history and current health status, his specific treatment required a surgical intervention to amputate the infected toe, followed by post-operative wound care, obesity, and a diabetic management plan. Shaym’s medication regimen includes Novomix 30 and Metformin for Type 2 diabetes management, with Semaglutide aiding both glucose control and weight loss. Atorvastatin (80 mg) reduces cholesterol, lowering cardiovascular risks, while Sulfasalazine (500 mg) manages rheumatoid arthritis by reducing inflammation and joint pain and improving mobility. Oxycodone is used for pain relief, particularly for osteomyelitis, and ensures safe pain management, especially during his post-surgical recovery. Perindopril Erbumine controls his hypertension which is critical for preventing further damage to his cardiovascular system, given his history of peripheral vascular disease and diabetes, and Ixekizumab (Taltz) addresses plaque psoriasis and psoriatic arthritis, reducing flare-ups and improving mobility. A plan of care that outlines priorities of care (problem/issue to be addressed with relevant nursing diagnosis statement) that are relevant to the patients’ situation the intended goals relevant interventions needed, and rationales for interventions. A minimum of three priorities of care should be given. According to the above information.

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."