Wound case study L. G. is a

Wound case study L. G. is a 68-year-old man who goes to the hospital emergency department with a complaint of left foot pain. He has a 7-year history of type 2 diabetes controlled with metformin (Glucophage) 500 mg orally twice daily. Subjective Data States he stepped on “something” in the yard a few days ago States he is unable to bear weight on the left foot Has been nauseated and “just haven’t felt good”. Objective Data Physical Examination Blood pressure 160/90, pulse 110, respirations 24, temperature 99.8° F The left foot is swollen, red, and warm to touch Open area on the ball of the left foot near the first metatarsal, with tissue loss and irregular wound margins Measures 2 cm in diameter, with a moderate amount of thick yellow drainage Bilateral paresthesia in lower legs diagnostic studies Blood glucose 350 mg/dL White blood cell (WBC) count 19,200/µL; 80% neutrophils (12% bands) Answer the discussion questions below. Please number your answers. What is the significance of the WBC count? Are L.G.’s manifestations of inflammation local or systemic? What information supports your response? How do you explain the slight elevation in L.G.’s temperature? What other diagnostic tests may be needed to help establish a diagnosis? By what method will L.G.’s wound heal? What factors may interfere with or delay the healing of L. G.’s wound? L. G. will be admitted to the medical unit. What nursing interventions should be included in his plan of care? What will be L.G.’s priority discharge teaching needs?

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