Pathophysiology and Nursing Management of Clients Health –
Introduction to Pathophysiology and Nursing Management
The case scenario provided will be
used to answer the discussion questions that follow.
Ms. G., a 23-year-old diabetic, is
admitted to the hospital with a cellulitis of her left lower leg. She has been
applying heating pads to the leg for the last 48 hours, but the leg has become
more painful and she has developed chilling.
Complains of pain and heaviness in
States she cannot bear weight on her
leg and has been in bed for 3 days.
Lives alone and has not had anyone
to help her with meals.
Round, yellow-red, 2 cm diameter, 1
cm deep, open wound above medial malleolus with moderate amount of thick yellow
Left leg red from knee to ankle
Calf measurement on left 3 in >
Temperature: 38.9 degrees C
Height: 160 cm; Weight: 83.7 kg
WBC 18.3 x 10¹² / L; 80%
neutrophils, 12% bands
Wound culture: Staphylococcus aureus
Critical Thinking Questions
What clinical manifestations are
present in Ms. G and what recommendations would you make for continued
treatment? Provide rationale for your recommendations.
Identify the muscle groups likely to
be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource
What is the significance of the
subjective and objective data provided with regard to follow-up diagnostic/laboratory
testing, education, and future preventative care? Provide rationale for your
What factors are present in this
situation that could delay wound healing, and what precautions are required to
prevent delayed wound healing? Explain.