Reference no: EM133845272
Case Scenario:
Mr. George McFarlane was admitted to the hospital for surgical debridement of his wound. A large amount of tissue was excised from his left foot, which resulted in the amputation of all 5 toes. The wound was packed and placed on a suction wound dressing (negative-pressure wound therapy), to minimize the exudate at the wound surface and promote healing by granulation. Post-operatively, he initially did well. However, on the seventh day after surgery, he developed pyrexia and his diabetic control deteriorated. His left foot had swollen above the bandaging. The dressing was removed and there was tissue engorgement and cellulitis surrounding the wound and evidence of necrosis.
Medical history
Mr. McFarlane has a Past Medical History (PMH): • Type ll Diabetes needing close management • Osteoarthritis in L) Knee • Peripheral Vascular Disease (PVD) • Chronic Obstructive Pulmonary Disease (COPD) • Methicillin-resistant Staphylococcus Aureus (MRSA) positive • peripheral neuropathy Social History (SHx): • Second marriage • Occupation - Long Haul truck driver • ETOH (Alcohol) usage on a regular basis • Smoker, averages 15/20 cigarettes per day • Often consumes take away/ fast food diet as away from home regularly.
Answer the following clearly and correctly
1. Discuss how Mr. McFarlane's chronic illnesses could impact wound healing and the cause of his wound. Include, in your answer, how the _________________________________________________.
2. How has the____________________________________ management strategies changed over time? Discuss the reason why some wounds are left undisturbed for a longer period of time.
3. What support networks related to wound management strategies could you suggest to assist and ease the difficulties for the client as well as family members, after discharge home? In your answer consider areas such as a holistic assessment and approach, and research what ____________________________ are available to assist with financial assistance. Supply the Web Link for the government health bodies in your answer.