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Question
Mrs. Mendoza was diagnosed with type 2 diabetes 17 years ago. She had a below-the-knee amputation of her gangrenous left foot yesterday. Her electronic medical record indicates that she has peripheral neuropathy, diabetic retinopathy with loss of vision acuity, and two previous hospitalizations for hyperosmolar hyperglycemic nonketotic syndrome. Her physician has met with Mrs. Mendoza and her husband to discuss her high risk for experiencing an MI. Mr. Mendoza is now completely overwhelmed and a little weepy. He does not understand how diabetes could affect so many body systems. All he knows is that he is "loosing his wife a little at a time." Discharge Planning: Discuss the anticipatory, safe, and deliberate nursing discharge plans for the clinical situation presented.
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