Hi all,
I'm a DIV2 student nurse, and we have a wound care case study, and I am having trouble with the ADPIE section.
the question is
outline any specific clinical or diagnostic skills/techniques used in assessing, implementing and evaluating care for the following client.
A 76 year old male who has a history of hypertension, COAD and recently diagnosed diabetes. He is married and lives with his dependent wife in a high set home. His wife relies on him to manage the family home as their only daughter is living 500 klm away.
Medications:
- Metformin 500mg TDS
- Coversyl 2mg mane
- Bricanyl 2 x puffs mane
- Asprin 150mg daily
Personal history:
- smoker 15 cigarettes/day for 30 years - ceased 10 years ago
- alcohol - 4 stubbies/day (continuing)
- 61kg
- no surgical history
- diet - standard diet, continues with sugars
Presented with:
- stage 2 - venous ulcer
- colour - yellow with black islands of tissue (slough and necrotic islands)
- discharge - copious exudate
- obvious pus
- infection - staphylococcus micro-organism
Any help would be appreciated, I'm sure the penny will drop eventually, but at present I'm stuck on how to begin.
Cheers
Sao :-)
