The case scenario provided will be used to answer the discussion questions that follow. Case Scenario 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. Subjective Data Complains of pain and heaviness in her leg. 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. Objective Data Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount of thick yellow drainage Left leg red from knee to ankle Calf measurement on left 3 in > than right Temperature: 38.9 degrees C Height: 160 cm; Weight: 83.7 kg Laboratory Results 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 Center.” 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 answer. What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.
BMI
The body mass index (BMI) is an important index for relating weight to height. It is a measurement that is a weight-to-height ratio. It is a better way to see whether our weight is proportionate to our height. BMI, formerly known as the Quetelet index, is a metric used to assess an individual's nutritional status. A high BMI can indicate a high level of body fat. Indeed, knowing our BMI can help us determine any health risks we may face if it is above the healthy range. Adults with a BMI between 25 and 29.9 are classified as overweight; an adult with a BMI of 30 or above is classified as obese; a BMI less than 18.5 is considered underweight, and a BMI between 18.5 and 24.9 is considered healthy.
Obesity
Obesity is when excess fat is stored in adipose tissue resulting in an increase in weight and clusters of health problems like diabetes, cancer, and heart diseases. Mostly high intake of calories gives rise to obesity. Calculating BMI, skinfold test, waist to hip comparison, and screening test are ways to diagnose obesity.
The case scenario provided will be used to answer the discussion questions that follow.
Case Scenario
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.
Subjective Data
Complains of pain and heaviness in her leg.
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.
Objective Data
Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount of thick yellow drainage
Left leg red from knee to ankle
Calf measurement on left 3 in > than right
Temperature: 38.9 degrees C
Height: 160 cm; Weight: 83.7 kg
Laboratory Results
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 Center.”
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 answer.
What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.
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