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Amed Napoles Garcia
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Re:Topic 1 Mandatory Discussion Question
The clinical manifestations present include pain erythema (redness of left leg) high temperatures edema because of increased left calf diameter and suppuration because of thick yellow discharge. Additionally inflammation is spreading from ankle to the knee. She has elevated blood cell count and systematic manifestation of fever. Continued treatment and close family care is recommended for the patient. Recommended continued treatment involves optimum glycemic control because the infection can result in increased sugar levels. For example higher glucose levels reduce resistance to infection. In addition debridement of the devitalized tissues is necessary; the staphylococcus aureus infection should be treated using antibiotics and the patient should receive bed rest (Moorman 2012). The care provider should also examine the patient to determine if the infection threatens the limb or life of the patient. Lastly a drug resistance test is necessary so as to reduce the risk of methicillin-resistant staphylococcus aureus (MRSA) (Albert 2012).
Possible affected muscle groups are flexor halluces longus tibialis anterior and flexor digitorum longus muscles. Objective data outlines the prognosis of the disease. The subjective data that shows numbness and pain during rest is an indication of ischemia. This can lead to poor wound healing because of complications. Ischemia causes poor oxygen and glucose supply for cellular metabolism and therefore affecting tissues of the limb. If left unattended it can necessitate amputation to prevent the infection from spreading to other parts of the body (Alfred 2012). In light of the above the patient and family members should be provided with proper education/training/instruction on how to offer effective care at all times. Nonetheless the concerned healthcare provider should carryout ongoing follow-ups to ensure positive progress for the patients. Factors that can delay wound healing include poor oxygen circulation infection diabetes and nutrition (Guo & DiPietro 2010). The caregiver should ensure proper education of the family caregivers to ensure these factors are avoided (Guo & DiPietro 2010).

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