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Assessment and Management Directions Each student will be assigned one of the below scenarios. Each student should discuss their initial concerns regarding the patient in the scenario. What additional information or test results do you expect to be ordered for this patient? Based on the brief information provided, what treatment/management do you expect for the patient? Please post your response in the DB thread. Review two other classmates’ scenarios and provide substantial feedback.
EXAMPLE Gloria is a 54-year-old female who was diagnosed with type 2 diabetes 10 years ago. She presents with wounds that will not heal on her feet.
ANS: Diabetes is associated with poor wound healing and poor circulation, especially in the lower extremities. It decreases neutrophil and macrophage activity. Hyperglycemia also damages the microvasculature, limiting circulation to wounded areas. Gloria needs to be educated to check her feet regularly and keep her glycemic levels in range. The wounds should be monitored for infection.
Jay, a 14-year-old male, recently had abdominal surgery. The wound was appearing to heal as expected; however, a coughing fit resulted in slight re-opening of the wound. The wound is now infected.
Alex has a large laceration resulting from a motorcycle accident that has been left open to heal. She is concerned about an increased risk for infection.
Lily, a young female athlete, required knee surgery, which resulted in keloid formation. She now has to have surgery on the other knee and is concerned about keloid formation happening again.
Cameron, a 22-year-old male, recently required shoulder surgery in order to be able to pitch for his college team. An adhesion developed within the shoulder joint.
Luke is a young child who suffered severe burn wounds on his left lower extremity. Skin grafts were performed and the wound healed adequately. However, as he grows, movement of the knee joint has become restricted.
Please reference 2 professional, peer-reviewed journal articles published within past 3 years to support your data
****ONLY HAVE TO CHOOSE ONE****