Case Study about chapter 19 SEAN: Left Above Knee Amuptation, Stage II Sacral Decubitus Ulcer in skilled nursing. please see the assignment objective below and the complete chapter is below in the document is CHAPTER 19 Need to be a Word Document with APA references. Do no matter how many word or pages, all I need is the assignment objectives about Chapter 19 is a client named SEAN.
Title: Case Study on SEAN: Left Above Knee Amputation, Stage II Sacral Decubitus Ulcer in Skilled Nursing
Objective: This case study aims to analyze the complex health issues faced by SEAN, a client with a left above knee amputation and a Stage II sacral decubitus ulcer, within a skilled nursing setting. By examining the challenges and interventions involved in managing these conditions, this study seeks to provide insights into the holistic care required for clients with similar health conditions.
Introduction:
SEAN, a client in a skilled nursing facility, presents with two significant health issues: a left above knee amputation and a Stage II sacral decubitus ulcer. This case study will focus on the comprehensive assessment, nursing diagnosis, and appropriate interventions required to address these complex challenges.
Background Information:
SEAN is a 67-year-old male who underwent a left above knee amputation due to peripheral vascular disease. He has a history of diabetes, hypertension, and peripheral neuropathy. Additionally, SEAN has a Stage II sacral decubitus ulcer, an open sore resulting from prolonged pressure on the skin.
Assessment:
A comprehensive assessment is crucial in understanding the client’s health status and identifying potential risk factors. For SEAN, the assessment would include but is not limited to the following aspects:
1. Assessment of the Amputation:
– Complete medical history and surgical details of the amputation
– Evaluation of the amputation site for signs of infection, swelling, or impaired healing
– Assessment of the client’s mobility, pain level, and ability to perform activities of daily living (ADLs)
2. Assessment of the Stage II Sacral Decubitus Ulcer:
– Detailed examination of the ulcer, including size, location, drainage, and presence of necrotic tissue
– Assessment of the surrounding skin for signs of infection or breakdown
– Evaluation of the client’s pain level and strategies used for wound management
3. Assessment of Co-existing Chronic Conditions:
– Evaluation of the client’s diabetes management and blood glucose control
– Assessment of hypertension control and adherence to medication regimen
– Assessment of peripheral neuropathy symptoms, such as numbness, tingling, or pain in the affected extremities
Nursing Diagnosis:
Based on the assessment findings, appropriate nursing diagnoses can be formulated. In SEAN’s case, the following nursing diagnoses may be identified:
1. Impaired physical mobility related to the amputation and loss of proximal joint function.
2. Risk for infection related to impaired skin integrity secondary to the sacral decubitus ulcer.
3. Ineffective coping related to the psychological impact of the amputation and wound management.
Interventions:
To address SEAN’s complex health issues, various interventions can be initiated. These can be categorized into interventions related to amputation management and those focused on the sacral decubitus ulcer:
A. Amputation Management Interventions:
1. Provide client education on proper residual limb care, including cleaning, dressing, and usage of prosthetic devices.
2. Collaborate with physical and occupational therapists to develop an individualized rehabilitation plan, focusing on maintaining mobility and facilitating overall functional independence.
3. Manage pain effectively using pharmacological and non-pharmacological interventions.
4. Promote self-management of chronic conditions, such as diabetes and hypertension, through education and regular monitoring.
B. Sacral Decubitus Ulcer Management Interventions:
1. Implement appropriate wound care techniques, including dressing changes, debridement, and, if necessary, use of topical agents.
2. Utilize a multidisciplinary approach by collaborating with wound care specialists, dietitians, and infection control nurses.
3. Promote adequate nutrition and hydration to facilitate wound healing.
4. Assess and address factors contributing to pressure points, such as providing pressure-relieving cushions or frequent repositioning.
Conclusion:
The case study on SEAN highlights the importance of a comprehensive assessment and well-formulated nursing diagnoses in effectively addressing the complex health issues faced by these clients. Through appropriate interventions aimed at amputation management and sacral decubitus ulcer care, the multidisciplinary healthcare team can provide holistic care to individuals like SEAN, promoting optimal outcomes and improving their overall quality of life.