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Medical Surgical Nursing
[A CASE STUDY OF A PATIENT WITH DIABETES RIGHT FOOT ULCER]
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3.6 CLINICAL FEATURES PRESENTED BY THE PATIENT
 Pain on the affected foot
 Pus from the ulcer
 Body weakness
 Fatique
By Relative
 Weight loss
 Polyuria
 Polypesia
3.7 NURSING HISTORY/ ASSESSMENT
HEALTH PERCEPTION/HEALTH MANAGEMENT PATTERN;
She has no doubt that the wound will heal up. She was however anxious for quick recovery
NUTRITION
Patient eats more of carbohydrate than protein before the unset of her current health challenge. However, her contact with medical professionals has facilitated the taking of balanced diet by the patient
ELIMINATION
Patient opens her bowel adequately.
ACTIVITY/EXERCISE
Patient was very active before the unset of illness. She engaged herself in active and passive exercise such as hand and leg moving exercise
REST AND SLEEP
Patient had adequate rest and sleep for 8hours at night
COMMUNICATION/ SPECIAL SENSES;
patient communicate with Yoruba language with accent of typical Ilorin woman. All the special sense are functioning well.
FEELING ABOUT SELF/IMAGE
She feels well about self and still praying for quick recovery
FAMILY/ SOCIAL RELATIONSHIP
She is married into a polygamous family, she has a good relationship with people around her.
COPING WITH STRESS
she has good adjustment and can cope well with stress even at her present condition.
SEXUALITY/ REPRODUCTION
She is sexually active, she had five children, male and female.
VALUES AND BELIEF
She is a muslim and believe in Allah. She pray five times daily
OTHER INFORMATION (HABIT);
She is friendly and accommodating and relate well with people
PHYSICAL MEASUREMENT
 Temperature 36.5
 Pulse rate 88b/m
 Respiration 22c/m
 Blood pressure 140/90mmHg
3.8 NURSING DIAGNOSIS
 Pain (acute) related to disease condition evident by patient verbalization
 Impaired body comfort related to disease condition evident by inability to walk normally
 Risk for infection related to disease condition evident by ulcer
 Knowledge deficit
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ABSRACT - [ Total Page(s): 1 ]ABSTRACT IS COMING SOON ... Continue reading---
TABLE OF CONTENTS - [ Total Page(s): 1 ]TABLE OF CONTENTTitle page Certification Dedication Acknowledgement Table of content CHAPTER ONE INTRODUCTION Background of the study Purpose of the study Significant of the study CHAPTER TWOLITERATURE REVIEW OF DIABETES MELLITUS FOOT ULCER Definition of diabetic foot ulcer Causes of diabetes foot ulcer Risk factor for diabetes foot ulcer Foot ulcer assessment and classification Pathophysiology of diabetes foot ulcer Clinical manifestation of diabetes foot ulcer Complication ... Continue reading---
CHAPTER ONE - [ Total Page(s): 1 ]CHAPTER ONE1.0 INTRODUCTION1.1 BACKGROUND OF THE STUDYThis case study was carried on Alhaja A.H, a 60years old trader who has right foot ulcer, patient was brought to accident and emergency unit on 30th march, 2017 with clinical diagnosis of right foot ulcer and later transfer to ward 2. Approximately 15 to 20 percent of estimated 16million persons in the united state with diabetes mellitus will be hospitalized with a foot complication and also estimated in Nigeria (Har ... Continue reading---
CHAPTER TWO - [ Total Page(s): 7 ]CHAPTER TWOLITERATURE REVIEW OF DIABETES MELLITUS FOOT ULCER2.0 INTRODUCTIONThis chapter reviewed related literatures of diabetic foot ulcer based on the following sub-heading Definition of diabetic foot ulcer  Causes of diabetes foot ulcer  Risk factor of diabetic foot ulcer  Assessment and classification of Diabetic foot ulcer  Pathophysiology of Diabetic foot ulcer Clinical manifestation of diabetic foot ... Continue reading---
CHAPTER FOUR - [ Total Page(s): 4 ]CHAPTER FOURMANAGEMENT OF THE PATIENT WITH DIABETES MELLITUS4.0 PHYSICIAN SYSTEMIC REVIEW The findings made on the patient based on systemic review are as follows  PHYSICAL EXAMINATIONPhysical examination of the extremity having a diabetic ulcer can be divided into 3broad categories  Examination of the ulcer and the general condition of the extremity  Assessment of the possibility of vascular insufficiency  Assessment for the possib ... Continue reading---
CHAPTER FIVE - [ Total Page(s): 1 ]CHAPTER FIVESUMMARY, CONCLUSION AND RECOMMENDATION5.1 SUMMARY This care study was carried out on a 65years old woman Alhaja A.H who was admitted on 28th march 2017 in to the female medical ward (ward2) of the Kwara state general hospital Ilorin, with diagnosis of right foot ulcer secondary to diabetes mellitus Different literature was reviewed based on the patient condition under the following headings:- definition of the diabetes mellitus, causes, incidence, anatomy and physiology ... Continue reading---
REFRENCES - [ Total Page(s): 1 ]REFERENCEMustapha, R.O (2010) Pharmacology for all health profession. 3rd Edition, Ilorin, Gorge Bullet LTDRoss, J.S & Wilson, K.W.J (2010). Anatomy and Physiology in Health and Illness. 9th edition, London, Harrison, R.O (2011) Textbook for Medicine with Relevant Anatomy and Physiology. 2nd Edition, Bougary Suffolk, Chaucer press ... Continue reading---
