can you check my conclusion and put it in a formal paragraph? case…
Question can you check my conclusion and put it in a formal paragraph? case… can you check my conclusion and put it in a formal paragraph?case study: A 54 yrs male with PMH significant for medical noncompliance, anemia, tophaceous severe gout, hypertension came in because of pain in his joints. patient reports that he ran out of his medications a month ago. he reports living with his daughter. the patient cannot state why he ran out the medication and his history is limited as he is a poor historian. But it is known that he is a patient who is very non-compliant with therapy. he has been previously admitted to the hospital for a similar presentation. Gout with superimposed cellulitis. patient’s gout condition is so severe that it has impacted the majority of his extremities and joints. Somewhat making him diabled. he was evaluated in the ED and found to have a temperature 101.2 with mild leukocytosis. The most likely source of infection is his gout joint area. With some skin breakdown. conclusion (in paragraph form summarized assessment, planning, interventions, evaluation, summarize discharge plan and pertinent teaching. Document interview for abnormal diagnosis studies. Document patient response to intervention, treatment and medication)patient found: topacenous contration. Location: fingers and toes, right leg skin: R leg reoped, open would 3rd toe, Reopened wound to 5th R digitplease check my Muscular/skeletal, please correct me if anything needs to changed. patient goutn prersnet itself as inflamed joint with urate crtyastal visible through the skin. the joint is painful, sensitive to touch. and need help for need conclusion (in paragraph form summarized assessment, planning, interventions, evaluation, summarize discharge plan and pertinent teaching. Document interview for abnormal diagnosis studies. Document patient response to intervention, treatment and medication)Conclusion (In paragraph form summarize assessment, planning, interventions, evaluation. Summarize discharge plan and pertinent teaching. Document interventions for abnormal diagnostic studies. Document patient response to interventions, treatments and medications.)On assessment , a 55 yrs male with PMH significant for medical noncompliance, anemia, tophaceous severe gout, hypertension came to the emergency . Has pain in joints and temperature 101.2 with mild leukocytosis.Goal of treatment of patient :termination of an acute attack by using an antiinflammatory agent like colchicineNSAIDs prescribed for pain management. Teaching importance of compliance to medication.Diagnosis of Gout :Definitive Diagnosis: presence of MSU crystals in aspiration of synovial fluidIf aspiration is not possible, diagnosis can be made based on clinical featuresRadiography may be helpful in diagnosis of chronic tophaceous gout but is not helpful in acute goutMedications for gout :acute attack of gout – NSAID (Indocin most commonly used) and colchicine (anti-inflammatory – disrupts deposit of crystals and inflammation). Colchicine – side effects abdominal cramping / diarrhoea / N&V.Corticosteroids for gouty arthritisProphylactic therapy – daily colchicineUricosuric drugs – benemid and anturane – block the tubular reabsorption of uric acid, promoting excretion and reducing serum levelsallopurinol – lowers plasma uric acid levels by acting on purine metabolism / need to check BUN prior to administering and during treatmentNursing diagnosis and interventions gout :acute pain – position affected joint for comfort – elevation facilitate blood return and alleviate some of the oedemafoot cradle takes pressure of linen off the foottake analgesics, anti-inflammatory and anti gout meds as prescribedmaintain bed rest to prevent exacerbation of joint inflammation.Compliance to medication – Encourage the patient to verbalise the reason behind his non compliance to medications . Based on the reason make measures to meet his needs and teach him the importance of being compliant to medications and what will happen if drug is not taken properly about the complications Health Science Science Nursing NURSING VN120 Share QuestionEmailCopy link Comments (0)
