Case Study 40 Severe Leg Pain Scenario Edgar Rice Burroughs., a…

Question Answered step-by-step Case Study 40 Severe Leg Pain Scenario Edgar Rice Burroughs., a… Case Study 40 Severe Leg Pain Scenario Edgar Rice Burroughs., a 69-year-old man with type 1 diabetes mellitus (DM), is admitted to a large regional medical center complaining of severe pain in his right foot and lower leg. The right foot and lower leg are cool and without pulses (absent by Doppler). Arteriogram demonstrates severe atherosclerosis of the right popliteal artery with complete obstruction of blood flow. Despite attempts at endarterectomy and administration of intravascular alteplase (tissue plasminogen activator [TPA]) over several days, the foot and lower leg become necrotic. Finally, the decision is made to perform an above-the-knee amputation (AKA) on Mr. Burrough’s right leg. Mr. Burroughs is recently widowed and has a son and daughter who live nearby. In preparation for Mr. Burrough’s surgery, the surgeons wish to spare as much viable tissue as possible. Hence, an order is written for Mr. Burrough to undergo 5 days of hyperbaric therapy for 20 minutes bid. .What is the purpose of hyperbaric therapy?As you prepare Mr. Burroughs for surgery, he is quiet and withdrawn. He follows instructions quietly and slowly without asking questions. His son and daughter are at his bedside, and they also are noticeably quiet. Finally, Mr. Burroughs tells his family, “I don’t want to go like your mother did. She lingered on and had so much pain. I don’t want them to bring me back.” 2. You look at his chart and find no advance directives. What is your responsibility?3. What is your assessment of Mr. Burrough’s behavior at this time?4. What are some appropriate interventions and responses to Mr. Burrough’s anticipatory grief? Health Science Science Nursing NURSING MEDSURG250 Share QuestionEmailCopy link Comments (0)