Ron Brown is a 71-year-old gentleman with Type 1 diabetes admitted to hospital for treatment of an ulcer on his right heel. Diane was assigned to…
Question Mr. Ron Brown is a 71-year-old gentleman with Type 1 diabetes admittedto hospital for treatment of an ulcer on his right heel. Diane was assigned to Mr. Brown and Diane also provided nursing care to him yesterday. Mr. Brown was alert and oriented to person, place and time. He normally had no problems with ambulation. Mr. Brown wears glasses to read and drive and he has no hearing deficits. He lives alone. Mr. Brown’s discharge plan is to return to his apartment. During her morning assessment, Diane noted at 08:00 that Mr. Brown had some facial grimacing and he limped on his right foot when he walked to the bathroom. When asked, Mr. Brown tells Diane “I have pain where the ulcer is”. Diane probed further to determine the characteristics of Mr. Browns’ pain as constant and throbbing, and he rated its intensity as 6 out of 10. Diane administered pain medication (Tylenol #3- 2 tablets) at 08:30. Diane reassessed Mr. Brown’s pain at 09:45 and he rated the intensity at 1 out of 10. Diane decided to do Mr. Brown’s dressing change at 09:50 since Mr. Brown’s pain was controlled. When Diane removed the old dressing, Diane noted a moderate amount of fresh watery, bloody drainage with a small amount of green-yellow pus drainage. The ulcer area was round and the size was about 3 cm x 4 cm, the area around the ulcer was red. The ulcer borders were well defined. Most of the wound Health Science Science Nursing Share QuestionEmailCopy link Comments (0)


