vascular disease, hypertension with a non-healing wound to left lower leg and bilateral weakness to knees. Lisa-Marie has undergone two angioplasty procedures within six months. Recent admission to the hospital was due to infection and pain of left leg with non-healing stage 3 wound. The vascular department has determined Lisa-Marie needs above the knee amputation of the left leg to prevent the spread of gangrene and infection. Her labs indicate dehydration and elevated liver enzymes due to continued used of Tylenol. Lisa-Marie is refusing amputation and/or palliative care currently. Lisa-Marie is aware and accepts the consequences of not having the amputation. In recent months; Lisa-Marie has been more withdrawn from family and friends. Marie has made comment such as “I lived a good life and I’m ready to die”. Lisa-Marie lives alone in a one-bedroom apartment on the second floor of walk-up building but has children and other support that lives in the neighborhood. Lisa-Marie has been a smoker for the past 50 years and refuses to quit. She refuses to acknowledge that smoking may be the greatest cause of her vascular disease. She needs more assistance with activities of daily living, especially ambulation. Lisa-Marie is currently in enrolled in a Manage Long-Term Care (MLTC) plan, which provides nurse case management (NCM), home health services and medical supplies. She has 5hrs/6 days of services, continuous supplies of disposable bed liners and wound care supplies. What plan of care is suggested for Lisa-Marie?

Question Answered step-by-step A 76-year-old woman named Lisa-Marie presented with a history of peripheralvascular disease, hypertension with a non-healing wound to left lower leg and bilateral weakness to knees. Lisa-Marie has undergone two angioplasty procedures within six months. Recent admission to the hospital was due to infection and pain of left leg with non-healing stage 3 wound. The vascular department has determined Lisa-Marie needs above the knee amputation of the left leg to prevent the spread of gangrene and infection. Her labs indicate dehydration and elevated liver enzymes due to continued used of Tylenol. Lisa-Marie is refusing amputation and/or palliative care currently. Lisa-Marie is aware and accepts the consequences of not having the amputation. In recent months; Lisa-Marie has been more withdrawn from family and friends. Marie has made comment such as “I lived a good life and I’m ready to die”. Lisa-Marie lives alone in a one-bedroom apartment on the second floor of walk-up building but has children and other support that lives in the neighborhood. Lisa-Marie has been a smoker for the past 50 years and refuses to quit. She refuses to acknowledge that smoking may be the greatest cause of her vascular disease. She needs more assistance with activities of daily living, especially ambulation. Lisa-Marie is currently in enrolled in a Manage Long-Term Care (MLTC) plan, which provides nurse case management (NCM), home health services and medical supplies. She has 5hrs/6 days of services, continuous supplies of disposable bed liners and wound care supplies. What plan of care is suggested for Lisa-Marie? Health Science Science Nursing NUR MISC Share QuestionEmailCopy link Comments (0)