Read the case notes below and complete the writing task which follows. You are a registered nurse working in James Ward, Orchid Hospital, South Wales, Australia where Mr. Diarmud R... Read the case notes below and complete the writing task which follows. You are a registered nurse working in James Ward, Orchid Hospital, South Wales, Australia where Mr. Diarmud Reilly is staying as a patient. Provide an analysis based on the patient details provided.

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Understand the Problem

The question is asking to read and analyze a patient's case notes, specifically for a writing task related to nursing care based on the provided patient information.

Answer

Mr. Reilly, 82, has severe diabetic-related skin issues, is bedbound, and at high pressure ulcer risk. Requires intensive care.

The patient, Mr. Diarmud Reilly, an 82-year-old male, presents with a complicated medical history including Type 2 Diabetes, hypertension, ischemic heart disease, and more. He currently has severe skin integrity issues, including a gangrenous foot ulcer, pressure sores, and edema. His BMI is high at 34.7, indicating obesity. He is bedbound, incontinent with a Foley's catheter, and requires assistance for movement, leading to a Waterlow score of 28, showing a high risk for pressure ulcers. Close monitoring and intensive wound care management are essential.

Answer for screen readers

The patient, Mr. Diarmud Reilly, an 82-year-old male, presents with a complicated medical history including Type 2 Diabetes, hypertension, ischemic heart disease, and more. He currently has severe skin integrity issues, including a gangrenous foot ulcer, pressure sores, and edema. His BMI is high at 34.7, indicating obesity. He is bedbound, incontinent with a Foley's catheter, and requires assistance for movement, leading to a Waterlow score of 28, showing a high risk for pressure ulcers. Close monitoring and intensive wound care management are essential.

More Information

The patient's multiple health issues, including chronic leg ischemia and diabetic foot, necessitate focused wound and infection management due to the high Waterlow score indicating significant pressure ulcer risk.

Tips

A common mistake is underestimating the importance of the Waterlow score and not addressing all aspects of skin integrity.

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