Ms. G is diabetic and she is apparently overweight for her age with a BMI of 32.7 which is extremely above the normal BMI levels. The white blood cell count is extremely higher than the normal levels which indicate presence of an infection. On the other hand, the patient also presents with neutrophilia and on culture growth and isolation of staphylococcus aureus which is a gram-positive bacteria which poses significant complications to vital body systems through various infections that affect the functionality of the systems or organs. On the treatment, the patient will be prescribed on antibiotics to manage the staphylococcal infection as well as anti-diuretics to help manage the diabetes (Jarvis, 2015). The patient will be subjected to a dietary plan that reflects her current overweight status as well as a light exercise program as a non-pharmacotherapy intervention for weight management. Considering that the patient has a wound, it will be important to prescribe a broad spectrum antibacterial agent or cream as well as pain relievers (Moura, Dias, Carvalho & de Sousa, 2013).
Muscle groups and significance of objective and subjective data
The affected muscle groups in this case include the medial muscles, the tibilial muscles as well as the soleus muscles that make up the part of the leg below the knee.
The subjective and objective data provided in this case is useful for the holistic management of the wound. It is important to identify any factors that can hinder the healing of the wound and therefore place all preventive measures to ensure that the wound does not progress in any way. On the other hand, the identification of other factors such as overweight/obesity need be managed as part of the issues that pose the risk of further injuries to the patient due to falls. Holistic management of this patient is based on the ability to facilitate the healing of the wound as well as improve the overall health and wellness of the patient (Moura, Dias, Carvalho & de Sousa, 2013).
Factors that could delay wound healing and precautions required
The fact that the patient is diabetic implies that the patient sensation is significantly and thus the patient may not be in a position to detect any progression or changes of the wound. Diabetic patients also tend to have a weaker immune system which then implies a higher chance for infections (Jarvis, 2015). On the other hand, the preexisting staphylococcus infection if poorly managed could significantly spread to other vital organs and manifest even through the progression of the wound to chronic state thus elevating the symptoms (Moura, Dias, Carvalho & de Sousa, 2013). The apparent overweight status of the patient could also pose significant challenges to the patient due to excessive weight on the wounded leg and straining of the muscles (Jarvis, 2015). The patient has to be subjected to an appropriate dietary plan as well as a light exercise program at least that which restricts movement to ensure normal flow of blood. The patient will have to do with a bed rest for at least one week. On the other hand, the patient has to have a caregiver at home to help her take care of the meals and other basic needs she may not perform on her own that may cause further strain (Jarvis, 2015).
References
Jarvis, C. (2015). Physical examination & health assessment (6th ed.). St. Louis, MO: Saunders Elsevier.
Moura, L. I., Dias, A. M., Carvalho, E., & de Sousa, H. C. (2013). Recent advances on the development of wound dressings for diabetic foot ulcer treatment—a review. Acta biomaterialia, 9(7), 7093-7114.
