John Rocke is a 45 yr old divorced man with no children. He has a history of diabetes mellitus and poor control of blood glucose levels. Mr. Rocke is unemployed and currently receives unemployment compensation. He lives alone is a second floor apartment. Mr. Rocke had developed gangrene in the toe and failed to seek prompt medical attention; as a result, a left below the knee amputation was necessary. Mr. Rocke is in his second postoperative day and his vital signs are stable. The stump is splinted and has a soft dressing. The wound is approximating well without signs of infection. He has not performed ROM exercises or turning since his surgery, complaining of severe pain. When the nurse goes into the room, he yells, "Get out!" I don't want anyone to see me like this" No one has visited him since his hospitalization. He is tolerating an 1800-kcal American Diabetes Association diet and is using a urinal independently.He is on blood glucose with reg. insulin subcutaneously.
Diabetes - 10 Answers
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1 :
nope
2 :
nope lol, i didnt even read the first sentence and i gave up... sry
3 :
:)
4 :
idk how to. what is a conept map? lol sorry. no help :[
5 :
he is very depressed and if he doesn't let someone help him soon, it will be over for him...nobody can survive all alone...
6 :
the turbulent period of human race.
7 :
i checked on the internet for this john rocke that has any history of diabetes there are about 35 john rocke living right now in all of them married in have chikdren you need to check your info out more better geez but none of them have any diabetes at all ever
8 :
Concept map is foreign to me. However, I see problems to be solved in the fact he is now an amputee on a second floor apartment. I see he has no support structure in place. I see he will get pneumonia and die if he does not start moving and turning. He will become more stiff if he does not do range of motion exercise. Pain management needs to be looked at, and possibly social services intervention if not for the above things to see where his thought processes are....suicidal, depressed, pain??? Post hospital placement needs to be addressed. He needs his resources evaluated as far as just being on the workers comp. Was it an injury to the toe that caused the gangrene? Hope that helps. And I would just find a nurse that will hit him head on with these issues.
9 :
A concept map is a learning tool that is similar to a paradigm or flowchart. You didn't say if you were a nurse or med student and there's a significant difference in the information one would put in a concept map. Based on your presentation, I'll hazard a guess that you're a nursing student, so the emphasis is going to be on psycho-social issues and ADL. Here's an excellent site that might help you construct yours: http://cord.org/txcollabnursing/onsite_conceptmap.htm
10 :
I can do that but I can't draw it out in here. You are talking about a Cognet concept map right?
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