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Clinical manifestations in Ms G, include fever, pain, redness, swelling, inability to bear weight on the affected left lower leg. Patient has open wound above medial malleolus with thick yellow drainage. Patient is positive for Staph aureus at the site of the wound with clear signs of progressive infection (high neutrophils and WBC count).
Patient is diabetic and currently has cellulitis, aggressive antibiotic therapy would be advised to combat the infection of Staph aureus as well as blood sugar control. It appears that the infection is still localized to the leg in question, but systemic broad spectrum antibiotics should be administered intravenously to cut down the infection even if it is no longer localized.
Wound care would be initiated, utilizing antimicrobial dressings to decrease surface bacteria. Mild non mechanical Deridder can be used to get rid of the yellow slough and provide clean wound bed to promote healing. Regular cleaning of the wound is necessary in order to ensure the wound itself has the best chance of healing.
Possible affected muscle groups are flexor halluces longus, tibialis anterior, and flexor digitorum longus, gastrocnemius muscles. The significance of both the subjective and objective data, is that both data help the healthcare practitioner in evaluation and assessment of the client, it aids in holistic approach to treatment.
Factors that are present in this situation that can delay wound healing include the underlying disease of diabetes, staphylococcus aureus and impaired skin integrity. With a poorly functioning immune system, diabetics are at a higher risk for developing an infection. Infection raises many health concerns and also slows the overall healing process. Good infection control practices need to be in place. An important point to remember about a diabetic patient wound is that it heals slowly and can worsen rapidly, so close monitoring is required.