Foot Wound Nursing in Diabetic Patients: 2 Cases study

Abstract

Foot ulcers with diabetes was important causes Causing the patient to be hospitalized because of the patient to effectively control their blood sugar levels Causing the wound to spread rapidly If not properly maintained Patients have a higher chance of being amputated. The wound was repeated. Have to be hospitalized for a long time and wasteful cost. Affecting the patient both physical, mental, quality of life, economy, family and society. Including affecting the quality of nursing services.

Objective : To study of nursing diabetic foot ulcers :2 cases. There are wounds on the feet but in different positions.

Methods : The operation case study nursing of diabetic foot ulcer patients receiving treatment Mahasarakham hospital by recording the comparison of observers data, comparative data analysis. Nursing planning according to Gordon’s health pattern from pathology, signs and symptoms foot care treatment in diabetic patients and nursing diagnosis in the preoperative period Postoperative including sales planning.

Result : Case 1 : Thai male, 65 years old, status as a trading caree and Diagnosed with diabetes and here is a wound on the right foot. The patients came to see a diabetic clinic, Mahasarakham Hospital. Because the wound has a pale edge. And flaky, with necrosis but no swelling, no discharge Consult a doctor for dressing OD after that, make an appointment to wash the wound every day. But the condition got worse The wound expanded more widely. Up and down sugar levels FBS is in the range of 170 - 280 mg / dl. HbA1c = 8.5.The doctor adjusted the drug from glipezide 1 tab oral ac to glipezide 1 tab oral bid ac. After adjusting the drug in the range of 170-210 mg / dl, the patient understood the DM wound condition as perceived by the doctor. Nurses recommend it everywhere. There fore washing the wound and scraping the hard leather out Providing continuous wound care The wound healed well in order. The present totaling 1 week. Case 2: Thai woman, 49 years old, marital status, occupation, employment and Diagnosed with diabetes and here is a wound on the right foot.To the doctor with tiredness exhaustion, numbness in your feet, chest tightness, no cracking, numbness At the end of the foot, calf pain, no cramping no weak legs, dizziness no headache Because the accident had a wound on the right toe. The doctor has to treat hyperglycemia in the hospital for 3 days and make appointments for patients, provide nursing and care for foot wounds .The patients pay close attention to continuous wound healing before the lesion spread, until the wound has healed for total of 1 week.

Conclusion : The diabetic patients 2 case are different with age and economic status. The same glucose control and nursing Continuous good care of the two patients, resulting in the patient relieving anxiety. Patience until the wound has improved and can return to normal life.

Keywords : Diabetic Foot Wound Diabetic Patients