Swift River 2.0: Linda Pittmon

Swift River 2.0: Linda Pittmon Leave the first rating Save Terms in this set (7) Linda Pittmon Diagnosis: uncontrolled diabetes mellitus with impending amputation DOB: 2/10/1950 MRN: Room: 108 Linda Pittmon is a 74-year old who identifies as female and uses the pronouns she/her. She is being admitted to the medical surgical unit. Linda is to undergo tests related to poor circulation in the lower extremities. She has what appears to be ischemia Maslow's Hierarchy of Needs: High Priority Airway, Breathing, Circulation: High Priority Safety and Risk Reduction: High Priority Urgent vs Nonurgent: Low Priority Chronic vs Acute/Stable vs Unstable: High Priority and the provider is considering a possible amputation of the right leg below the knee. The client has had type 2 diabetes mellitus for 12 years and has been on insulin for the past 5 years. The client also has hypertension and rheumatoid arthritis that typically causes pain in the hands and shoulders. When asked about complications due to diabetes, the client admitted that her legs are weak, with weak, with numbness and tingling at night, which sometimes interferes with sleep. Linda also reports poor vision that might be due to diabetes or possibly cataracts Initial Nursing Assessment Upon initial assessment by the nurse, the client is alert and oriented to person, place, and time. Vital signs are temperature 38° C (100.4° F), blood pressure 145/88 mm Hg, heart rate 96/min, respiratory rate 22/min, and oxygen saturation 95% on room air; pain is 0; and capillary blood glucose via glucometer is 168 mg/dL (74 TO 106 mg/dL). Client is 5' 2" and weighs 99 lb.- Physiological: Tissue Integrity- Physiological: Sensory- Health Promotion: Self-Care- Health Promotion: Client Education- Physiological: perfusion- Physiological: Infection- Physiological: Mobility- Physiological: Nutrition