Discharge Planning
Schoolcraft College
, T. C. was admitted to the 9 South floor of Corewell Hospital for a wound infection on his left
ankle. He presented with symptoms of severe pain, purulent drainage, general weakness, and edema.
The patient had a history of poorly managed type 2 diabetes, hypertension, hyperglycemia, asthma, right
eye blindness, hearing loss, and various gunshot wounds.
While admitted, the healthcare team assessed the patient and determined stable vital signs and
normal findings for his cardiovascular, respiratory, circulatory, musculoskeletal, gastrointestinal, and
genitourinary systems. However, in his integumentary system, the healthcare team discovered a
compromised skin barrier and indicators of infection. By reviewing the patient’s history, this was
attributed to a previous left Achilles tendon repair that had become infected and had been poorly
treated due to the patient’s unmanaged diabetes and inaccessibility to obtain the needed medications.
Due to this, the healthcare team administered broad-spectrum antibiotics to resolve his symptoms, and
a blood culture was collected, helping determine the cause of the infection for a more precise treatment.
After assessing the patient's lab work, the healthcare team discovered an abnormal finding.
Since admission, the patient has shown a trend of elevated glucose values, further indicating the
mismanagement of his diabetes. With medical interventions like oral hypoglycemic drugs, insulin shots,
and scheduled monitoring of his blood sugar values, his glucose values were gradually reduced to a more
stable value. However, hospital intervention cannot guarantee maintained glucose stability after
discharge if the patient cannot adhere to diabetic management.
Throughout his stay, the patient has had medical interventions implemented and maintained to
prevent further harm. However, each of these interventions has inherent risks. For example, given the
prescribed antibiotic class, the patient’s healthcare team should monitor for signs and symptoms of an
allergic reaction and renal impairment. There is also a risk for hypoglycemia with diabetic interventions.
Schoolcraft College
, T. C. was admitted to the 9 South floor of Corewell Hospital for a wound infection on his left
ankle. He presented with symptoms of severe pain, purulent drainage, general weakness, and edema.
The patient had a history of poorly managed type 2 diabetes, hypertension, hyperglycemia, asthma, right
eye blindness, hearing loss, and various gunshot wounds.
While admitted, the healthcare team assessed the patient and determined stable vital signs and
normal findings for his cardiovascular, respiratory, circulatory, musculoskeletal, gastrointestinal, and
genitourinary systems. However, in his integumentary system, the healthcare team discovered a
compromised skin barrier and indicators of infection. By reviewing the patient’s history, this was
attributed to a previous left Achilles tendon repair that had become infected and had been poorly
treated due to the patient’s unmanaged diabetes and inaccessibility to obtain the needed medications.
Due to this, the healthcare team administered broad-spectrum antibiotics to resolve his symptoms, and
a blood culture was collected, helping determine the cause of the infection for a more precise treatment.
After assessing the patient's lab work, the healthcare team discovered an abnormal finding.
Since admission, the patient has shown a trend of elevated glucose values, further indicating the
mismanagement of his diabetes. With medical interventions like oral hypoglycemic drugs, insulin shots,
and scheduled monitoring of his blood sugar values, his glucose values were gradually reduced to a more
stable value. However, hospital intervention cannot guarantee maintained glucose stability after
discharge if the patient cannot adhere to diabetic management.
Throughout his stay, the patient has had medical interventions implemented and maintained to
prevent further harm. However, each of these interventions has inherent risks. For example, given the
prescribed antibiotic class, the patient’s healthcare team should monitor for signs and symptoms of an
allergic reaction and renal impairment. There is also a risk for hypoglycemia with diabetic interventions.
