During physical exam health assessment of Tina Jones, a 28-year-old diabetic patient who presented with a foot wound, that healed after medication, points noted to achieve the best results for the care plan are going to be discussed in this clinical essay. To achieve this, there are a number of factors to put into consideration during the Simulation Test.
Key Points to Note.
- Foot exam: Determine the location, severity, and features of Tina’s foot.
- Musculoskeletal exam: Assess ankle and foot tenderness.
- Neurological examination: Check for foot sensation and proprioception.
Methods of Physical Examinations.
1. Inspection: Take note of Tina’s posture, gait, and foot appearance.
2. Palpation: Lightly touch the lower leg, ankle, and foot.
Care Plan.
Major aspects of the care plan include;
1. Re-initiating Tina Jones on metformin and advising her on how to counter its side effect(gassiness).
2. Patient Education: Educating her that her slow wound healing is as a result of uncontrolled sugars. Patient education is a major part in Topic 3: Skin, Hair, and Nails.
Conclusion.
To achieve the best results, practices such as communicating with the patient using accessible, everyday language is a standard practice and using professional medical terminologies such as in documenting objective data and nursing notes should be encouraged.
