Following the neurological and musculoskeletal assessment of Tina Jones, there is some relevant information I would include in the report at the end of my shift. To begin with her neurological examination was not remarkable. She denies any sort of tingling but accepts that her right foot was becoming less sensible. Also, she is hesitant to use the right foot for walking due to the wound. Similarly, her musculoskeletal system assessment reveals less movement due to the right foot wound. Due to time constraints, I would ask Tina Jones objective questions for the assessment. Particularly the progression of her right foot wound since she was admitted at the hospital. My main concern while assessing Tina Jones is how functional her right foot is and whether she was developing neuropathies related to her diabetic condition. Knight, Nigham & Andrade (2017) reveals that neuropathy can be caused by high levels of blood sugar in the blood stream that could damage the nerves, often the legs and feet.
A health promotion topic for Tina is in regards to risks for falling. According to Jarvis (2015) the precautions deemed necessary for risks of falls include confronting what one is feeling, doing away with slippery surfaces and tripping hazards, and being aware of the fall of risk. Another patient education topic for Tina Jones is on the management of glucose levels which was leading to diabetic neuropathy and sequentially less sensation of her right foot due to nerve damage. Tina’s education is basically on how to maintain her glucose levels at all times to curb the decreasing sensation of her foot. Type 2 diabetes can result in nerve damage of legs and feet unless one takes the necessary precautions which is a diet rich in nutrients. Tina Jones should be educated how her diet choices are directly related to her health.
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References
Jarvis, C. (2015). Physical examination and health assessment . Elsevier Health Sciences.
Knight, J., Nigam, Y., & Andrade, M. (2017). Diabetes management 2: long-term complications
due to poor control. Nursing Times , 113 (4), 45-48.