Fill in Order Details

  • Submit paper details for free using our simple order form

Make Payment Securely

  • Add funds to your account. There are no upfront payments. The writer will only be paid once you have approved your paper

Writing Process

  • The best qualified expert writer is assigned to work on your order
  • Your paper is written to standard and delivered as per your instructions

Download your paper

  • Download the completed paper from your online account or your email
  • You can request a plagiarism and quality report along with your paper



What clinical manifestations are present in Ms. G?

Ms. G presents Pain, heaviness, chilling, unable to bear weight on her left leg, round, yellow-red wound with yellow drainage, elevated white count, neutrophils, bands, wound culture with Staphylococcus aureus.

Ms. G is a young female (23y/o) with diabetes that weighs 184.3 pounds and measures 5 feet 2 inches tall. Based on Ms. G’s weight and height she is obese. She has been home applying heat to her leg for the past 48 hours. The heating pad could have caused damage to the tissue possibly already infected causing further damage. Obesity has also been identified as being one of the risk factors in the development of lower extremity cellulitis (Antimicrobe, 2014).

The pain, heaviness, and chilling are all indicators that her body might be fighting infection. The open wound observed with erythema, swelling, and thick yellow exudate is also indicative of infection. According to Antimicrobe cellulitis is an acute infection of the skin that involves the subcutaneous tissues. It is manifested by: swelling, erythema, tenderness, warmth, and fever (Antimicrobe, 2014).

Ms. G has a low grade fever of 102.2. According To Your Health website a patient with a fever between 100 degrees Fahrenheit and 102.2 degrees Fahrenheit is beneficial by assisting the body in repelling the microbes or invader from the body (To Your Health, 2012).

White blood cells help fight infection (leukocytes). Elevated WBC is due to infections that are mostly related to bacteria. Neutrophils are the first cells to respond and arrive at the site where inflammation occurs. Neutrophils conventional units are between 45%-73%. Neutrophils increase with an acute infections, trauma, surgery, and leukemia to name a few (Brunner, 2008). Ms. G’s, neutrophils are just slightly elevated at 80%.

The body’s immune system responds by the inflammatory response which is started by the response of tissue injury or invading organisms.

Normal band count is between 2-6%. Bands are immature white blood cells. When the body is under significant attack by bacteria or virus and immature cells might be released early into the circulation to fight infection. Ms. G has 12% band count which is also indicative of infection.

What recommendations would you make for continued treatment?

Cooling measures plus Tylenol should be started to reduce fever and pain. Provide wound care on a daily basis and practicing proper skin hygiene. Making sure that patient has their lower extremity elevated to reduce edema. Advise to pump her feet on a regular basis to promote circulation.  Provide patient with a diabetic diet while in the hospital. An antibiotic treatment will need to be started. Accu checks with a sliding scale should be implemented. Provide diabetic education before the patient is discharged.

Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”

The ARC: Anatomy Resource Center (n.d.), identifies that the muscle groups affected would be the soleus, tibialis, anterior extensor, digitorum longus, and the gastrocnemius.

What is the significance of subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care?

Objective date is collected by physical examination, including observation, palpation, percussion, and auscultation, and by laboratory analysis and other studies to eliminate possible diagnosis pertaining to the patient’s signs and symptoms.

Subjective data is a collection of data that has been provided by the patient or family. The subjective data is retrieved from the description of an event rather than from a physical assessment.

What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delay wound healing?

A diabetic patient takes longer for their wound to heal but the wound can rapidly get worse, so it requires close monitoring. If the patient has an elevated blood sugar it will cause the arteries to stiffen and cause narrowing of the blood vessels. Narrowed blood vessels than lead to decreased blood flow and oxygen to the wound. The patient having an elevated blood sugar also decreases the function of red blood cells that are able to fight infection. Ms. G lives alone has not been able to walk for three days and has not had proper nutrition based on her current weight and current situation making the wound to get worse. Without the proper and sufficient nutrition and oxygen the wound will heal very slowly.


Antimicrobe. (2014). Cellulitis. Retrieved from

ARC: Anatomy Resource Center. (n.d.). Explore the human body. Retrieved from

Brunner, L. (2008). Brunner & Suddarth’s textbook of medical-surgical nursing (11th ed.).Philadelphia: Lippincott Williams & Wilkins.

To Your Health. (2012). The facts about fevers. Retrieved from


  • Google Rating
  • Sitejabber
  • Trustpilot
Cindy L
Cindy L
You can't fault the paper quality and speed of delivery. I have been using these guys for the past 3 years and I not even once have they ever failed me. They deliver properly researched papers way ahead of time. Each time I think I have had the best their professional writers surprise me with even better quality work. Elite Academic Research is a true Gem among essay writing companies.
Samuel Y
Samuel Y
I really appreciate the work all your amazing writers do to ensure that my papers are always delivered on time and always of the highest quality. I was at a crossroads last semester and I almost dropped out of school because of the many issues that were bombarding but I am glad a friend referred me to you guys. You came up big for me and continue to do so. I just wish I knew about your services earlier.
Mindi D
Mindi D
Brilliant writers and awesome support team. You can tell by the depth of research and the quality of work delivered that the writers care deeply about delivering that perfect grade.
Stuart L
Stuart L
Thanks for keeping me sane for getting everything out of the way, I’ve been stuck working more than full time and balancing the rest but I’m glad you’ve been ensuring my school work is taken care of. I'll recommend Elite Academic Research to anyone who seeks quality academic help, thank you so much!
Zahraa S
Zahraa S
Absolutely spot on. I have had the best experience with Elite Academic Research and all my work have scored highly. Thank you for your professionalism and using expert writers with vast and outstanding knowledge in their fields. I highly recommend any day and time.


Consider Your Assignments Done

“All my friends and I are getting help from eliteacademicresearch. It’s every college student’s best kept secret!”

Jermaine Byrant

“I was apprehensive at first. But I must say it was a great experience and well worth the price. I got an A!”

Nicole Johnson
Finance & Economics

Our Top Experts


See Why Our Clients Hire Us Again And Again!


Avg Rating


Elite Academic Research Promises You:

Always on Time

If we are a minute late, the work is on us – it’s free!


If the work we produce contains plagiarism we’ll pay out a £5,000 guarantee.


Providing quality work is core to our beliefs, which is why we will strive to give you exactly that, and more!

Written to Standard

All of our assignments go through a stringent quality checking process from start to finish.

Success Guarantee

When you order form the best, some of your greatest problems as a student are solved!






Pay an expert to take your online class and say goodbye to poor grades, missed deadlines, and the struggles
of balancing your education with other work/life responsibilities. Life Is too Short to Spend on Classes
You Have No Interest In. Focus on what is really important in your life. Let our professional handle your class.

    Guaranteed A or B

    100% Confidential

    Experienced Tutors

    24/7 Support

Fill in free quote request

Tell us about your online class and what help you need. Try to give us the maximum information.

Agree on price

Our representative will contact you to discuss the details of your order and the rates for our assistance.

Pay and get help

When everything is agreed, you will receive an email with the invoice. After you pay, we start working on your task.