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

p6

Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  100 words.

Ashley Pittman 

1 posts

Re:Topic 1 Mandatory Discussion Question

Ms G. presents to the ED with cellulitis of the LLL.  She reports no improvement since applying heat for several days.  Miss G. also reports increased pain and has developed chills suggesting that she has a fever.  Assessment findings show an open wound on her LLL with drainage present and swelling of >3 cm in comparison to her RLL.  She has a temperature of 102.2 F and wound cultures are positive for Staph aureus.  Lab values show an elevated WBC with > 10% bands and 80% L shift in neutrophils.

My recommendation would be IVF, Abx, A1C, CMP, complete set of VS, head to toe assessment, CBG ac/hs (insulin if needed).  Miss G. would also benefit from evaluation by OT and PT as well as meeting with a Diabetic Educator.  Social work would also be beneficial as she lives alone and may have greater needs than we are aware of.  Imaging of the LLL can tell us if she is experiencing DVT or if there is damage beyond what we can see. 

It is essential that we treat the existing infection so that she can return to baseline, and it is equally important that we assess her knowledge of Diabetes as uncontrolled diabetes can have a serious impact on wound healing. 

Muscle groups that are likely to be affected by Miss G.’s infection include gastrocnemius, soleus, extensor hallucis longus, extensor digitorum longus, fibularis longus, vastus medialis, rectus femoris, and extensor hallucis brevis (ARC Resource Center, nd).

The data presented paints a picture of where Miss G may need assistance and/or education.  She needs to be evaluated on her understanding of Diabetes and management of the disease.  Many complications come from diabetes including delayed wound healing.  She will need labs drawn over the course of her stay to evaluate the effectiveness of the abx.  An A1C will tell us if Miss G manages her Diabetes well over time.  Evaluation by PT and OT are important for safe discharge home as she lives alone and was not able to perform ADLs independently upon admission.  She will need to follow up with her PCP after discharge to have the wound on her leg looked at. 

As mentioned above, delayed wound healing can be caused by diabetes and also poor nutrition. Miss G may also suffer from depression as she is managing a chronic condition and living alone; depression has also been linked to delayed wound healing. 

“The moment a person with diabetes suffers a break in the skin of their foot, they become at danger for amputation. Most commonly, patients have neuropathy, which could be causative. When coupled with an impaired ability to fight infection, these patients become largely unable to mount an adequate inflammatory response. Thus, the DFU that may look like a healing wound becomes a portal for infection that can lead to sepsis and require limb amputation” (Journal of Investigation, 2007).

WHAT OUR CURRENT CUSTOMERS SAY

  • Google Rating
  • Sitejabber
  • Trustpilot
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.
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!
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.
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.
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.
Got an A and plagiarism percent was less than 10%! Thanks!

ORDER NOW

CategoriesUncategorized

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
BSN

“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!


OVER
10.3k
Reviews

RATING
4.89/5
Avg Rating

YEARS
12
Experience

Elite Academic Research Promises You:


Always on Time

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

Plagiarism-free

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

Quality

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!

Reliable

Professional

Affordable

Quick

Using this writing service is legal and is not prohibited by any law, university or college policies. Services of Elite Academic Research are provided for research and study purposes only with the intent to help students improve their writing and academic experience. We do not condone or encourage cheating, academic dishonesty, or any form of plagiarism. Our original, plagiarism-free, zero-AI expert samples should only be used as references. It is your responsibility to cite any outside sources appropriately. This service will be useful for students looking for quick, reliable, and efficient online class-help on a variety of topics.