A Short Note On Chronic And Chronic Illness - 1746 Words

Ms. Jones has a both acute and chronic illness which makes her situation more complex. The acute conditions have a great potential to be reversed; she has a critical hemoglobin (Hgb) level of 6.4 g/dl, a major infection and a left gangrenous extremity that requires emergent care. Treatment of the acute condition may be complicated by her chronic condition of diabetes. Immediate care is required to avoid the spread of the infection and a further decline in her Hgb level which could result in a fatality. Stabilization of her Hgb level and starting intravenous antibiotic therapy is necessary to avoid harm; decreasing her chance of cardiac arrest and systemic infection which would increase the likelihood of success in her case. This scenario does not mention her blood glucose (BG) level but another way harm can be avoided is by assuring her BG level is within an acceptable range, as well. Therefore, admitting her to a medical surgical unit to stabilize her Hgb and BG may be necessa ry prior to surgery. Although her anemia could be a result of her infection the practitioner should make an effort to determine the cause of her low Hgb levels to avoid further complications and develop future treatment plans. However, medical care would not be indicated, if Ms. Jones continues to refuse blood transfusions. Therefore, more of a palliative or hospice care path may be indicated versus medical and surgical acute care. 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