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This Concept Map, created with IHMC CmapTools, has information related to: Acute Conditions, Pt ID: J. D. 56 y/o male Medical Dx: New Right BKA Secondary Dx: Diabetes "Lower extremity amputations are more frequently associated with chronic conditions, such as conditions of the peripheral vascular system" (Falvo, 2009, p. 493). may contribute to Problem: Social Isolation ND: Loneliness, risk for Data: Pt unable to leave home Meds: None Interventions: Encourage use of social support systems (Falvo, 2009)., Problem: Diabetes ND: Effective Individual Management Data: Accucheck readings BID, monitor labs, evaluate diet. Meds: Humalog, Lantus Interventions: Education, encourage client to perform accuchecks BID. may lead to Problem: Recent surgical procedure ND: Infection, risk for Data: Monitor for s/sx infection, monitor lab results. Meds: None Interventions: Sterile dressing changes, scrupulous skin care. "Individuals who have undergone amputation, especially loss of a lower extremity because of a chronic condition, such as diabetes must guard against injury and infection to the stump" (Falvo, 2009, p. 497)., Problem: Diabetes ND: Effective Individual Management Data: Accucheck readings BID, monitor labs, evaluate diet. Meds: Humalog, Lantus Interventions: Education, encourage client to perform accuchecks BID. caused Pt ID: J. D. 56 y/o male Medical Dx: New Right BKA Secondary Dx: Diabetes "Lower extremity amputations are more frequently associated with chronic conditions, such as conditions of the peripheral vascular system" (Falvo, 2009, p. 493)., Pt ID: J. D. 56 y/o male Medical Dx: New Right BKA Secondary Dx: Diabetes "Lower extremity amputations are more frequently associated with chronic conditions, such as conditions of the peripheral vascular system" (Falvo, 2009, p. 493). may lead to Problem: Loss of lower limb ND: Body image disturbance Data: Subjective reports, monitor for depression Meds: None Interventions: Evaluate social support systems, validate client's feelings. Allow client to express grief. "Individuals may need sufficient time to grieve and adjust to their loss" (Falvo, 2009, p. 497)., Problem: Fatigue ND: Fatigue Data: Pt reports fatigue Meds: None Interventions: Allow for frequent rest periods at home. Encourage adequate nutrition. Individuals with BKA require approximately 10% to 37% more energy for movement than do persons without an amputation (Falvo, 2009). contributes to Problem: Social Isolation ND: Loneliness, risk for Data: Pt unable to leave home Meds: None Interventions: Encourage use of social support systems (Falvo, 2009)., Problem: Recent surgical procedure ND: Infection, risk for Data: Monitor for s/sx infection, monitor lab results. Meds: None Interventions: Sterile dressing changes, scrupulous skin care. "Individuals who have undergone amputation, especially loss of a lower extremity because of a chronic condition, such as diabetes must guard against injury and infection to the stump" (Falvo, 2009, p. 497). contributes to Problem: Fatigue ND: Fatigue Data: Pt reports fatigue Meds: None Interventions: Allow for frequent rest periods at home. Encourage adequate nutrition. Individuals with BKA require approximately 10% to 37% more energy for movement than do persons without an amputation (Falvo, 2009)., Pt ID: J. D. 56 y/o male Medical Dx: New Right BKA Secondary Dx: Diabetes "Lower extremity amputations are more frequently associated with chronic conditions, such as conditions of the peripheral vascular system" (Falvo, 2009, p. 493). at risk for Problem: Fatigue ND: Fatigue Data: Pt reports fatigue Meds: None Interventions: Allow for frequent rest periods at home. Encourage adequate nutrition. Individuals with BKA require approximately 10% to 37% more energy for movement than do persons without an amputation (Falvo, 2009)., Pt ID: J. D. 56 y/o male Medical Dx: New Right BKA Secondary Dx: Diabetes "Lower extremity amputations are more frequently associated with chronic conditions, such as conditions of the peripheral vascular system" (Falvo, 2009, p. 493). causes Problem: Pain ND: Pain Data: Subjective pain reports Meds: Norco Interventions: Scheduled pain med regimen, encourage use of prn pain meds for breakthrough pain., Problem: Loss of lower limb ND: Body image disturbance Data: Subjective reports, monitor for depression Meds: None Interventions: Evaluate social support systems, validate client's feelings. Allow client to express grief. "Individuals may need sufficient time to grieve and adjust to their loss" (Falvo, 2009, p. 497). may contribute to Problem: Pain ND: Pain Data: Subjective pain reports Meds: Norco Interventions: Scheduled pain med regimen, encourage use of prn pain meds for breakthrough pain., Pt ID: J. D. 56 y/o male Medical Dx: New Right BKA Secondary Dx: Diabetes "Lower extremity amputations are more frequently associated with chronic conditions, such as conditions of the peripheral vascular system" (Falvo, 2009, p. 493). at risk for Problem: Recent surgical procedure ND: Infection, risk for Data: Monitor for s/sx infection, monitor lab results. Meds: None Interventions: Sterile dressing changes, scrupulous skin care. "Individuals who have undergone amputation, especially loss of a lower extremity because of a chronic condition, such as diabetes must guard against injury and infection to the stump" (Falvo, 2009, p. 497).