Explain three (3) important things (e.g.tips, lifestyle choices or medication instructions) you will need to include in John’s preparation for discharge to aid healing and prevent further illness.

    September 16, 2022

Explain three (3) important things (e.g.tips, lifestyle choices or medication instructions) you will need to include in John’s preparation for discharge to aid healing and prevent further illness.John, a 41year old male, has a severe gram negative bacterial infection to a wound on his left foot.Ten (10) days ago John cut his foot on an oyster shell whilst out fishing. At the time of the injury minimal first aid was applied, leading to the bacterial infection and cellulitis of the lower leg. John states pain has been managed with OTC “Nurofen and Paracetamol” as recommended by his chemist.John was admitted to hospital five (5) days ago following unsuccessful oral antibiotics from the GP. He has commenced intravenous antibiotics which the wound is responding well to.John has a medical history of chronic anxiety which is managed with a mental health plan and diazepam as required.You are commencing the morning shift on day five (5) of John’s admission, the following are the last set of observations; please refer to the attached bedside charts for more information:Medical orders· Foot elevation· Cellulitis marking· Daily wound dressings· Pain management· Eat and drink as toleratedMedications orders· intravenous gentamicin 300mg TDS· oral paracetamol 1g 4-6 hourly· oral ibuprofen 400mg TDS· oral diazepam 5-10mg PRNOther useful informationVital Signs (day 5 0600)Sedation AlertBlood Pressure172/92 mmHgHeart Rate 108 bpm regularOxygen saturation100% on RARespiratory rate 20 bpmPain score 3/10 discomfortTemperature 36.5oCOutput average 30mls p/hrPathology(on admission)WBC18.0 x 109/L (4.0-11.0)urea7.8mmol/L (3.0-8.0serum creatinine 96µmol/L (60-100)eGFR 75mL/min/1.73 m2 (90-120)Urinalysis (day 5 0600)pH 7.0Specific Gravity 1.005Protein Glucose nilNitrite nilLeukocyte nilBlood Colour dark yellowish/brown

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