Topic 4 DQ 1 and DQ 2
June 26, 2020
Major Contracting has always been one of your biggest accounts – until last year. A downturn in the local economy slowed both construction and renovation projects. As a result, Major Contracting reorganized its management team, including hiring a new CFO. The result? The company has been slow paying its bills for the past six months.As is customary, your company hired a collection agency to obtain late payments. The agency is now threatening to create credit-rating problems for your account if it doesn’t pay within a week. You receive a call from your contact at Major, a friend of 15 years, pleading with you to intercede on his behalf and promising to be back on track with bill payments. He tells you that Major has bid on a few big projects that should get it back on track financially within the month.You are now in an awkward position. You know that not all of the projects are firm, so Major may not be able to settle its debt in a month. You want to help your friend, but you also realize that you have a responsibility to your company and yourself – your compensation is based in part on the profitability of your territory. On the other hand, you do not want to risk losing the account and the sales that would come from these projects if they come through. Do you try to get Major the month it needs to get back on its feet? Do you claim it is out of your hands, which to some degree it is? Is there a better solution?
June 26, 2020

The case scenario provided will be used to answer the discussion questions that follow.

Case Scenario

Ms. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.

Subjective Data

  • Complains of pain and heaviness in her leg.
  • States she cannot bear weight on her leg and has been in bed for 3 days.
  • Lives alone and has not had anyone to help her with meals.

Objective Data

  • Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount of thick yellow drainage
  • Left leg red from knee to ankle
  • Calf measurement on left 3 in > than right
  • Temperature: 38.9 degrees C
  • Height: 160 cm; Weight: 83.7 kg

Laboratory Results

  • WBC 18.3 x 10¹² / L; 80% neutrophils, 12% bands
  • Wound culture: Staphylococcus aureus

Critical Thinking Questions

  1. What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.
  2. Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”
  3. What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.
  4. What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.

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