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    Pa Tho Physiology of Gangrenous Left Foot

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    Bonieve Pitogo Noblezada
    An 80-year-old female developed gangrenous tissue in her left foot due to a combination of predisposing factors like age and gender as well as contributing factors such as previous tissue damage, poor wound management, and a sedentary lifestyle. Attempting a hot compress on her foot accidentally burned the skin, further damaging the tissues. This led to infection, decreased blood flow, and necrosis of the tissues below the initial burn site. As a result, the patient experienced severe pain, sleep disturbances, and anxiety regarding her upcoming amputation surgery.

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    Pa Tho Physiology of Gangrenous Left Foot

    Uploaded by

    Bonieve Pitogo Noblezada
    18 views3 pages
    An 80-year-old female developed gangrenous tissue in her left foot due to a combination of predisposing factors like age and gender as well as contributing factors such as previous tissue damage, poor wound management, and a sedentary lifestyle. Attempting a hot compress on her foot accidentally burned the skin, further damaging the tissues. This led to infection, decreased blood flow, and necrosis of the tissues below the initial burn site. As a result, the patient experienced severe pain, sleep disturbances, and anxiety regarding her upcoming amputation surgery.

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    An 80-year-old female developed gangrenous tissue in her left foot due to a combination of predisposing factors like age and gender as well as contributing factors such as previous tissue damage, poor wound management, and a sedentary lifestyle. Attempting a hot compress on her foot accidentally burned the skin, further damaging the tissues. This led to infection, decreased blood flow, and necrosis of the tissues below the initial burn site. As a result, the patient experienced severe pain, sleep disturbances, and anxiety regarding her upcoming amputation surgery.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    18 views3 pages

    Pa Tho Physiology of Gangrenous Left Foot

    Uploaded by

    Bonieve Pitogo Noblezada
    An 80-year-old female developed gangrenous tissue in her left foot due to a combination of predisposing factors like age and gender as well as contributing factors such as previous tissue damage, poor wound management, and a sedentary lifestyle. Attempting a hot compress on her foot accidentally burned the skin, further damaging the tissues. This led to infection, decreased blood flow, and necrosis of the tissues below the initial burn site. As a result, the patient experienced severe pain, sleep disturbances, and anxiety regarding her upcoming amputation surgery.

    Copyright:

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    Download as DOCX, PDF, TXT or read online from Scribd
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    PATHOPHYSIOLOGY OF GANGRENOUS LEFT FOOT

    Predisposing Factors: Contributing factors:


    Age -80 years old -Previous untended tissue impairment
    Gender -Female -Poor wound management
    -Sedentary lifestyle
    -Environmental factors

    Precipitating factors:
    Cold and clammy foot
    ↓
    Attempted self hot compress
    ↓
    Accidentally burnt skin in the tissues
    ↓
    Tissue damage on left foot
    ↓
    Aggravating tissue damage that goes not heal
    ↓

    Decreased Hgb-100g/L ← Infection → Increase WBC (13.6x 109/L)


    ↓
    Increase hemoconcentration
    ↓
    Increase viscosity of blood
    ↓
    Slower blood and 02 distributions to peripheral tissue/organs
    ↓
    Decrease O2 to nourish peripheral tissues
    ↓
    Ischemia
    ↓
    Tissue/cell mitochondria of affected part start to swell
    ↓
    Membranes rupture
    ↓
    Lysosomal enzymes released to tissues
    ↓

    Functiolyza of affected part ← Necrosis → Liberation of hemoglobin from hemolyzed red blood cells by hydrogen
    sulfide (H2S) produced by the bacteria
    ↓ ↓
    ↓ Ability to do ADLs ↓
    Formation of black iron sulfide that remains in the tissues
    ↓
    Black foul smelling tissue of client’s left foot reaching below
    ↓ ↓
    GANGRENE
    ↓
    ↓ Activities and exercise Stimulation of PNS Scheduled AKA operation →Anxiety r/t
    ↓ ↓ ↓ disturbed body image
    Muscle atrophy Activation of nociceptors Anxiety r/t fear of surgical
    procedure and outcome

    Pain impulse travel to horn of spinal cord through A-delta fibers


    ↓
    Connects with secondary neurons mostly on laminae I, III, V
    ↓
    Releases P and Calcitonin gene-related peptide
    ↓
    Pain message across the synapse of afferent neurons
    ↓
    Ascends to spinal cord through the pathway of the spinothalamic tract and spinoreticulo tract to brain stem and thalamus
    ↓
    Transmitted to somatic sensory cortex
    ↓
    Pain perception
    ↓
    Pain scale 9 (where 0-painless, and 10- most painful)
    ↓
    Sleep Disturbances
    ↓
    1-2h of intermittent sleep during hospital stay

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