A 43 years old patient was hospitalized once 15 days ago. He had a transmetatarsal amputation of the left foot secondary to diabetes mellitus type 1 and cellulites six month ago, he is not aware of how complicated his condition is and the possible complications that he could have. The patient also had a transmetatarsal amputation of the right foot six months ago secondary to diabetes. According to the patient history one of the main problems is that he has history of alcohol and drug abuse, he has not complied with the treatment of diabetes and with the post operative care required after the first amputation.
The topic to address is Quality and Safety Education for Nurses (QSEN). Please write about the 6 competencies of QSEN How each of the 6 QSEN competencies were follow or not followed using this patient history and the WRONG DIAGNOSIS that he suffered during his stay in the hospital. During the stay in the hospital the patient developed certain symptoms that were diagnosed with a parasitic infection, while the real problem was kidney failure. To authenticate the symptoms, the practitioner is expected to conduct a series of tests, which will affirm the real issue affecting the patient. In this case, the doctor performed a urine test with the aim of establishing whether the patient had a urinary tract infection. Showing the present of some bacteria, the doctor concluded that the patient was suffering from parasitic infection in the urinary system, specifically the bladder. Since the patient exhibited other symptoms such as fever and pain on the side, the doctor deemed it unnecessary to conduct further diagnosis such as scans. For this reason, the doctor never recommended dialysis but rather offer the patient antibiotics and as a result, the patient’s condition deteriorated.