A patient with a diabetic foot ulcer says, "My friend took some kind of oxygen chamber treatments for her wound a year or so ago and it healed right up. Would that work for me?" What should the nurse consider prior to responding?
1. The treatment is contraindicated for people with diabetes because of the potential for hypoglycemia.
2. The technology does not improve the status of ulcers on the lower extremities.
3. Hyperbaric therapy is no longer being done because of the fire hazards involved.
4. Hyperbaric therapy has some inherent dangers but has been proven effective in helping to heal wounds.
4
Rationale 1: Hypoglycemia is a potential complication for people with diabetes who are receiving hyperbaric oxygen therapy, but many people with diabetes have had successful wound treatment with this technology.
Rationale 2: Hyperbaric oxygen therapy is frequently used for ulcers on the lower extremities.
Rationale 3: There is a fire hazard when hyperbaric therapy is in process, but it is still a viable treatment for many with hard-to-heal wounds.
Rationale 4: There are dangers associated with hyperbaric therapy such as eardrum rupture and pneumothorax, but treatment has been shown to be effective.
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