John Rocke is a 45 yr old divorced man with no children. He has a history of diabetes mellitus and poor control of blood glucose levels. Mr. Rocke is unemployed and currently receives unemployment compensation. He lives alone is a second floor apartment. Mr. Rocke had developed gangrene in the toe and failed to seek prompt medical attention; as a result, a left below the knee amputation was necessary.
Mr. Rocke is in his second postoperative day and his vital signs are stable. The stump is splinted and has a soft dressing. The wound is approximating well without signs of infection. He has not performed ROM exercises or turning since his surgery, complaining of severe pain. When the nurse goes into the room, he yells, "Get out!" I don't want anyone to see me like this" No one has visited him since his hospitalization. He is tolerating an 1800-kcal American Diabetes Association diet and is using a urinal independently.He is on blood glucose with reg. insulin subcutaneously.