Laura Katherine Castano Barragan

Journal 2

Date: 7/15/2020

Professor El Kholy, Amira

I-Human, poor wound healing in right below the knee amputation, 85%

I started the scenario in I-Human, S.J, 66-year-old female who was admitted for poor

healing of right below the knee amputation. I achieved a score of 85%. The Pt had a medical

history of type 2 DM, hypertension, hyperlipidemia, neuropathy, obesity and peripheral arterial

disease (PAD). Surgical hx included right below the knee amputation 2 weeks ago, result of

ulcer caused by PAD that didn’t respond to tx. PAD is a complication from DM. Through the

scenario the patient’s vital signs were normal, she was stable. However, there was a new finding

of pain in her mouth when chewing (1/10) and red gums which can be gingivitis and pre s/s of

periodontal disease. I was able to select most of the correct assessments in the health history and

the physical, however I didn’t document all the assessment for the wound which in this case was

very important. I learned about wound healing and complications of uncontrolled diabetes

mellitus. This patient lives alone in her house, does not have assistance at home and she does not

comply with her medication schedule. She was very worried about how to get her medicine from

the pharmacy now that she does not have a leg. My strength in this scenario was my assessment

which discover a new symptom related to possible complications of diabetes mellitus and my

weakness was deficit in the specific knowledge on how to asses wounds.