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Mr. Henderson is a 75 year old male admitted for impaired wound healing of an open, draining, left first metatarsal wound with known osteomyelitis. His wife had been assisting with dressing changes at home for the past 6 months and he intermittently was seen in the outpatient wound clinic when she cannot manage his wound at home. He has ongoing vascular complications and peripheral arterial disease. He was seen by the surgical team and was clear that he wanted treatment and his goal was to be able to get back home and spend quality time with his family and the family dog. His history includes: Coronary artery disease (with a 2 vessel Coronary Artery Bypass Graft – 3 years ago). Rheumatoid arthritis, smokes ½ pack of cigarettes per day, GERD, iron deficiency anemia, and A-fib. He is diabetic with the last A1c 2 months ago to be 9.6 and is treated with insulin. He also has a history of hyperlipidemia, and lumbar spinal fusion. During this hospitalization, Mr. Henderson had a left above the knee amputation (AKA) which required extensive debridement in the OR, wound care, and negative pressure wound therapy. Along with this, Mr. Henderson was having issues related
SCIENCE
HEALTH SCIENCE
NURSING

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