Case Study Notes: Unfolding Case — Mr. Carl Rogers, 67, Admitted for Diabetic Foot Ulcer Management
Date Started: April 19, 2026 Student: — Course/Source: Instructor-generated unfolding case
Patient Overview
Carl Rogers is a 67-year-old male with a 20-year history of Type 1 diabetes mellitus (T1DM). He presented to his provider’s office with a Stage II non-healing ulcer to the right heel, present approximately 3 weeks and increasing in size. Mr. Rogers reports blood glucose readings consistently in the 300s over the last 5 days. He is now admitted to the medical-surgical unit for glucose control, diabetic teaching, pain management, and wound evaluation and care.
Stage 1 — Phase 1, Day 1 (16:50) — EHR Orientation on Assumption of Care
Patient Presentation
- Time: Day 1, 16:50 — nurse assuming care
- Blood Glucose (16:45): 290 mg/dL
- Insulin due: 1700 administration pending
- Dinner tray: In room
- Support: Wife (Mrs. Sarah Rogers) at bedside
- Student task: Orient to patient via EHR review before taking action
Student Thinking (Recorded)
(To be populated after student responds)
Instructor Insights
(To be populated after stage debrief)
CJMM Checkpoint
| Step | Student Response | Instructor Coaching |
|---|---|---|
| Recognize Cues | ||
| Analyze Cues | ||
| Prioritize Hypotheses | ||
| Generate Solutions | ||
| Take Action | ||
| Evaluate Outcomes |
Assessment Questions (Stage 1)
| # | Question | Student Answer | Correct? | Instructor Feedback |
|---|---|---|---|---|
| 1 | ||||
| 2 | ||||
| 3 |
Key Teaching Points (Running Log)
(Updated after each stage)
Student Strengths Noted
(Updated as session progresses)
Areas to Revisit
(Updated as session progresses)