Clinical Case RegistryLongitudinal Home Healthcare Trajectories • 18 Active Cases

Home Care Case Management

Monitor clinical milestones, wound healing trajectories, vital signs telemetry, and attending MD observations.

CASE-104Active Episode

Mzee Jumanne Makamba

Type 2 Diabetes Mellitus & Stage 2 Sacral Pressure Ulcer

Nurse Amina JumaDay 18
CASE-105Active Episode

Neema Lyimo

Post-Ischemic Stroke (Left Hemiparesis) & Dysphagia Rehab

Nurse Baraka MsuyaDay 9
CASE-106Review Required

Rashidi Kassim

Congestive Heart Failure (NYHA Class III) & Diuretic Therapy

Nurse Halima NassorDay 5
M

Mzee Jumanne Makamba

(78y • Male)

Diagnosis: Type 2 Diabetes Mellitus & Stage 2 Sacral Pressure Ulcer

Location: Plot 12, Rose Garden, Mikocheni BAttending: Dr. Kairuki (TMJ Hospital, Mikocheni)
Diaspora Family ConciergeZuhura Makamba (Daughter)London, UK (Diaspora Care Package)+44 7911 123456✓ Automated WhatsApp Visit Reports Active
Latest Clinical Vitals TelemetryToday 09:15 EAT by Nurse Amina
Blood Pressure128/82 mmHgOptimal
Blood Glucose6.8 mmol/LControlled
Heart Rate74 bpmNormal Sinus
Pulse Oximetry98%Room Air
Temperature36.8 °CAfebrile
Prescribed Goals & Recovery Milestones
Target Fasting Glucose < 7.5 mmol/LTarget: < 7.5 mmol/L • Current: 6.8 mmol/L (Normal)
On Track (88%)
Sacral Ulcer EpithelializationTarget: 100% wound closure • Current: 85% healthy granulation tissue, minimal exudate
Advancing (85%)
Progressive Gait TrainingTarget: Independent indoor ambulation • Current: 25m assisted ambulation with quad cane
On Track (60%)
Clinical Observation Feed & Visit Notes
Nurse Amina Juma(Registered Home Nurse (TNMC #3819))
Today 09:30 EAT

Sacral ulcer cleansed using sterile normal saline. Slough fully removed. Applied Aquacel Ag silver hydrofiber dressing and secured with non-adhesive border. Patient reported pain score 2/10 during redressing. Assisted out of bed into armchair for 45 minutes.

Nurse Amina Juma(Registered Home Nurse (TNMC #3819))
Yesterday 17:00 EAT

Evening vitals recorded. Blood sugar 7.1 mmol/L 2 hours post-prandial. Caregiver coached on 2-hour lateral position turns to offload sacral pressure.

Dr. Kairuki(Attending Physician (TMJ Hospital))
3 days ago

Reviewed longitudinal wound photography submitted via portal. Granulation is promising. Continue silver dressings for another 7 days before step-down to foam.