Case Studies

Pulmonary Rehab Case Study

49-year-old, Unfortunate Construction Worker (A.M.) admitted to Spring Grove Healthcare and Rehabilitation Center from Overlook Medical Center after an extensive 95-day hospitalization S/P Covid 19 Pneumonia resulting in Vent Dependent Respiratory Failure and Anemia.

Patient arrived to center NPO, Tracheostomy and Oxygen Dependent with a Stage 4 Sacral Decubitus

Nursing Interventions

Monitor Patent Airway and Secretion Clearance: Airvo Warmed Humidification provided on admission
Maintain Adequate Oxygenation: Patient requiring 8 liters per minute on admission
Maintain Adequate Nutrition: Patient arrived NPO with Peg tube for feedings
Wound Healing: Sacral Decubitus Stage IV
Medication Management
Monitor Labs and CXR’s: status post Anemia and Bilateral Pneumothorax in hospital

Patient is followed by our In-House Respiratory Therapist who worked closely with our Nursing and Therapy Staff to Develop a Patient Specific Care Plan. Speech Language Pathology Slowly upgraded diet to regular and thin liquids, Capping trials progressed, and Trach Tube was weaned. Oxygen and Tube Feeds were next to be discontinued. Wound Healing Continues.

Therapy

Upon admission a note from the hospital read “Only motion noted was slight squeezing of his Right hand”. Patient required maximum assistance with all self-care tasks and after 45 days of Short-Term Rehab, Patient was able to ambulate 250 feet with roller walker and 100 feet with supervision and no adaptive device. He was independent with all self-care tasks and anxiously awaited returning home with his wife and children.

Patient returned home with his Wife and Children after 45-day LOS in STR. He has PCP appointment secured with Abraham Vera and Pulmonary Appointment Secured with Pulmonary and Allergy Associates, Summit NJ.


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