Case Studies

Pulmonary Recovery Case Study

88-year-old female (P.C.) admitted to Springfield Healthcare and Rehabilitation Center after a stay at Kindred Hospital s/p right buttocks mass removal and increased respiratory distress post-op resulting in intubation. She received S/P Trach placement and Peg tube removal.

Nursing Interventions:

Monitor Vitals- Monitoring of Hemodynamics & Encouraged Hydration
Maintain Adequate Nutrition- Ensure and Super food
DVT Prophylaxis- Lovenox
Treat Infection- Antibiotic Therapy with Augmentin

Respiratory Therapy Interventions:

Maintain Patent Airway- wean as able- GOAL MET
Maintain Adequate Oxygenation- NEW to Oxygen Therapy; 2 liters on Admission, wean as tolerated
Bronchodilitation- ProAir MDI
Deep Breathing and Cough- Incentive Spirometry to prevent atelectasis

Therapy

Springfield was the perfect continuum for this patient to continue care with our onsite Pulmonologist, Dr. Gerald Meis associates while at Kindred. His collaboration with our Full Time Respiratory Therapist was key to achieving trach weaning and decreased levels of oxygen therapy.

Patient followed with her ENT, Dr. Raymond Lesser in the office and tracheostomy tube was no longer required. Patient continues to wean from chronic oxygen therapy as well as to work to gain strength with the therapy team at Springfield. Her physician in the community is PCP Dr. Alan Mezey.

The campus of choice for Post-Acute Pulmonary Care Continuum of Springfield, Pa.


COVID-19 Case Study

80-year-old female admitted to Springfield Healthcare and Rehabilitation Center after a 9 day stay at Lankenau Hospital with admitting diagnosis of Covid 19 Pneumonia with Respiratory Failure and Hypertension and a history of COPD and Diabetes.

Monitor Labs& Vitals: Monitor Hemodynamics & Encourage Hydration for
Hypotension
Medication Management: Lipitor, Lovenox, Insulin and Albuterol
Monitor Cardiac Status: Diagnostic Testing Onsite- EKG obtained
Maintain Adequate Oxygenation: Oxygen at 2 lpm; Weaned by day 7 of admission and patient returned home without Oxygen Therapy
Deep Breathing Exercises: to ensure Optimal Hyperinflation

Therapy

Upon admission, Patient required minimal assistance with all self-care tasks and was able to ambulate 15 feet with min assist. She was receiving occupational and physical therapy 5 times a day throughout her stay. Upon discharge, she was independent with all self-care tasks, able to ambulate 50 feet with a rolling walker and stand by assist and weaned from oxygen therapy.

Patient recovered safely and returned back to 55+ Community with Mainline Home Health Services. Patient will follow in the Community with PCP, Dr. Jean Hobbs.

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