Case Studies

Pulmonary Rehab Case Study

62-year-old male admitted to Westgate Hills Healthcare and Rehabilitation Center after a 30 day stay at University of Maryland Medical Center, Baltimore with Admitting Diagnosis of Respiratory Failure S/P hypoglycemia and seizure. Patient has a history of HIV+ and Polysubstance Abuse. Patient is S/P Tracheostomy & Peg Tube Placement.

Nursing Interventions

Maintain Infection Free– Patient with Trach, Peg and Foley in place
Maintain Adequate Nutrition– Enteral Tube Feedings to PO Diet- GOAL MET
Progress to Normal Bladder Function– Free from Foley Catheter and Initiate Bladder Retraining Program- GOAL MET
Medication and Pain Management
Wound Care
– Sacrum- PROGRESSING

Respiratory Interventions

Maintain Patent Airway– Wean as tolerated- GOAL MET
Maintain Adequate Oxygenation– Wean as tolerated- GOAL MET

Team Reviewing progress weekly in our in-house Pulmonary IDT meetings lead by Pulmonologist, Dr. Mark Gosnell

What a Difference 30 days makes!! Trach Tube, Peg Tube and Oxygen Therapy Discontinued, Diet Upgraded to Regular and Thin Liquids and Foley Catheter Discontinued.

Patient returns home ambulating independently with no assistive device. He will return home with home health and his supportive wife, who is also a nurse.


Pulmonary Rehab Case Study

24-year-old unfortunate female (J.B.) admitted to Westgate Hills Healthcare and Rehabilitation Center from Johns Hopkins Hospital with Admitting Diagnosis of ARDS, Traumatic Brain Injury and Covid-19. Patient is S/P Tracheostomy & Peg Tube Placement.

Nursing Interventions

Maintain Infection Free: Patient with Trach, Peg and Foley in place
Maintain Adequate Nutrition: Transition Enteral Tube Feedings to PO Diet
Progress to Normal Bladder Function: Free from Foley Catheter and Initiate Bladder Retraining Program
Medication and Pain Management

Respiratory Interventions

Maintain Patent Airway: Wean as tolerated
Maintain Adequate Oxygenation: Wean as tolerated
Smoking Cessation Education: Respiratory Therapy Bedside Education
Team Reviewing progress weekly in our in-house Cardiac and Pulmonary IDT meetings lead by Cardiologist, Dr. Athol Morgan and Pulmonologist, Dr. Mark Gosnell

What a Difference 30 days makes!! Trach Tube, Peg Tube and Oxygen Therapy Discontinued, Diet Upgraded to Regular and Thin Liquids and Foley Catheter Discontinued.

Therapy

Upon admission, Patient required maximum assistance. She is currently receiving occupational and physical therapy five times a week and is making slow and steady gains. Currently in her rehab stay, she is ambulating 15 feet with a rolling walker and is working hard to make continued gains.

More to follow with patients continued progression!!


Cardiac Rehab Case Study

61-year-old, female (D.C.) admitted to Westgate Hills Healthcare and Rehabilitation Center after a 6 day stay at John Hopkins Hospital with admitting diagnosis of Acute Decompensated Heart Failure and Pneumonia. She has a History of CAD, Bipolar Disorder and COPD.

Nursing Interventions

Monitor Fluid Balance: 1800ml fluid Restriction with increased weight monitoring; Dietician educated on good food choices- Heart Healthy Diet Maintained
Monitor Labs and Diagnostics: CXR obtained for follow up to Pneumonia
Smoking Cessation Education
Medication Management: Lasix 40mg daily, Lisinopril 20 daily, Plavix and Zyprexa

Reviewed weekly in the center at our Cardiopulmonary Interdisciplinary Team Meeting lead by Cardiologist, Dr. Morgan.

Therapy

Upon admission, Patient required minimal assistance with all self-care tasks and was able to ambulate 40 feet with minimal assistance. She was receiving occupational and physical therapy for 5 times a week for 3 weeks. Upon discharge, she was independent with all self-care tasks, able to ambulate 400 feet with a rolling walker and ascend/descend 15 stairs independently.

Patient returned home with HHS after a 21-day LOS in STR. She was Followed by UMD Heart Failure Clinic and her community PCP is Dr. Ahmed


CALL US TO SCHEDULE YOUR PERSONAL TOUR (410) 646-2100
Download Our Brochure

Download Brochure

Please fill out the form below to receive a copy of our brochure.