This is a 52-year-old male admitted to Westgate Hills Rehabilitation & Healthcare Center from Greater Baltimore Medical Center with a PMH of down syndrome who presented to the hospital for sepsis secondary to pneumonia. After a prolonged hospitalization complicated by respiratory failure S\/P seizures, patient required Trach & PEG.<\/p>\n
Maintain Safety<\/strong> Reviewed weekly at: Cardiopulmonary IDT lead by Cardiologist Dr. Athol Morgan, and Pulmonologist Dr Mark Gosnell.<\/strong><\/p>\n Maintain Adequate Oxygenation<\/strong> – Weaned from oxygen to RA Upon admission, Patient required maximum assistance with all self-care tasks and was unable to ambulate. He was receiving occupational and physical therapy 5 times a week throughout his stay. Upon discharge, he was independent with all self-care tasks, able to ambulate independently with no assistive device throughout the center.<\/p>\n Patient was discharged to Gallagher Group Home, with the support of Home Health Services, and will follow up with Dr. Mohommad Rahnama in the community.<\/strong><\/p>\n A 68-year-old female was admitted to Westgate Hills Rehabilitation and Healthcare Center after a 21 day stay at Mercy Medical Center s\/p Acute Respiratory Failure with hypoxia, severe dysphagia, and seizure disorder. She received S\/P Trach placement and G-Tube placement.<\/p>\n Upon admission, patient required assistance with mobility, transfers, and self-care tasks. She was motivated to work with the therapist team to improve balance, coordination, mobility, and strength. Upon discharge ambulating with a rolling water 100 feet with distance supervision. She was independent with all her ADL\u2019s. Patient discharged home with strong family support and home care services provided by Home Care of Maryland. She will continue to follow up with her Pulmonologist and PCP, Dr. Jonathan Rich, in the community.<\/p>\n 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.<\/p>\n Maintain Infection Free<\/strong>– Patient with Trach, Peg and Foley in place Maintain Patent Airway<\/strong>– Wean as tolerated- GOAL MET Team Reviewing progress weekly in our in-house Pulmonary IDT meetings lead by Pulmonologist, Dr. Mark Gosnell<\/p>\n 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.<\/strong><\/p>\n 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.<\/p>\n 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.<\/p>\n Maintain Infection Free<\/strong>: Patient with Trach, Peg and Foley in place Maintain Patent Airway<\/strong>: Wean as tolerated 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.<\/p>\n 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.<\/p>\n More to follow with patients continued progression!!<\/strong><\/p>\n 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.<\/p>\n Monitor Fluid Balance<\/strong>: 1800ml fluid Restriction with increased weight monitoring; Dietician educated on good food choices- Heart Healthy Diet Maintained Reviewed weekly in the center at our Cardiopulmonary Interdisciplinary Team Meeting lead by Cardiologist, Dr. Morgan.<\/p>\n 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.<\/p>\n 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<\/strong><\/p>\n Cardiopulmonary Case Study This is a 52-year-old male admitted to Westgate Hills Rehabilitation & Healthcare Center from Greater Baltimore Medical Center with a PMH of down syndrome who presented to the hospital for sepsis secondary to pneumonia. After a prolonged hospitalization complicated by respiratory failure S\/P seizures, patient required Trach & PEG. Nursing Interventions Maintain […]<\/p>\n","protected":false},"author":1,"featured_media":146,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"ngg_post_thumbnail":0,"footnotes":""},"acf":[],"yoast_head":"\n
\nMonitor Labs and Vitals<\/strong> \u2013 Weekly BMP, CBC, and CMP
\nIV Antibiotics<\/strong> – Treat Infection
\nWound Care<\/strong> – Sacrum Pressure stage 2<\/p>\nRespiratory Interventions<\/h3>\n
\nMaintain Good Aeration<\/strong> – Bronchodilation and DB&C Exercises
\nTrach Wean<\/strong> – Maintain Patent Airway and Trach Wean trials leading to Decannulation<\/p>\nTherapy<\/h3>\n
\nPulmonary TRACH Rehab Case Study<\/h3>\n
Nursing Interventions:<\/h3>\n
\n
Respiratory Therapy Interventions:<\/h3>\n
\n
Therapy Service Interventions:<\/h3>\n
\nWestgate Hills was the perfect continuum for this patient to continue care with our on-site Pulmonologist, Dr. Mark Gosnell. The collaboration with our Full-Time Respiratory Therapist, Ron Lior, was key in achieving TRACH DECANNULATION and oxygen weaning prior to patient discharging home.<\/p>\nAccomplishments:<\/h3>\n
\nPulmonary Rehab Case Study<\/h3>\n
Nursing Interventions<\/h3>\n
\nMaintain Adequate Nutrition<\/strong>– Enteral Tube Feedings to PO Diet- GOAL MET
\nProgress to Normal Bladder Function<\/strong>– Free from Foley Catheter and Initiate Bladder Retraining Program- GOAL MET
\nMedication and Pain Management
\nWound Care<\/strong>– Sacrum- PROGRESSING<\/p>\nRespiratory Interventions<\/h3>\n
\nMaintain Adequate Oxygenation<\/strong>– Wean as tolerated- GOAL MET<\/p>\n
\nPulmonary Rehab Case Study<\/h3>\n
Nursing Interventions<\/h3>\n
\nMaintain Adequate Nutrition<\/strong>: Transition Enteral Tube Feedings to PO Diet
\nProgress to Normal Bladder Function<\/strong>: Free from Foley Catheter and Initiate Bladder Retraining Program
\nMedication and Pain Management<\/strong><\/p>\nRespiratory Interventions<\/h3>\n
\nMaintain Adequate Oxygenation<\/strong>: Wean as tolerated
\nSmoking Cessation Education<\/strong>: Respiratory Therapy Bedside Education
\nTeam Reviewing progress weekly in our in-house Cardiac and Pulmonary IDT meetings lead by Cardiologist, Dr. Athol Morgan and Pulmonologist, Dr. Mark Gosnell<\/strong><\/p>\nTherapy<\/h3>\n
\nCardiac Rehab Case Study<\/h3>\n
Nursing Interventions<\/h3>\n
\nMonitor Labs and Diagnostics<\/strong>: CXR obtained for follow up to Pneumonia
\nSmoking Cessation Education<\/strong>
\nMedication Management<\/strong>: Lasix 40mg daily, Lisinopril 20 daily, Plavix and Zyprexa<\/p>\nTherapy<\/h3>\n
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