Case Studies

Dedicated Russian Program Pulmonary Rehab Case Study

58-year-old unfortunate male admitted to Roosevelt Healthcare and Rehabilitation Center after an extended stay at Kindred Phili and prior stay at Abington Hospital with admitting diagnosis of Chronic Respiratory Failure and COPD, Covid Pneumonia and Sepsis and S/P need for mechanical ventilation. Patient arrives with Trach and Peg tube.

Nursing Interventions

Wound Healing– Sacral Wound Healing- GOAL MET
Provide Peritoneal Nutrition– Wean PEG tube and advance diet as tolerated
Educate patient and family on care of PEG tube upon discharge
Monitor Vitals and Labs

Respiratory Interventions

Maintain Patent Airway– weaned successfully- GOAL MET
Maintain Adequate Oxygenation– GOAL MET

Therapy

Patient advanced in therapy to ambulate greater than 300 feet with a Roller Walker and stand by assist. He is able to navigate 12 steps with supervision and is independent with ADL’s.

Through weekly collaboration of our clinical team, inclusive of a Full-Time Respiratory Therapist and the Leadership of our In-House Pulmonologist Dr. Michael Korman, the patient’s trach tube was removed, and oxygen therapy was discontinued. Dr. Korman’s oversight at Kindred as well as at Roosevelt allowed for optimal execution of patient’s continued plan of care.

Patient returned home with his wife to a single level home with 4 steps to enter. He is followed in the community by PCP, Dr. Chekov and home health provider, Better Home Health. Patient will follow with Pulmonologist, Dr. Rudolf Khusid and Cardiologist Dr. Daniel Vile.


Cardiac Orthopedic Rehab Case Study

87-year-old female patient admitted to Roosevelt Healthcare and Rehabilitation Center after a stay at Jefferson Torresdale with admitting diagnosis of Left Femur Fracture and UTI. She has a history of CHF, Chronic AFIB and Hypertension.

Nursing Interventions

Maintain Safety: patient with documented repeated falls
Treat infection: patient on Cipro for UTI
Monitor Vitals, Labs & Diagnostics: CXR & Venous Doppler obtained
Medication Management: Lasix, Atorvastin, Amlodipine, Losartan, Albuterol

Therapy

Upon admission, Patient required maximum assistance with all self-care tasks and required maximum assist to roll in bed. She was receiving occupational and physical therapy 5 times a week throughout her stay. She was dependent upon admission and progressed to ambulate 50 feet with a roller walker with supervision.

Through keen Assessment by our Interdisciplinary Care Team and the Leadership of our In-House Cardiologist Dr. Pfeffer, the Patients Fluid Status Changes were managed In House and medications were adjusted appropriately. #TreatInPlace

Patient had no unplanned transfers to the hospital. Patient returned home with her daughter with follow up appointments secured with Orthopedic, Dr. Caruso and PCP, Dr. Darouso.


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