Case Studies

Pulmonary Rehab Case Study

62-year-old female admitted to Orchard Hill Nursing and Rehab Center after a 7 day stay at Good Samaritan. She was admitted with Acute Exacerbation of COPD with hypoxia. Patient was bed bound prior and was being treated for severe back pain s/p spinal surgery.

Nursing Interventions

Medication Management: Baclofen for muscle spasms, pain management
Prednisone for edema
Monitor Vitals and Labs

Pulmonary Interventions

Maintain Nocturnal Support: Our in-house Respiratory Therapist assisted with Bipap Daytime Compliance Trials and taught the patient how to self-apply

Maintain Adequate Oxygenation: Patient weaned from 3 LPM on Admission to Room Air on DC
Bronchodilitation: Nebulized therapy was given QID upon initial admission then switched to MDI for portability on discharge.

Smoking cessation education was provided.

Dr. Schwartz, Pulmonologist, followed patient in center weekly and lead our Pulmonary IDT team round table discussion.

Therapy

Upon admission, Patient required maximum assistance for transfers secondary to chronic back pain. She was able to ambulate in PT. OT worked with her muscle atrophy. Upon Discharge, she was successful in ambulation 30-60 feet without assistance.

Patient returned home alone with help from her supportive daughter after a 36-day LOS in Orchard Hill Nursing and Rehab. She understands how to use her Bipap can now self-apply.

She will be followed up by her Primary Physician Michael Zang and her Pulmonologist, Dr. Dubin.


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