A 71 year old female was admitted to Woodbine Rehabilitation & Healthcare Center following a stay at Vibra Richmond with Vent Dependent Respiratory Failure as a result of Sepsis pneumonia and COPD Exacerbation. She has a history of Heart Failure, Hypertension, Hyperlipidemia and Anemia. She was admitted to Woodbine requiring a Ventilator, Tracheostomy and PEG tube.<\/p>\n
Resident benefited extensively from skilled physical, occupational, speech, and respiratory therapy. Daily collaboration with the Care Team assisted to #CareSafely for her, allowing for a discharge home. Her strength improved daily and progress was made. She was discharged home ambulating 60 feet with a roller-walker stand by assist.<\/p>\n
Successfully weaned from ventilator and trach weaned shortly thereafter. Patient Diet Advanced to Thin Liquids and Dysphagia Stage 3 Consistency.<\/p>\n
The patient was discharged home with her supportive family. She will continue to be followed by Care Advantage – All About Care Home Health in the community. The team\u2019s Multi-Disciplinary Approach to Care Allowed for a Successful Discharge.<\/strong><\/p>\n A 77-year-old male was admitted to Woodbine Rehabilitation & Healthcare Center from Inova Alexandria Hospital after a recent hospitalization S\/P Fall, Aspiration Pneumonia and Acute Respiratory Failure and Pneumonia. Patient has a history of ALS.<\/p>\n Under the Daily Direction of our in-house Nurse Practitioner as well as the weekly Leadership by Pulmonologist, Dr. Alkhouri and Physiatrist, Dr. Tiffany Vu, DO: Patient gained strength needed to return home.<\/p>\n FEE\u2019s- in house testing allowed for Advanced PO Diet with Regular and thin liquid resumed.<\/p>\n Increased Compliance and Ability to Self- Apply Nocturnal AVAPS-AE Trilogy Support. <\/p>\n Resident benefited extensively from skilled physical, occupational, speech, and respiratory therapy under the multidisciplinary approach to care. The patient gained the strength needed to return home.<\/p>\n After a 15-day Short Term Rehab Stay, patient returned home with family and continues to be followed in the community by Roberts\/ Adapt Health for Trilogy and Portable Oxygen Concentrator Management and Encompass Home Health in Springfield.<\/p>\n A 61-year-old female was admitted to Woodbine Rehabilitation & Healthcare Center from Virginia Hospital Center after a long course of Pneumonia and Acute Hypoxemic Respiratory Failure Secondary to Covid 19. She has a history of Pulmonary Fibrosis. She has a trach and PEG tube in place at the time of admission. She was bed-bound requiring total assistance.<\/p>\n Under the Direction of Pulmonologist, Dr. Alkhouri, Patient Successfully Weaned from Ventilator 2 weeks into stay and trach weaned on week three, Wounds Resolved, Advanced to PO Diet with Regular and thin liquid resumed and Peg Tube removed.<\/p>\n Resident benefited extensively from skilled physical, occupational, speech, and respiratory therapy under the multidisciplinary approach to care. Patient was moderate assist of 2 for bed mobilities. Her strength improved. Upon discharge, she was moderate assistance of one to roll and to sit EOB for 20 minutes. She returned home with family and is followed in the community by a PCP in the community.<\/p>\n This unfortunate 52-year-old female (D.V.) admitted to Woodbine Rehabilitation & Healthcare Center from Henrico\u2019s Doctors Hospital with Vent Dependent Respiratory Failure S\/P Overdose and Aspiration Pneumonia. She was admitted with a trach and PEG tube in place.<\/p>\n Successfully weaned from ventilator 2 weeks into the stay and trach weaned on week three. FEES testing with Thin Liquids and Regular Diet Advancement; Peg Tube removed<\/p>\n Resident benefitted extensively from skilled physical, occupational, speech, and respiratory therapy. Daily Collaboration with the Care Team assisted to #CareSafely for her allowing for a rapid discharge to home. Her strength improved daily, and progress was made. She was discharged to home ambulating 20 feet with a Roller-walker stand by assist. The team\u2019s multi-disciplinary approach to care allowed for an expedited successful discharge to home. She returned home with her husband and will continue to be followed by PCP in the community.<\/p>\n A 27-year-old male admitted from the hospital to Woodbine Rehabilitation & Healthcare Center with Chronic Hypoxemic Respiratory Failure Secondary Drug Overdose. His medical history also included complications from kidney injury, pulmonary embolism and myoclonus dystonia with a questionable vocal cord paralysis. Thus, he had a trach and PEG tube in place at the time of admission.<\/p>\n Successfully weaned from trach after 3 weeks of admission \u2022 Oxygen Discontinued prior to Discharge \u2022 Wounds resolved \u2022 PO Diet with Regular and thin liquid Resumed, and Peg Tube removed<\/p>\n Upon admission resident was bedbound requiring total assistance; he was NPO- medications and nutrition provided via PEG tube; he also had dysphagia and dysphonia with tracheostomy tube in place. Resident benefitted extensively from skilled physical, occupational, speech, and respiratory therapy and the multidisciplinary approach to care. His strength improved greatly and soon he was able to transfer off TCU to step down and shortly after was ambulating independently in the halls with a walker.<\/p>\n 59-year-old male admitted to Woodbine Rehabilitation & Healthcare Center from Bridgepoint Hospital National Harbor with Acute Hypoxemic Respiratory Failure secondary to Covid 19. He suffered from complications from Pseudomonas Pneumonia, Hypertension, and Sacral Decubitis. He has a trach and PEG tube in place at the time of admission. He was bed-bound requiring total assistance.<\/p>\n Patient successfully weaned from ventilator 2 weeks into stay and trach weaned on week three. He benefitted extensively from skilled physical, occupational, speech, and respiratory therapy and the multidisciplinary approach to care. His strength improved and quickly he was ambulating 50 feet with a roller walker independently in the halls. <\/p>\n Resident benefitted extensively from skilled physical, occupational, speech, and respiratory therapy and the multidisciplinary approach to care. His strength improved and quickly he was ambulating 50 feet with a roller walker independently in the halls.<\/p>\n Patient was determined to return home as quickly as possible. The team worked to develop a personalized care plan to free him of ventilator as quickly as possible. The patient expressed sincere gratitude to the staff at Woodbine.<\/p>\n “One thing I have learned from the team is to be patient and wait for the Lord\u2019s time. Whenever I would get anxious, they would say for me to relax. Now that I am going home, I can relax well.”<\/p>\n This is a 61-year-old female admitted to Woodbine Rehabilitation & Healthcare Center from Virginia Hospital Center after a long course of Pneumonia and Acute Hypoxemic Respiratory Failure Secondary to Covid 19. She has a history of Pulmonary Fibrosis. She has a trach and PEG tube in place at the time of admission. She was bed bound requiring total assistance.<\/p>\n Wound Healing- DTI to Heels Ventilator Weaning Under the Direction of Pulmonologist, Dr. Alkhouri Resident benefitted extensively from skilled physical, occupational, speech, and respiratory therapy under the multidisciplinary approach to care. Patient was moderate assist of 2 for bed mobilities. Her strength improved. Upon Discharge, she was moderate assistance of one to roll and to sit EOB for 20 minutes.<\/p>\n She returned home with family and is followed in the community by her PCP, Dr. J Ortiz Perez.<\/strong><\/p>\n This unfortunate 52-year-old female admitted to Woodbine Rehabilitation & Healthcare Center from Henrico\u2019s Doctors Hospital with Vent Dependent Respiratory Failure S\/P Overdose and Aspiration Pneumonia. She was admitted with a trach and PEG tube in place.<\/p>\n Maintain Proper Nutrition- Wean Peg Tube and Advance diet as tolerated- MET<\/strong> Ventilator Weaning- MET<\/strong> Successfully weaned from ventilator 2 weeks into the stay and trach weaned on week three. FEES testing with Thin Liquids and Regular Diet Advancement; Peg Tube removed<\/strong><\/p>\n Resident benefitted extensively from skilled physical, occupational, speech, and respiratory therapy. Daily Collaboration with the Care Team assisted to #CareSafely for her allowing for a rapid discharge to home. Her strength improved daily, and progress was made. She was discharged to home ambulating 20 feet with a Roller-walker stand by assist.<\/p>\n The Teams Multi-Disciplinary Approach to Care Allowed for an Expedited Successful Discharge to home.<\/strong><\/p>\n She returned home with her husband and will continue to be followed by PCP in the community, Dr. Manu Gadani.<\/p>\n Pulmonary Case Study A 71 year old female was admitted to Woodbine Rehabilitation & Healthcare Center following a stay at Vibra Richmond with Vent Dependent Respiratory Failure as a result of Sepsis pneumonia and COPD Exacerbation. She has a history of Heart Failure, Hypertension, Hyperlipidemia and Anemia. She was admitted to Woodbine requiring a Ventilator, […]<\/p>\n","protected":false},"author":1,"featured_media":198,"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
\nPulmonary Case Study <\/h3>\n
Nursing Interventions:<\/h3>\n
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Respiratory Interventions:<\/h3>\n
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Therapy:<\/h3>\n
Accomplishments:<\/h3>\n
\nPulmonary Case Study <\/h3>\n
Nursing Interventions:<\/h3>\n
\n
Respiratory Interventions:<\/h3>\n
\n
Accomplishments:<\/h3>\n
Therapy:<\/h3>\n
\nPulmonary Case Study <\/h3>\n
Nursing Interventions:<\/h3>\n
\n
Respiratory Interventions:<\/h3>\n
\n
Accomplishments:<\/h3>\n
Therapy:<\/h3>\n
\nPulmonary Case Study <\/h3>\n
Nursing Interventions:<\/h3>\n
\n
Respiratory Interventions:<\/h3>\n
\n
Accomplishments:<\/h3>\n
Therapy:<\/h3>\n
\nCOVID 19\/Pulmonary Case Study <\/h3>\n
Nursing Interventions:<\/h3>\n
\n
Respiratory Interventions:<\/h3>\n
\n
Accomplishments:<\/h3>\n
Therapy:<\/h3>\n
\nCOVID 19\/ Pulmonary Case Study <\/h3>\n
Nursing Interventions:<\/h3>\n
\nMaintain Proper Nutrition- Wean Peg Tube and Advance PO trials
\nTreat Infection- IV Antibiotics for Pseudomonas Pneumonia
\nMonitor Labs and Vitals<\/p>\nRespiratory Interventions:<\/h3>\n
\nMaintain Patent Airway and Trach Wean trials under direction of Pulmonologist, Dr Khouri
\nMaintain Adequate Oxygenation
\nSecretion Management
\nAspiration Precaution- Enteral Nutrition on admission
\nBronchodilatation<\/p>\nAccomplishments:<\/h3>\n
\nPatient Successfully Weaned from Ventilator 2 weeks into stay and trach weaned on week three, Wounds Resolved, Advanced to PO Diet with Regular and thin liquid resumed and Peg Tube removed.<\/strong><\/p>\nTherapy:<\/h3>\n
\nPulmonary Rehab Case Study<\/h3>\n
Nursing Interventions<\/h3>\n
\nTreat Infection- Pseudomonas Pneumonia- Resolved<\/strong>
\nMonitor Labs and Vitals
\nMaintain Safety<\/p>\nRespiratory Interventions<\/h3>\n
\nMaintain Patent Airway and Trach Wean trials under the direction of Pulmonologist, Dr. Khouri- MET<\/strong>
\nMaintain Adequate Oxygenation- MET<\/strong>
\nAspiration Precautions- downgraded diet- Advanced<\/strong> <\/p>\nAccomplishments:<\/h3>\n
Therapy:<\/h3>\n
\n","protected":false},"excerpt":{"rendered":"