Pulmonary Rehab Case Study
60-year-old male (S.P.) admitted to Canterbury Healthcare and Rehabilitation Center after a stay at Henrico Doctor’s Pavilion Parham S/P Left sided C-Spine Mass with severe Cord Compression and spinal surgery. This patient was admitted with a Tracheostomy Tube “with no intention of removing due to ongoing need from overall weakness”.
Maintain Patent Airway – wean as tolerated – DONE
Monitor Fluid Balance – Monitor Lasix 80 with Potassium Supplementation
Monitor Labs – BMP with GFR, CBC, BMP
Maintain Pain-Free – Baclofen, Celexa, and Voltaren Gel
Advance Diet – Diet advanced and ultimately now on regular and thin liquids
Maintain Patent Airway and Educate Patient on care of airway
• Maintain Adequate Oxygenation – Wean oxygen as tolerated
• Bronchodilitation – Incruse, Ellipta, Wixela and Guaifenesin
Under the Leadership of our In-House Pulmonologist, Dr. Kenneth Haft, and the day-to-day collaborative care inclusive of our full-time respiratory therapist, the patient gained strength, and the tracheostomy tube was removed.
Patient continues to make gains in therapy and is motivated by his accomplishments. He has voiced his appreciation in the caring staff of Canterbury and continues to work hard daily in hopes of returning home. He enjoys the fine dining and activities offered at Canterbury Rehabilitation Center.
Pulmonary Rehab Case Study
77-year-old male admitted to Canterbury Healthcare and Rehabilitation Center after a stay at Encompass Rehab and Vibra Hospital S/P Acute Respiratory Failure with Hypoxia, Cardiogenic Shock, Dysphagia, Laryngeal Stenosis and history of COPD and OSA.
Medication Management-Wixela, Atorvastin and Guafenisin
Monitor Fluid Balance- Monitor Lasix 80 BID w Potassium Supplementation
Monitor Labs- BMP, CBC, CMP
DVT Prophylaxis- Plavix and Coreg
Maintain Patent Airway and Educate patient on care of airway
Maintain Adequate Oxygenation- Wean oxygen as tolerated
Bronchodilitation- Incruse, Ellipta, Wixela and Guaifenesin
Under the Leadership of our In-House Pulmonologist, Dr. Kenneth Haft, and the day-to-day care inclusive of our full-time respiratory therapist, the patient improved and was able to return home. Patient received one on one education from our respiratory therapist and learned the ability to self-perform trach care and suctioning.
Patient returned home ambulating 200 feet with roller walker and supervision. He continues to follow with James River Home Care and uses Adapt Health for his Trach supplies at home. He will continue to follow in the community with Pulmonologist, Dr. Haft.
COVID Recovery Case Study
91-year-old male (R.Z.) admitted to Canterbury Healthcare & Rehabilitation Center after a 3 day stay at Hunter Homes McGuire Hospital S/P fall and UTI. History of COPD, CHF & Bladder/Lung Cancer. Unfortunately, several days into his stay he was found to be weak, hypoxic and Covid-19 positive.
Monitor Vitals – Monitoring of Hemodynamics & Encouraged Hydration
Medication Management – Dexamethazone, Vitamin C and Zithromax
Treat Infection – IV Antibiotic Therapy for UTI – 2 gram Ceftriaxone
DVT Prophylaxis – Eliquis
Monitor Fluid Balance – Lasix 40 mg daily
Maintain Adequate Oxygenation – admitted on home treatment regimen of Oxygen at 3 lpm, Increasing to 10 lpm via Oxymizer throughout his stay.
• Bronchodilitation- Incruse Ellipta, Wixela and Guaifenesin
• Aspiration Precautions
• Deep Breathing and Cough- Incentive Spirometry
Full Time Respiratory Therapy oversight assisted with treatment in place and close clinical team collaboration.
Patient is recovering safely avoiding any unplanned hospitalizations and has returned to his chronic oxygen therapy regimen of 3 lpm. The patient continues to be provided care at Canterbury that is #NextToHome and to work toward his final discharge goal as the team works to #CareSafely and guide his stay.