Pulmonary Rehab
Case Study

75-Year-old female admitted to Capitol Rehabilitation and Healthcare Center from Penn State Holy Spirit Hospital with admitting diagnosis of Severe COPD, UTI and Anemia. Patient has a history of CVA, Hypertension and Lung Cancer.

Nursing Interventions

Treat Infection – Ceftriaxone 1 gram IV for UTI
Monitor Labs and Vitals
Medication Management – Antibiotic, Amlodipine

Respiratory Interventions – Capitol’s Onsite Respiratory Therapist
Maintain Adequate Oxygenation – wean oxygen as tolerated
Bronchodilation – Budesonide, Incruse Ellipta
DB&C Exercises

Therapy

Upon admission, Patient required minimal assistance with all self-care tasks and was able to ambulate 15 feet with roller walker and minimal assist. She was receiving occupational and physical therapy for 5 times a week. Upon discharge, she was able to ambulate 30 feet w roller walker and contact guard.

Patient was discharged to the Terrace’s Assisted Living after 14 days LOS in short team rehab. She continued to follow w Bayada Home Health Services and is new to Oxygen therapy. Oxygen therapy secured on Discharge at 2 lpm via nasal cannula.

#BreatheEasy… Think Capitol

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