Cardio-Pulmonary-Orthopedic Case Study
77-year-old female admitted to Coral Harbor Healthcare and Rehabilitation Center after a 5 day hospitalization at Jersey Shore University Medical Center for the treatment of Two Part Displaced Fracture of the Right Humerus, Pulmonary Fibrosis, Diastolic Heart Failure and AFIB.
Medication Management: Digoxin, Lasix, Eliquis and Aspirin
Monitor Fluid Balance: Daily weight Monitoring; Monitor for recurrent Pleural Effusion
Maintain Nocturnal Support: Trilogy AVAPS-AE at HS
Maintain Adequate Oxygenation/Titrate as tolerated: Patient O2 weaned from 4L on admission to 2L on Discharge
Reviewed weekly w Interdisciplinary Care Team in Cardiac IDT- lead by cardiologist, Dr. Aaron
Patient was followed weekly in the center by Shore Pulmonology for Pulmonary Fibrosis
Upon admission, Patient required maximum assistance with all self-care tasks and was Wheelchair Level. She was receiving occupational and physical therapy 5 times a week for 3 weeks. Upon discharge, she remained wheelchair level. Sitting tolerance 6-8 hours Daily.
Patient was followed by Dr. Odejoi both in the hospital as well as her STR stay. After a 19-day LOS in STR, she returned home with 24-hour caregivers. She has Trilogy Nocturnal Support for HS which she wore chronically prior to this hospitalization.