Case Studies

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.

Nursing Interventions

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

Therapy

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.


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