This 56-year-old female admitted to Montgomery Subacute and Respiratory Center following a stay at Jefferson Torresdale Hospital with Vent Dependent Respiratory Failure as a result of Sepsis Pneumonia and Acute Renal Failure; S/P Kidney transplant in 2015. She is admitted requiring a ventilator, Tracheostomy and PEG tube after requiring several months of Hospital Level Care.
Wound Healing – Sacrum – RESOLVED
Parental Nutrition – Upgraded to full PO Diet- PEG TUBE REMOVED RESOLVED
Treat Infection – Bacteremia; IV Avycaz – RESOLVED
Maintain Patent Foley – Advance Voiding Trials – Successful; Foley Removed; RESOLVED
Monitor Labs and Vitals
Ventilator Weaning – GOAL MET
Maintain Patent Airway – Wean as tolerated – GOAL MET
Maintain Adequate Oxygenation-Wean as tolerated – GOAL MET
Diuretic Titration, Electrolyte Monitoring, Iron Studies, and ESA Therapy
The Teams Multi-Disciplinary Approach to Care has allowed the patient to gain the strength to ambulate 250 feet and ascend and descend 15 stairs. She discharged home with her husband and continues to be followed by PCP Dr. Wheeler Maxwell, Delaware Valley Nephrology and Home Health.