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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.
This 56-year-old female admitted to Montgomery Subacute and Respiratory Center following a stay at Suburban Community Hospital with Vent Dependent Respiratory Failure as a result of Sepsis Pneumonia. She has a history of CVA, Hypertension, Tachycardia and Anemia. She is admitted requiring a ventilator, Tracheostomy and PEG tube after requiring several months of Hospital Level Care.
Maintain Proper Nutrition – Wean Peg Tube and Advance diet as tolerated – PROGRESSING
Wound Healing – Peg Tube Site – RESOLVED
Treat Infection – Pneumonia; IV Meropenem – 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 – PROGRESSING
Aspiration Precautions – downgraded diet – Diet advancing
The Teams Multi-Disciplinary Approach to Care has allowed for great progress. The Team continues to work on advancing diet and building patients endurance. The patients anticipated discharge is to return home with her husband and the support of Home Health.
This 75-year-old male admitted to Montgomery Subacute and Respiratory Center following a complicated stay at Fox Chase Cancer Center and Temple Hospital with Vent Dependent Respiratory Failure, Dysphagia, Cellulitis and Esophageal Cancer. He is admitted requiring a ventilator, Tracheostomy, and a PEG tube after requiring several months of Hospital Level Care.
Parental Nutrition – PEG TUBE for Enteral Feeds
Treat Infection – Cellulitis – Keflex
Wound Care – Upper Back – Resolving
Medication Management – Eliquis, Amiodarone, Apixaban, Scopolamine
Monitor Labs and Vitals – CBC, BMP, Thyroid, Lipids, CMP
Ventilator Weaning – GOAL MET
Maintain Patent Airway – Wean as tolerated – GOAL MET
Maintain Adequate Oxygenation – Wean as tolerated – GOAL MET
Improvement in Strength achieved for patient to return home with his wife. Patient discharged ambulating 200 feet x 2 with rollator and Supervision.
The Patient discharged home with his wife and continues to be followed in the community by PCP Dr. Orli Gal and Mercy Home Health.
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.
