Pulmonary
Case Study

81-year-old female admitted to Northampton Post Acute from St. Luke’s Anderson Campus with admitting diagnosis of Sepsis Pneumonia with a history of Chronic Respiratory Failure and Diabetes.

Nursing Interventions

Treat Infection – Pneumonia
Monitor Labs and Diagnostics – BMP, BNP, CBC, CXR
Vital Sign Monitoring
Medication Management – Lasix, Metoprolol, Eliquis, Lyrica, Tessalon, Potassium

Respiratory Interventions – Onsite Respiratory Therapy

Deep Breathing and Cough
Maintain Adequate Oxygenation – Admitted wearing 4 lpm; Chronic oxygen regimen of 2 lpm via NC at home
Pacing and Endurance Training

Under the Direction of our In-House Physiatrist, Dr. Yasmeen Bhatti, the clinical team guided her stay. On Discharge patient was able to ambulate 40 feet with RW and SBA. Our Respiratory therapist worked to get the patient’s supplemental oxygen back to baseline for use at home.

Patient returned home with her daughter. She will continue to follow with PCP, Dr. Gary Wright and Revolutionary HHA in the community.

Orthopedic
Case Study

88-year-old female S/P right humerus fracture and a history of diabetes and dementia admitted to Northampton Post-Acute Rehabilitation and Healthcare Center from Lehigh Valley Muhlenberg Hospital Campus. She admits to the center NWB to RUE.

Nursing Interventions

Maintain Nutrition – Diabetic Diet
Maintain Safety – Fall History
Monitor Labs – CBC, BMP; Anemia
Vital Sign Monitoring – hypotensive history
Medication Management – Losartan, Amlodipine, Aspirin, Aricept, Namenda

Under the Direction of our In-House Physiatrist, Dr. Yasmeen Bhatti, the therapy team worked collaboratively w clinical to improve strength and balance using platform walker to return to baseline mobility.

Due to the patients need for frequent cognitive re-direction the patient and family decided Northampton Post Acute is the ideal place for her to stay #NexttoHome. She enjoys activities and continues to work with the entire Northampton Post Acute team.

Cardiac/Pulmonary
Case Study

58-year-old female admitted to Northampton Post-Acute Rehabilitation and Healthcare Center from St. Luke’s Warren Campus with admitting diagnosis of Acute Respiratory Failure, Acute on Chronic Kidney Failure, Sepsis and Encephalopathy. Patient has a history of Diabetes and OSA.

Nursing Interventions

Monitor Fluid Balance – 1500ml fluid Restriction, Increased Weight
Monitoring
Medication Management – Lisinopril, Torsemide, Eliquis, Humalog
Wound Healing – Left heel

Respiratory Interventions – Fulltime Onsite Respiratory Therapy

Maintain Nocturnal Support – Bipap at HS and PRN
Maintain Adequate Oxygenation – Chronic oxygen use at 3 lpm via NC
Pacing and Endurance Training

Under the Direction of our In-House Physiatrist, Dr. Yasmeen Bhatti, the clinical team guided her stay without any unplanned hospital discharges. Our Full time Respiratory therapist assisted in qualifying and securing Nocturnal Support for use at home.

Patient worked hard to gain the strength required to return home. Patient returned home independently ambulating 150 feet with a rolling walker. Nocturnal Support provided by Lincare. She will continue to follow with PCP, Dr. Drumm in the community.

#BreatheEasy…Think Northampton Post Acute

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