{"id":4972,"date":"2021-02-03T01:33:23","date_gmt":"2021-02-03T01:33:23","guid":{"rendered":"https:\/\/meadowparkrehabhc.com\/?page_id=4972"},"modified":"2021-02-03T01:43:04","modified_gmt":"2021-02-03T01:43:04","slug":"case-studies","status":"publish","type":"page","link":"https:\/\/meadowparkrehabhc.com\/case-studies\/","title":{"rendered":"Case Studies"},"content":{"rendered":"

Cardiac Rehab Case Study<\/h3>\n

90-year-old male patient of hospitalist admitted to Meadow Park Healthcare and Rehabilitation Center from St. Agnes Hospital. Patient Admitted with Generalized Weakness, S\/P Fall and Interrogation of newly placed AICD (4 days earlier) reveals Device Fired due to Rapid Atrial Rate.<\/p>\n

Nursing Interventions<\/h3>\n

Monitor Labs and Medication Adjustment<\/strong>– elevated BUN and Creatinine- IV Fluids started.
\nMonitor Vitals and Labs<\/strong>
\nMedication Management<\/strong>– Eliquis 2.5mg BID, Amlodipine 5mg Daily
\nAspiration Precautions<\/strong>– Mechanical Soft\/ Nectar Diet on Admission- Upgraded on DC
\nMaintain Safety<\/strong><\/p>\n

Reviewed weekly with our in-house care team during Cardiac IDT led by Cardiologist Dr. Chopra; Dr. Chopra adjusted and Ultimately Discontinued Diuretic Therapy based on lab results Patient also followed by in house Physiatrist, Dr. Lepre while at Meadow Park.<\/p>\n

Therapy<\/h3>\n

Upon admission, Patient required maximum assistance with all self-care tasks and was able to ambulate 10 feet with roller walker and maximum assist. He was receiving occupational and physical therapy 5 times a day for three weeks. Upon discharge, he was able to ambulate 10 feet with a rolling walker and has a standing tolerance of 60 seconds with minimal assist. Upon Discharge, He continued on a downgraded diet due to reaching max potential secondary to dementia.<\/p>\n

Patient returned home with his wife and his daughter after 23 days LOS in STR. In-house PCP, Dr. Ahmed made suggestion for Seasons Hospice at home. Patient set up upon discharge to home. Patients PCP is Dr. Gregory Levickas in the community.<\/p>\n

\n

Cardiac\/Neuro Outcome Case Study<\/h3>\n

61-year-old female (T.B.) admitted to Meadow Park Healthcare and Rehabilitation Center from Good Samaritan Hospital with admitting diagnosis of Acute Kidney Injury, LLL Pneumonia and Atelectasis. Patient has a history of Epilepsy, Dysphagia, Hypertension & Right sided Hemiplegia from prior CVA.<\/p>\n

Nursing Interventions:<\/h3>\n

Aspiration Precautions<\/strong>\u2013 Patient on downgraded diet
\nMaintain Pain Free-
\nMedication Management<\/strong>– Coreg, Atorvastatin, Vimpat, Lamictal, Depakote;
\nFollowed by our cardiologist Dr. Chopra in center on Cardiac rounds
\nMaintain Safety while improving overall functional mobility<\/p>\n

Therapy:<\/h3>\n

Patient was followed by our in-house physiatrist, Dr. Scott Lepre which optimized pain management allowing patient to physically advance and return home. Upon admission, Patient required 2-person assist due to right hand contractures and lower extremity contractures and was on a Pureed and Nectar Diet. Upon discharge, she was ambulating up to 200 feet with a quad cane and contact guard, requiring frequent rest breaks. Patient progressed and diet was advanced to Mechanical Soft and thin liquids. Patient returned home with her daughter after a 28 days LOS in STR. She has 36 hours of Waiver Services in the community and will follow up with Dr. Wennifer Wiggins, PCP in the community.<\/p>\n

\n","protected":false},"excerpt":{"rendered":"

Cardiac Rehab Case Study 90-year-old male patient of hospitalist admitted to Meadow Park Healthcare and Rehabilitation Center from St. Agnes Hospital. Patient Admitted with Generalized Weakness, S\/P Fall and Interrogation of newly placed AICD (4 days earlier) reveals Device Fired due to Rapid Atrial Rate. Nursing Interventions Monitor Labs and Medication Adjustment– elevated BUN and […]<\/p>\n","protected":false},"author":1,"featured_media":166,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"ngg_post_thumbnail":0,"footnotes":""},"acf":[],"yoast_head":"\nCase Studies - Meadow Park Rehabilitation & Healthcare Center<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/meadowparkrehabhc.com\/case-studies\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Case Studies - Meadow Park Rehabilitation & Healthcare Center\" \/>\n<meta property=\"og:description\" content=\"Cardiac Rehab Case Study 90-year-old male patient of hospitalist admitted to Meadow Park Healthcare and Rehabilitation Center from St. Agnes Hospital. 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