Pawel, a 37-year-old male, was admitted with acute respiratory failure following an anoxic brain injury.
At the time of his admission, Pawel had a tracheostomy and was on full ventilator support. He had difficulty maintaining an alert state for therapies and had limited ability to follow directions or respond appropriately when spoken to. He was very weak and required maximum assistance with two to three people for all mobilization such as rolling left to right or sitting up on the side of the bed. Pawel was unable to eat or drink by mouth and had a Percutaneous Endoscopic Gastrostomy (PEG) tube for nutrition.
Under the guidance of the interdisciplinary team, Pawel made significant progress. He was weaned from the ventilator, his trach was removed, and he was able to breathe independently without additional oxygen. Pawel worked very hard to progress in all areas of rehab. At the time of discharge, he was able to walk 150 ft. using a front wheeled walker with moderate assistance from the therapists. He was safely participating in activities of daily living with moderate assistance and was transferring to a bed side commode with nursing. Pawel was also cleared to begin a regular texture and thin liquid diet which he tolerated with no signs of aspiration and no longer required PEG tube feedings. His cognitive-linguistic abilities all significantly improved as well.
Our case management team identified Pawel as an excellent candidate for acute rehab and he was observed by Sutter Rehab Institute (SRI) during his stay. When he was medically stable and able to tolerate the intense level of rehab, he was discharged to SRI to continue his recovery.Posted By