Phyllis, a 59-year-old female, was admitted with acute respiratory failure secondary to acute systolic heart failure. When admitted to the ICU, she presented with extreme weakness, dysphagia, and confusion. Phyllis had a tracheostomy requiring mechanical ventilation and a nasal gastric tube for nutrition. She required max assistance with two people to sit up on the edge of the bed. She spent several days in the ICU where she was weaned off the ventilator, and beginning to participate in therapies.
Phyllis was followed closely by our Pulmonary Medicine Associates (PMA) group, physicians, nursing, respiratory therapy team, dietitian, rehab team, and case management. Phyllis made remarkable progress in all areas of rehab. At the time of discharge, she was modified independent with all mobility. She was able to walk 150 ft. using her personal front wheeled walker, and climb 10 stairs all with minimal assistance from the therapist or nursing staff. She was participating in activities of daily living such as grooming, dressing, and toileting with stand-by assistance. Phyllis was able to start eating by mouth just 5 days after admission with the help of our Speech Therapist and with her dedication outside of therapy to exercise.
Our case management team worked diligently to have Phyllis discharged safely to a lower level of care. Phyllis was discharged to a board and care where she can have the supervision and assistance she needs but giving her the independence she desires. We wish her well with her further progress!Posted By