Teresa, a 68-year-old female, was admitted with acute respiratory failure secondary to pneumonia. When admitted, she was nonverbal due to her tracheostomy and presented with extreme weakness, dysphagia, and confusion. Teresa had a tracheostomy requiring mechanical ventilation and a PEG tube for nutrition. She required max assistance with two people to sit up on the edge of the bed. Her confusion affected her safety awareness impairing her decision making and participation in therapy. She spent several days in critical care.
During that time, Teresa was followed closely by our Pulmonary Medicine Associates (PMA) group, physicians, nursing, respiratory therapy team, dietitian, rehab team, and case management. Immediately, Teresa made remarkable progress in all areas. At the time of discharge, she required minimal assistance with all mobility including transferring to the wheel chair and bed side commode. She was able to walk 50 ft. using a front wheeled walker with minimal assistance. She was participating in activities of daily living such as grooming, dressing, and toileting with stand-by assistance. Teresa also was able to start eating by mouth just days after admission with the help of our Speech Therapist. She eventually graduated to a regular diet with no safety restrictions. Teresa also met her respiratory goals. She was eventually capped and decanulated days before discharge, and tolerating room air.
With the help of the Vibra Hospital of Sacramento team and Teresa’s motivation, our case management team was able to have Teresa discharged safely to a skilled nursing facility where she can continue to work with therapy in order to safely discharge her home. We wish her well with her further progress!Posted By