David H.

David H.

David, a 65-year-old male, was admitted with acute respiratory failure status post pneumonia and septic shock. When admitted to the hospital, David had a tracheostomy requiring mechanical ventilation and a Percutaneous Endoscopic Gastrostomy (PEG) tube for nutrition. He was dependent for all mobility and required frequent rest breaks due to anxiety and inability to maintain an appropriate respiratory rate.

David was followed closely by our Pulmonary Medicine Associates (PMA) group, physicians, nursing, respiratory therapy team, dietitian, rehab team, and case management. During his stay, all staff were amazed with this quick progress. He was able to wean from the ventilator to the point where he was decannulated with no supplemental oxygen. David was eager to work with PT, OT, and ST from day one. At first he was not tolerating sitting at edge of bed (EOB) with therapy, but within a week he was able to transfer into a wheelchair and go to the gym to begin standing. He also worked daily with ST to work on his swallow.

David made significant progress in all areas. At the time of discharge, he was able to transfer from his bed to a chair and bedside commode independently, walk 150 ft. using a front wheeled walker, and climb 20 stairs all with supervision from the therapist or nursing staff. He was participating in activities of daily living such as grooming, dressing, and toileting as modified independent. David improved in his swallow abilities and was able to start an oral diet, having the PEG tube removed.

Our case management team worked diligently to discharge David home with Home Health. He lives with his family and has a great support system as he transitions home. We wish David the best and will miss his eagerness and motivation; he was an inspiration to other patients.