Premium Essay

Pulmonary Rehab Home Recommendations

In:

Submitted By kkennedyshaw
Words 2053
Pages 9
PULMONARY REHABILITATION HOME RECOMMENDATIONS

CREATED FOR:

Medications:
It is important to take your medications as directed for maximum benefit. Your prescriptions should provide you with an adequate supply for a month, with one refill. It is important for you to see your primary physician for further follow-up and prescription refills.
Two vaccines are very important for people with chronic lung disease:
1. Pneumococcal Vaccine You should have this vaccine as recommended by your physician.
2. Influenza Vaccine You should plan to have this vaccine every year in the fall.

Oxygen Therapy:
Your oximetry level at rest was _ % without supplemental oxygen.
While walking at a comfortable pace using pursed-lip breathing your oximetry was _ %.
These values indicate that supplemental oxygen is not needed at this time.

Keeping Your Airways Clear:
Prevention of lung infections will be very important for you because it may cause further damage to your lungs. It is unlikely that you will be able to avoid infection entirely, but you can have less frequent infections and minimize their negative effects by taking the following precautions: • Avoid smoke and breathing other inhaled irritants into your lungs. • Avoid people who have respiratory infections, and stay away from large crowds in the fall and winter (flu season). • Get your flu shot each fall. • Build up your immune system and resistance by getting enough rest and sleep; eating the right foods, taking appropriate vitamin and mineral supplements; avoid or minimize the use of alcoholic beverages and learning to manage stressful experiences in order to maintain a well-balanced state of body and mind. • Protect yourself from extreme temperature variations, dampness and drafts especially in the evening and late hours when you are tired. • Keep your

Similar Documents

Premium Essay

Tuesday Heart Failure Summary

...failure patients because of the patient volume and complexity of these patient’s needs. She is very cautious in the management of these patients and shows steady progress towards the professional goals for the enhancement of patient care. She collaborates with different attendings of the Heart Failure team in a professional manner. The Tuesday heart failure clinic is set up for high acuity patients, like patients with end stage and advanced heart failure who will be evaluated for heart transplant/ VAD; patients on home/ palliative/ hospice inotrope therapy; patients with VAD; post heart transplant patients; and patients with refractory heart failure requiring specialized interventions. She coordinates the care of more than 30 heart transplant patients, 5 LVAD patients, 10 patients on IV home inotrope -Milrinone and 3 patients undergoing transplant evaluation and follow up of more than 40 patients with advanced heart failure in the Tuesday clinic. Patients who are home inotrope dependent are followed weekly through phone calls for their weekly laboratory results and monitored very closely for their worsening of symptoms and to reduce the readmission of these patients. Wednesday and Friday heart failure clinic is set up for heart failure patients with ejection fraction < 35% and moderately symptomatic with physical activity. Patients who need additional monitoring for their diuresis and renal management have been followed weekly over phone calls or by walk- in- visits to reduce hospitalization...

Words: 1538 - Pages: 7

Premium Essay

Case Summary: Medical Case Management

...transferred to Select Specialty Hospital for continued rehab and care. Determination of exact treatment plan is to be determined. ADDITIONAL CONTACTS Select Specialty Hospital, 401 South Ballenger Hwy, Flint MI 810-342-4545 ATTENDING PHYSICIANS Name: Select Specialty Hospital Address: 401 South Ballengher Hwy, Flint MI Phone: 810-342-4545 Last office visit: transferred for inpatient care Next office visit: prn MEDICATIONS Prior medications are unknown Current medications taken by Ms. Perez are the following: Albuteral Sulfate Bumetanide Ceftriaxone Enoxaparin Escitalopram Oxalate Famotidine Gabapentin Ipratropium Levothyroxine Metoclopramine valproate Ms. Perez is reported to be allergic to Sulfa and Penicillins. DURABLE MEDICAL EQUIPMENT Need is to be determined. ADL’S Ms. Perez is totally dependent on supportive care. MEDICAL/SURGICAL HISTORY I have limited information on prior medical or surgical conditions. Past Medial history listed is: Arthritis Depression Fibromyalgia Surgical history listed was a gastric bypass and reversal through the U of M. It is unknown if Ms. Perez smoke, uses alcohol, family denied drug use EDUCATIONAL HISTORY History is unknown EMPLOYMENT HISTORY Per son Ms. Perez did not work. CURRENT EMPLOYER CONTACT INFORMATION N/A WORKERS’ COMPENSATION HISTORY Unknown FAMILY/SOCIAL/FINANCIAL FACTORS Mr. Perez said they have no steps to enter the home or when inside the home. Emergency Contact –Josuha Perez, son 412-419-8628...

Words: 993 - Pages: 4

Premium Essay

Organizational Leadership and Interprofessional Team Development

...Organizational Leadership and Inter-professional Team Development The Patient and Family Care Organizational Self-Assessment Tool (PFCC) for current practice setting will be completed as well as the organization in its entirety. The results will be analyzed based on a one to five scoring system with one being the lowest. The areas where the organization could improve its PFCC care will be discussed. The analysis of how business practices and regulatory requirements impact patient family centered care. A strategy will be created that includes goals and an operational plan to increase PFCC of the organization by improving one of the gaps that’s identified. I will discuss financial implications that this strategy may have on the organization. I will identify potential members for the multidisciplinary team who could assist in improving the identified gap. I will discuss the purpose and scope of the team to include the member’s roles, and importance of diversity within the team. The team will focus in a meaningful way using self-assessment, and awareness of self-reflective techniques. I will use PDAC to monitor whether the strategy was effective in increasing patient and family centered care. Self-Assessment Tool The PFCC tool was used to evaluate Medical Center Health System (MCHS) see attached. Setting Description Medical Center Hospital System (MCHS) is an acute care, not for profit regional 402 bed Level II Trauma Center, located in West Texas of the...

Words: 10379 - Pages: 42

Premium Essay

Total Knee Replacement Research Paper

...year nationally, with surgical-site infections accounting for about a third of those costs (Chedekel, 2014, para. 24). Steps 4 and 5: Determine Responsibility of Team Members Each of the interdisciplinary team members involved plays an important role in making the pre-op class possible. The Orthopedic surgeon is able to explain the surgical procedure and answer any questions the patients may have. The physical therapist will educate on what to expect during the post-op recovery period, exercises and pain management techniques. The case manager will provide discharge planning, medical equipment upon discharge and arranging possible extended rehab therapy. The charge nurse will provide a familiar face on the unit encouraging the recovery process. The staff nurse will educate on fall prevention, pain management, preventing infection and pulmonary embolisms. Evidence Steps 6 and 7: Conduct Internal/ External Search for Evidence and Appraisal of Evidence The evidence that I found for my project included literature search, expert opinion and clinical expertise. The evidence based guidelines incorporate the new mandatory pre-op class with the daily work-flow of the unit. Nurses would continue the education process learned in pre-op class, reinforce pain management and promote infection prevention. By attending the mandatory class patients will be more aware of factors that can influence their recovery. Quality improvement data will show an improvement in patient satisfaction scores...

Words: 1593 - Pages: 7

Premium Essay

Medical Reasearch

...Case 1: Is It Permissible to Shut Off this Pacemaker? The following case is based on a real clinical dilemma that led to a request for an ethics consultation.  Some details have been changed to preserve patient privacy.  The goal of this column is to address ethical dilemmas faced by patients, families and healthcare professionals, offering careful analysis and recommendations that are consistent with biblical standards.  The format and length are intended to simulate an actual consultation report that might appear in a clinical record and are not intended to be an exhaustive discussion of the issues raised. Case: Dorthea is a 69-year-old woman who was well and active until about five years ago when she developed diabetes.  She was admitted to the hospital 18 months ago with recurrent fainting and was found to have an intermittent transient heart block1.  She reluctantly consented to insertion of a permanent pacemaker.  Three months ago her kidney function was found to be diminished to about 10% of normal, probably caused by her diabetes.  It was expected that she would soon require dialysis.  However, her kidney function has since improved so that dialysis will not likely be needed for some time.  She has since said she would refuse dialysis even if it were needed, and she has refused treatment of her profound anemia.  She did consent to a colonoscopy last month to see if she had cancer (malignant change was found in one small area, presumably cured)...

Words: 5146 - Pages: 21

Premium Essay

Rup 1

...RUP 1 Project The National Council of State Boards of Nursing (NCSBN) and the American Nurses Association (ANA) shall be utilized for this paper in describing their differences in function. Two examples from the NCSBN code of ethics will be provided and how they have influenced my practice. I will choose four traits from the ANA and discuss them in reference to an interdisciplinary team of healthcare professionals. A Nursing Theory will be discussed as well as a nursing figure that is important me. Two safeguards will be presented in a scenario from my nursing experiences. The American Nursing Association (ANA) was originally founded and named the Nursing Association Alumnae in 1896; it became the ANA in 1911. It is a professional organization devoted to the advancement and protection of the nursing profession. The ANA establishes standards of nursing practice, promotes rights of registered nurses (RN) in the workplace and advances the economic health and general welfare of RNs. According to the ANA, nursing is the protection, promotion and optimization of heath and abilities, it prevents illness, injury and alleviates suffering through diagnosis and treatment of human response and advocates the care not only of the individual but the whole family, community and populations. The ANA has three sub organizations: 1. American Academy of Nursing-it serves the public and nursing profession by the advancement of health policies and practices through generation, synthesis...

Words: 2627 - Pages: 11

Free Essay

Case Study

...Case Study Patient age range: Mid 70’s Allergies: enalapril (hives); iodine containing compounds (hives) Diet: Regular Diet Activity: Skilled Therapy Mobility Group: Ambulate to bedside commode with assist of 2. Diagnosis: Arterial Occlusion; Thrombosed Popliteal Aneurysm (acute obstruction) Presenting Symptom(s): The patient’s chief complaint was left leg pain from the left knee down to the left foot. When asked the patient he was unable to appropriately respond to the question due to confusion. History of present illness: The patient is a male in his mid 70s. The patient presented with new onset left lower extremity ischemia. He was started on an IV heparin drip and transported to ED. He was found to have am occluded left popliteal aneurysm with occlusion of all tibial vessels. The patient was taken to the OR with vascular service for initiation of thrombolysis therapy. He is currently hospitalized for left lower extremity ischemia, angiogram, thrombolysis, bypass femoral popliteal thrombectomy, irrigation and debridement of wound, and a fasciotomy. Then, he was taken back to the OR for debridement of left anterolateral muscular compartment necrosis. This morning, he was noted to be “confused”. The patient was stable and oriented until at least yesterday evening. Per the primary team, he did not appear confused when seen at 6am. He was also noted to have a temperature of 37.4. He did not have any labs checked for 2 days, but this morning his labs...

Words: 3163 - Pages: 13

Free Essay

Dsas

...Palestine Red Cresent Society Vulnerability & Capacity Assessment A Participatory Action Research Study of the Vulnerabilities and Capacities of the Palestinian Society in Disaster Preparedness August 2000 INTERNATIONAL FEDERATION OF RED CROSS AND RED CRECSENT SOCIETIES United Nations Children's Fund West Bank & Gaza Vulnerability & Capacity Assessment A Participatory Action Research Study of the Vulnerabilities and Capacities of the Palestinian Society in Disaster Preparedness Palestine Red Crescent Society August 2000 Copyright © Palestine Red Crescent Society 2001 All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any electronic or mechanical means including photocopying, recording, or by any information storage and retrieval sysems without prior permission from The Palestine Red Crescent Society, Al-Bireh, Palestine. For further infromation: Palestine Red Crescent Society Headquarters/ Al-Bireh P.O.Box 3637 Tel: ++972-2-2406515/6/7 Fax: ++972-2-2406518 e-mail: info@PalestineRCS.org Website: www.PalestineRCS.org Thanks to technical support of UNICEF West Bank and Gaza to this study and to the financial contribution of UNICEF- Middle East and North Africa Regional office who made the design and printing of this publication possible. Special thanks to the International Federation of the Red Cross and Red Crescent Societies for their technical and financial support to carrying this study. Cover...

Words: 34257 - Pages: 138

Free Essay

Its Good Paper

...Today’s Physical Therapist: A Comprehensive Review of a 21st-Century Health Care Profession Prepared by the American Physical Therapy Association January 2011 Foreword The American Physical Therapy Association (APTA) created Today’s Physical Therapist: A Comprehensive Review of a 21st-Century Health Care Profession to provide accurate information for government entities and the public about the history, role, educational preparation, laws governing practice, standards of practice, evidence base of the profession, payment for physical therapy services, and workforce issues unique to the physical therapy profession. As government, private health care entities, and provider groups pursue solutions to the considerable health care provision challenges the United States faces, it is imperative that accurate information about the qualifications and roles of specific providers, in this case physical therapists, be available to inform all entities as they engage in these discussions. APTA is the national professional association representing more than 77,000 physical therapists, physical therapist assistants, and students nationwide. The association acknowledges and thanks the Federation of State Boards of Physical Therapy, the national organization representing 51 boards of physical therapy licensure, for input and assistance with this document. © 2011 American Physical Therapy Association. All rights reserved. i | American Physical Therapy Association Table of Contents ...

Words: 62204 - Pages: 249

Premium Essay

Blood Work

...Essentials Ruth E. McCall, BS, MT (ASCP) Retired Program Director and Instructor Central New Mexico Community College Albuquerque, New Mexico President, NuHealth Educators, LLC Faculty, Emeritus Phoenix College Phoenix, Arizona Fifth Edition Cathee M. Tankersley, BS, MT (ASCP) Acquisitions Editor: Peter Sabatini Product Manager: Meredith L. Brittain Marketing Manager: Shauna Kelley Designer: Holly McLaughlin Production Services: Aptara, Inc. Fifth Edition Copyright © 2012, 2008 by Lippincott Williams & Wilkins, a Wolters Kluwer business. Two Commerce Square 2001 Market Street Philadelphia, PA 19103 351 West Camden Street Baltimore, MD 21201 Printed in China All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Lippincott Williams & Wilkins at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at permissions@lww.com, or via website at lww.com (products and services). 9 8 7 6 5 4 3 2 1 Library of Congress...

Words: 129902 - Pages: 520

Free Essay

Physical Therapy

...TENNIS RECOVERY A Comprehensive Review of the Research Editors: Mark S. Kovacs, PhD Todd S. Ellenbecker, DPT W. Ben Kibler, MD A United States Tennis Association Sport Science Committee Project Tennis Recovery: A Comprehensive Review of the Research Copyright © 2010 United States Tennis Association Inc. ISBN 978-0-692-00528-6 Editors: Mark S. Kovacs, Todd S. Ellenbecker, W. Ben Kibler TENNIS RECOVERY A Comprehensive Review of the Research A United States Tennis Association Sport Science Committee Project Editors: Mark S. Kovacs, PhD Todd S. Ellenbecker, DPT W. Ben Kibler, MD Introduction In the last two decades, physical training and competitive opportunities have increased dramatically in junior, collegiate and professional tennis. This arose due to a multitude of factors, but much of it has stemmed from an increase in knowledge and understanding of scientifically based training programs focused on improving performance. As this focus on performance has increased, the area of recovery has received relatively limited focus. Recovery is a multi-faceted paradigm focusing on recovery from training—session to session, day to day and week to week. Recovery is also vitally important during training as well as in competition between matches and between days during multi-day tournaments. As more information is needed in the area of tennis specific recovery, the Sport Science Committee of the United States Tennis Association (USTA) sponsored an extensive evidence-based...

Words: 64903 - Pages: 260

Free Essay

Idioms and Expression

...Idioms and Expressions by David Holmes A method for learning and remembering idioms and expressions I wrote this model as a teaching device during the time I was working in Bangkok, Thailand, as a legal editor and language consultant, with one of the Big Four Legal and Tax companies, KPMG (during my afternoon job) after teaching at the university. When I had no legal documents to edit and no individual advising to do (which was quite frequently) I would sit at my desk, (like some old character out of a Charles Dickens’ novel) and prepare language materials to be used for helping professionals who had learned English as a second language—for even up to fifteen years in school—but who were still unable to follow a movie in English, understand the World News on TV, or converse in a colloquial style, because they’d never had a chance to hear and learn common, everyday expressions such as, “It’s a done deal!” or “Drop whatever you’re doing.” Because misunderstandings of such idioms and expressions frequently caused miscommunication between our management teams and foreign clients, I was asked to try to assist. I am happy to be able to share the materials that follow, such as they are, in the hope that they may be of some use and benefit to others. The simple teaching device I used was three-fold: 1. Make a note of an idiom/expression 2. Define and explain it in understandable words (including synonyms.) 3. Give at least three sample sentences to illustrate how the expression is used...

Words: 237262 - Pages: 950

Premium Essay

Health Care Finance

...Finance Course: Health Care Finance Readings MBAHC−4 California College for Health Sciences MBA Health Care Program McGraw-Hill/Irwin abc McGraw−Hill Primis ISBN: 0−390−55313−1 Text: Advanced Financial Accounting, Sixth Edition Baker−Lembke−King Harvard Business School Accounting Cases Corporate Finance, Seventh Edition Ross−Westerfield−Jaffe Harvard Business Review General Management Articles Harvard Business School Finance Cases This book was printed on recycled paper. Finance http://www.mhhe.com/primis/online/ Copyright ©2005 by The McGraw−Hill Companies, Inc. All rights reserved. Printed in the United States of America. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without prior written permission of the publisher. This McGraw−Hill Primis text may include materials submitted to McGraw−Hill for publication by the instructor of this course. The instructor is solely responsible for the editorial content of such materials. 111 FINAGEN ISBN: 0−390−55313−1 Finance Contents Ross−Westerfield−Jaffe • Corporate Finance, Seventh Edition I. Overview 1 1 20 34 34 69 97 129 151 151 192 192 214 214 248 1. Introduction to Corporate Finance 2. Accounting Statements and Cash Flow II. Value and Capital Budgeting 4. Net Present Value 5. How to Value Bonds and Stocks 7. Net Present Value and...

Words: 226746 - Pages: 907