Preview

Bronchial Pneumonia Case Study

Satisfactory Essays
Open Document
Open Document
259 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Bronchial Pneumonia Case Study
Pt. is an 83yo female admitted to hospital 10 days ago with dx of Bronchial Pneumonia. Admitted to SNF 2 days ago with balance and strength deficits. Pt. lives alone in a first floor apartment with 2 steps to enter with bilateral rails, and was relatively healthy prior to hospital stay. Pt. still drives and has a daughter who lives in the area.

S. Pt. states ”I feel pretty good but am unsteady when I sit up in bed and try to walk”
O. Pt. seen for 30 min tx on this date w/ focus on static and dynamic balance training. Pt. required CGA for sit to stand from w/c level. Pt. tolerating static standing for 5 minutes with SBA. Dynamic standing balance included weight shifting while reaching for cones, and balloon tapping and bean bag tossing,

You May Also Find These Documents Helpful

  • Satisfactory Essays

    On 3/21/17 I met Ms. Melius at the Select Specialty Hospital. After speaking with Michelle internal case manager on 3/20/17 I was advised that doctor appointments outside of the facility would not be taking place. They will make accommodations for any physician to see her in the facility. Ms. Melius continues to need 50 liters of oxygen at rest. With any activity she needs 100liters. Taking her to outside appointments is too difficult. Ms. Meluis diagnosis has been updated to include ARDS and Pulmonary Fibrosis. Ms. Melius is able to walk 10 steps with the increased oxygen need. She sits in a chair at the bedside. Ms. Melius is alert and oriented. Her family has been made aware of her current status. At this point it is unknown if…

    • 155 Words
    • 1 Page
    Satisfactory Essays
  • Better Essays

    Med Surg Paper

    • 6804 Words
    • 28 Pages

    BT denied use of tobacco or alcohol and stated that she has never used any type of illegal substances. She lives with her husband and prior to her admission she was able to provide 100% of her care at home, including activities of daily living (ADL’s). She is able to walk unaided and she stated that she does not normally have any shortness of breath (SOB), chest pain, nausea, vomiting, or abdominal pain or distention. There has not been any dramatic change in her weight prior to admission and no evidence of edema.…

    • 6804 Words
    • 28 Pages
    Better Essays
  • Good Essays

    Case Study: Resident

    • 502 Words
    • 3 Pages

    He was admitted to Flushing Hospital on 12/18/2016 with primary diagnoses of Infected Left Toe, Cellulitis, LT LE and RUE Gangrene, Osteomyelitis, and secondary diagnoses of S/P Partial 4th & 5th Ray Amputation, LLE Angioplasty, S/P RUE Angioplasty, ESRD ON HD ~ RT AVF – M/W/F, PAD/PVD S/P RT BKA W Prosthetic, HTN, DM W Neuropathy, and HLD. Resident is alert and oriented x3 and able to make all needs known. Resident uses a wheelchair to ambulate.…

    • 502 Words
    • 3 Pages
    Good Essays
  • Good Essays

    My first encounter with this 21-year-old male’s case made me initially think “influenza”, but many diseases start with flu-like symptoms, for example, the quintessential sore throat and dry cough. The person of interest was probably thinking it is just a cold plus I have that exam to study for. As time went by the symptoms progressed, which finally forced him to visit the campus clinic. The 21-year-old male college student has now developed a productive cough, a headache, a runny nose, a fever, and general weakness all over his body. The thought of “it’s just a cold” turns out to be much greater than expected. The result is pneumonia.…

    • 801 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Ventilator-associated pneumonia (VAP) is defined as pneumonia that develops 48 hours or longer after patients has intubated and received mechanical ventilation. An infection may develop if microscopic organisms or germs invade the intubation of the patient’s lower respiratory tract and lung parenchyma (Koenig, S. M., 2006). According to the 2009 National Healthcare Safety Network (NHSN) report, the accountability for ventilator-associated pneumonia (VAP) preventions includes hospital’s CEO and senior management. They must assure that the hospital supports an infection prevention and control program to adequately prevent ventilator-associated pneumonia (VAP). They must also ensure that proper training and educational programs are in place to…

    • 766 Words
    • 4 Pages
    Good Essays
  • Better Essays

    This patient is a very elderly woman and is need of a great deal of support and medical care. For her to achieve a healthy and happy lifestyle she does need these issues to be addressed. It is a lot of work for just one caregiver to manage on their own so family and nursing care should be resourced. Also proper medical care needs to be addressed to assure that her physical and mental needs are assessed and…

    • 2042 Words
    • 9 Pages
    Better Essays
  • Good Essays

    Ventilator Assisted Pneumonia (VAP) is a relevant topic which cannot be overlooked due to its significant effect on health care cost, prolonged hospital stay and eventual cause of death if untreated. It’s considered a hospital-acquired infection triggered by the aspiration of bacteria past the endotracheal cuff after 48 hours of being intubated, which can develop into pneumonia (Roberts and Moule, 2011). Your poster was precisely displayed with concise points on the key elements. I was amazed by the addition of $40,000 to each admission cost and the increament of risk of death due to VAP. This supports the importance of reducing this problem in intensive care units where it normally happens. I enjoyed reading your post and support your effort…

    • 126 Words
    • 1 Page
    Good Essays
  • Good Essays

    In the context of this paper, the patient will be referred to as “Mrs. V.” Mrs. V is a seventy-two year old female. On August 12, 2014 Mrs. V’s life changed considerably. She was fairly independent with her ADLs prior to that day. She was ambulating with a walker for the last four years. She was able…

    • 2421 Words
    • 10 Pages
    Good Essays
  • Good Essays

    Administer antipyretic (e.g. Paracetamol), bronchodilator (e.g. Salbutamol), antibiotic (e.g. Clarithromycin ). This prevent multiplication of the bacteria.…

    • 390 Words
    • 2 Pages
    Good Essays
  • Good Essays

    J.B. is a 70 year old man who therapy twice a week. J.B. is very committed to therapy and becoming stronger and improving is everyday life. J.B. diagnoses is B UE general weakness, due to the last chemotherapy treatment he received. J.B. has very good memory and shows good attention when it comes to therapy. J.B. is orientation is 4x4. J.B.’s visual functions, hearing functions, vestibular functions, taste functions, smell functions, proprioceptive functions, touch function, and pain are all intact. J.B. has weaknesses in joint stability and mobility, grips, coordinates.…

    • 565 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Ventilator associated pneumonia (VAP) is a hospital acquired infection occurs in the intensive care unit (ICU) for the patients who are on mechanical ventilator. It further complicates the hospital course by extending the length of stay, increase the cost of treatment, and increases the mortality rate. It is estimated that about 1% to 3% patients on mechanical ventilator develops VAP per day. Compared to the previous years, the Chlorhexidine mouth care and other ventilator bundle strategies decreased the VAP rate. Evidence based research studies proved that almost 89.7% reduction in VAP occurs after the implementation of ventilator bundle and other care related to it (Hutchins et al, 2009). Ventilator care bundle was introduced in 2005 by the Institute of Healthcare Improvement with the aim to increase nursing compliance with evidenced-based actions to decrease the VAP rate (Sedwick et al, 2012).…

    • 9986 Words
    • 40 Pages
    Powerful Essays
  • Better Essays

    Concept Care Map

    • 903 Words
    • 4 Pages

    As evidence by: Bed rest, weight: 122kgs, impaired ability to walk required distances; walk with assistive device (4 wheels walker) and 2 people assist.…

    • 903 Words
    • 4 Pages
    Better Essays
  • Good Essays

    S. Pneumonia Report

    • 701 Words
    • 3 Pages

    I remember getting a bad lung infection, pneumonia, caused by Streptococcus pneumoniae, a few years back. I was very sick with a high fever, shortness of breath, fatigue, chest pain, and greenish-yellow – sometimes even bloody – mucus, which I consistently coughed up. I suffered for roughly a month or so before my pneumonia finally disappeared and I healed up. Being an otherwise healthy individual, yet still experiencing the symptoms for such a lengthy amount of time, made me wonder about how S. pneumoniae affects individuals who are immunocompromised. If this infection can cause a healthy person to be debilitated for over a month, what happens to individuals who unfortunately do not have the system in place to fight this infection? I chose…

    • 701 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Recurrent Pneumonia

    • 209 Words
    • 1 Page

    Pneumonia is a major cause of morbidity and mortality worldwide. This is even more in developing countries and in under 5 years of age[1].In a study of recurrent respiratory tract infections caused mostly by bacterial,viral,fungal and other agents are important causes of infections. Several predisposing factors for recurrentRespiratory Tract Infections have been identified ,these includes malnutrition,congenital or acquired immune deficiency states,some Congenital heart disease that cause increased pulmonary blood flow is a predisposing factor for recurrent Respiratory Tract Infections. Ventricular septal defect(VSD),atrial septal defect(ASD), patent ductus arteriosus(PDA) are common acyanotic Congenital Heart Disease in childhood predisposes to recurrent Respiratory Tract Infections[7-8]. Left to Right shunt causes increased pulmonary blood flow and pulmonary edema[2].pulmonary edema leads to congestive heart failure and becomes a nidus of infection for the lower respiratory tract.…

    • 209 Words
    • 1 Page
    Good Essays
  • Good Essays

    Ethical Dillemmas

    • 538 Words
    • 3 Pages

    SITUATION: 85 year old Full Code living in a vegetative state, who has just been readmitted to the ICU for treatment of pneumonia; has a history of 1 CVA, 2 TIA’s; tracheostomy via ventilator dependent as a result of respiratory failure and an ejection fraction of 40%; she also receives nutrition and medications daily via PEG tube.…

    • 538 Words
    • 3 Pages
    Good Essays

Related Topics