Case Study: Acute Respiratory Failure
A. Patient Diagnosis: Acute Respiratory Failure (hypoxic and hypercapnic)
Patient Intervention: gait training – progressing from walker to cane
B. Pathology for Diagnosis: Acute Respiratory Failure can result from any irregularity in the components of the respiratory system. Moreover, patients who go into cardiogenic shock because of hypoperfusion often experience respiratory failure. “Respiratory failure may result from either a reduction in ventilatory capacity or an increase in ventilatory demand (or both)” (Kaynar & Sharma, 2016). This particular patient had a medical history of pulmonary edema, right pleural effusion, obstructed sleep apnea, and a myocardial abscess that required a mitral valve replacement and Coronary artery bypass grafting (CABG).
C. The justification for my specific intervention: The patient stated that prior to hospitalization that he ambulated with a quad cane in his household. The patient has been bedridden for several weeks and is too weak to walk more than five feet with a walker. I would like to see him progress from a walker back to a cane – his prior level of function. Furthermore, a quad cane offers stability, but is more compact than a walker – making it easier to manipulate stairs and curbs and not taking up as much room when the patient is ambulating through the house.
D. The expected outcome of this …show more content…
I performed the Timed Up and Go Test (TUG) on my patient. To perform the test, you need a stopwatch and a standard armchair. In the therapy gym, there is a pink tape/marker on the floor 10 feet from the armchair to be used. First, you demonstrate to the patient what you want them to do: stand up from the chair, use the assisted device (if needed) to walk to the pink tape line, turn around, then come back and sit down in the chair as fast (and safely) as possible. Next, get your stopwatch ready and have the patient perform the TUG test three times with rest breaks in between. Take the best/fastest time of the three
Patient Intervention: gait training – progressing from walker to cane
B. Pathology for Diagnosis: Acute Respiratory Failure can result from any irregularity in the components of the respiratory system. Moreover, patients who go into cardiogenic shock because of hypoperfusion often experience respiratory failure. “Respiratory failure may result from either a reduction in ventilatory capacity or an increase in ventilatory demand (or both)” (Kaynar & Sharma, 2016). This particular patient had a medical history of pulmonary edema, right pleural effusion, obstructed sleep apnea, and a myocardial abscess that required a mitral valve replacement and Coronary artery bypass grafting (CABG).
C. The justification for my specific intervention: The patient stated that prior to hospitalization that he ambulated with a quad cane in his household. The patient has been bedridden for several weeks and is too weak to walk more than five feet with a walker. I would like to see him progress from a walker back to a cane – his prior level of function. Furthermore, a quad cane offers stability, but is more compact than a walker – making it easier to manipulate stairs and curbs and not taking up as much room when the patient is ambulating through the house.
D. The expected outcome of this …show more content…
I performed the Timed Up and Go Test (TUG) on my patient. To perform the test, you need a stopwatch and a standard armchair. In the therapy gym, there is a pink tape/marker on the floor 10 feet from the armchair to be used. First, you demonstrate to the patient what you want them to do: stand up from the chair, use the assisted device (if needed) to walk to the pink tape line, turn around, then come back and sit down in the chair as fast (and safely) as possible. Next, get your stopwatch ready and have the patient perform the TUG test three times with rest breaks in between. Take the best/fastest time of the three