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Orthopedic Rehab
Case Study
Male, B.P. 66 years old patient admitted to Seacrest Rehabilitation and Rehabilitation Center from East Orange VA Medical Center with admitting diagnosis of s/p right total knee revision performed by Dr. Joseph Tauro.
The patient is known locally for walking 20 miles per day throughout the
Little Egg Harbor community. He graduated from West Pointe in 1979. He became a
2nd Lt. in the United States Army for a total of 14 years. His last rank was Captain
serving at Fort Dix. He has an orthopedic history including prior surgical repairs.
Nursing Interventions
Medication management including pain management.
Dietary consultation – including Electrolyte monitoring.
Surgical wound management – Daily wound care and followed wound team weekly.
Labs and Diagnostic testing frequently
Followed by Primary Care Physician Dr. Dhiren Gandhi, the Therapy Team including Physiatrist Dr. Wu, and the Specialty Program Coordinator.
Therapy
Upon admission assessment, the patient required a contact guard for all mobility due to significant deficits in right knee strength and ROM as well as unsupportive standing. The patient’s prior level included multiple miles of outdoor walking daily in the community. Following therapy, the patient was able to achieve independent ambulation on indoor and outdoor surfaces with a straight cane to allow a safe return to home alone.
The patient remained highly motivated to achieve his goals and was extremely happy about the potential to surpass his presurgical gait status.
He returned home with all follow-up appointments and outpatient therapy coordinated with Hackensack Physical Therapy LEH.
Cardiac / Ortho Rehab
Case Study
Female, D.A. 79 years old Patient admitted to Seacrest Rehabilitation and Rehabilitation Center from Atlantic Care Regional Medical Center, Mainland Campus with admitting diagnosis of s/p elective Right Total Knee Replacement performed by Dr. Zachary Post Orthopedic Surgeon of Rothman Orthopedics. The patient has an extensive cardiac history including HTN, New Pacemaker in February 2022.
Nursing Interventions
Medication management including pain management Dietary consult – Heart Healthy Diet and electrolyte monitoring Surgical wound management – Daily wound care and followed wound team weekly Labs and Diagnostic testing frequently
Reviewed by our Post-Acute Care Transitions/Orthopedic physicians Dr. Gabriel Catalina and Dr. Eric Driscoll; Cardiology Dr. James Orlando, and Therapy team including physiatrist Dr. Wu.
Therapy
Upon admission assessment, she required maximum assistance with transfer, ambulation, and self-care task. She worked diligently with the therapy department concentrating on her ability to return home.
On discharge, she was able to perform self-care tasks and transfer independently and walk up to 150 ft with a rolling walker.
After a stay in short-term rehab at Seacrest Rehabilitation, she returned home with Holy Redeemer Home Health Services. All follow-up appointments were made prior to discharge including her community Primary Care Physician Theodore Ende along with Dr. Zachary Post Orthopedic Surgeon.
Cardiac / Ortho Rehab
Case Study
Female, K.G. 79 years old Patient admitted to Seacrest Rehabilitation and Rehabilitation Center from Southern Ocean Medical Center Hospital with admitting diagnosis of s/p fall with a fractured right wrist and right hip. The patient consulted with Dr. Jason Wong and Dr. Laura Malfitano of Brielle Orthopedics and subsequently underwent surgery to address fractures. The patient has an extensive cardiac history followed by Shore Heart Group Dr. James Orlando.
Nursing Interventions
Medication management including pain management
Dietary consult – Heart Healthy Diet and electrolyte monitoring
Surgical wound management – Daily wound care and followed wound team weekly
Labs and Diagnostic testing frequently
Reviewed weekly during Cardiology IDT led by cardiologist Dr. James Orlando, Irene Vanacore ADON, and Specialty Program Coordinator, Therapy team including physiatrist Dr. Wu.
Therapy
The patient was admitted with non-weight bearing to the right upper extremity and toe touch weight bearing to the right lower extremity. Upon admission assessment, she required minimal assistance with transfer, ambulation, and self-care task. She worked diligently with the therapy department concentrating on her ability to return home with her husband. Her therapy consisted of intense gait training with a right platform rolling walker including stairs that emphasized safe weight-bearing adherence.
On discharge, she was able to perform self-care tasks and transfer independently and walk up to 150 ft on both indoor and outdoor surfaces at a supervision level while complying with weight-bearing restrictions.
She returned home with her husband after 10 days of rehab. She has Ocean Home Health Services and will follow up with her Primary Care Physician Dr. Gandhi in the community along with all specialists.
Pulmonary / Orthopedic
Case Study
Female, N.M. 76 years old Patient admitted to Seacrest Rehabilitation and Rehabilitation Center from Ocean University Medical Center with admitting diagnosis of back pain requiring surgery. Lumbar spinal fusion was performed by Dr. Joseph Marsicano, an Orthopedic Surgeon specializing in Orthopedic Spine of Brielle Orthopedics. She has an extensive history of COPD, Sleep Apnea, Asthma, Diabetes, Neuropathy, and HTN.
Nursing Interventions
Medication management including pain management
Dietary consult – Diet and electrolyte monitoring
Surgical wound management – Daily wound care including assessing & monitoring
Labs and Diagnostic testing frequently
Respiratory Care – Medications and CPAP administration
Infectious Disease – Extensive IV Antibiotic Therapy for diagnosis of Osteomyelitis
Reviewed by Dr. Allen Silvey Pulmonologist and Therapy team including physiatrist Dr. Wu.
Therapy
Upon admission assessment, she required total dependent on transfers, ambulation, and self-care task. She worked diligently with the therapy department concentrating on her ability to return home with her son.
On discharge, she was able to perform self-care tasks and transfer independently and walk up to 150 ft with a rolling walker at the supervision level.
She returned home with her son and Holy Redeemer Home Health Services. All follow-up appointments were made prior to her discharge including her PCP Dr. Ashokvardhan Veldanda, Dr. Palecki Pulmonologist, and Dr. Joseph Marsicano Orthopedic Surgeon.
