Medical History - Patient One's Story
76-year-old male with a history of:
Stage III -B unresectable adenocarcinoma (cancer) of the lung
Stage II-A prostate cancer
Chronic obstructive pulmonary disease (emphysema)
Renal insufficiency (advanced kidney disease)
Congestive heart failure
Coronary artery disease
Coronary artery bypass graft
Admission to Bay Special Care Hospital
The patient was admitted with lung cancer requiring chemotherapy and radiation therapy. He also had intractable congestive heart failure requiring intravenous Dobutamine and telemetry monitoring. The patient was on intravenous antibiotics for treatment of pneumonia.
Outcome
During his two-month stay at Bay Special Care Hospital, our patient...
Received chemotherapy and radiation therapy
Dobutamine was successfully weaned and discontinued
Pneumonia treatment with intravenous antibiotic completed
Nutritional status progressed from total parenteral nutrition to regular diet
Physical therapy and Occupational therapy goals were met, and the patient progressed to independent living with supervision
He was discharged to home with 24-hour supervision and skilled home health care.
Medical History - Patient Two's Story
Patient was an 87-year-old female with a history of...
Arteriosclerotic heart disease
Congestive heart failure
Previous myocardial infarction
Pacemaker insertion for sick sinus syndrome and atrial fibrillation
Colon cancer with previous surgery
Polymyalgia
Anemia
Complications and Treatments
During her initial hospitalization she developed pleural effusions requiring thoracentesis and talc injections for pleurodesis.
Admission to Bay Special Care Hospital
Our patient was admitted for congestive heart failure management including intravenous Dobutamine therapy, telemetry monitoring, and oxygen therapy.
Outcome
During her 30-day stay at Bay Special Care Hospital, our patient was...
Successfully weaned from Dobutamine with improvement of congestive heart failure both clinically and by X-ray
Hypothyroidism was found and thyroid supplemental therapy was initiated.
Physical therapy and Occupational therapy goals were met with progress from fair to good endurance, and minimal to independence levels.
Renal function was stabilized.
The patient was discharged to home with home health care follow-up; a 24-hour fluid restriction, and follow-up with family physician and referring cardiologist.
