Event Title

Early Walking Intervention for the Treatment of an Elderly Male at risk for Frailty after CABG Surgery and Discharge Recommendations following a NSTEMI

Location

Hall of Governors

Start Date

7-4-2017 4:00 PM

End Date

7-4-2017 6:00 PM

Description

Background and Purpose: The number of Coronary Artery Bypass Graft (CABG) surgeries has continued to grow in recent years with 25% of those undergoing CABGs being over the age of 70 with frailty being the risk factor of post-surgical risk complications. The purpose of this presentation is to describe the treatment of an elderly male who presents with frailty post-CABG procedure by utilizing an early walking intervention as well as describe his discharge planning.

Case Description: The patient was an 83-year-old male who presents in acute hospital care after an elective CABG surgery. He presented with a decreased ability to ambulate due to fatigue as well as a decreased ability to complete transfers independently. Prior to surgery, he was independent in all ADLs, ambulation and transfers.

Outcomes: The patient partook in 10 out of 12 physical therapy visits during a 6 day stay in an acute care hospital setting. His two minute walk time increased from 6' to 156' over the course of treatment. He was discharged to an inpatient rehabilitation facility to further address his therapy needs prior to discharging home.

Discussion: The patient benefited from an early walking intervention in the acute care hospital setting after undergoing a CABG procedure. However, due to his frail state and prior level of function, he was referred to an inpatient rehabilitation facility to address his remaining deficits

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Apr 7th, 4:00 PM Apr 7th, 6:00 PM

Early Walking Intervention for the Treatment of an Elderly Male at risk for Frailty after CABG Surgery and Discharge Recommendations following a NSTEMI

Hall of Governors

Background and Purpose: The number of Coronary Artery Bypass Graft (CABG) surgeries has continued to grow in recent years with 25% of those undergoing CABGs being over the age of 70 with frailty being the risk factor of post-surgical risk complications. The purpose of this presentation is to describe the treatment of an elderly male who presents with frailty post-CABG procedure by utilizing an early walking intervention as well as describe his discharge planning.

Case Description: The patient was an 83-year-old male who presents in acute hospital care after an elective CABG surgery. He presented with a decreased ability to ambulate due to fatigue as well as a decreased ability to complete transfers independently. Prior to surgery, he was independent in all ADLs, ambulation and transfers.

Outcomes: The patient partook in 10 out of 12 physical therapy visits during a 6 day stay in an acute care hospital setting. His two minute walk time increased from 6' to 156' over the course of treatment. He was discharged to an inpatient rehabilitation facility to further address his therapy needs prior to discharging home.

Discussion: The patient benefited from an early walking intervention in the acute care hospital setting after undergoing a CABG procedure. However, due to his frail state and prior level of function, he was referred to an inpatient rehabilitation facility to address his remaining deficits