Poster Sessions - 2018 Research Day

Physical Therapy Involvement in Acute Care Rehabilitation of Pulmonary Function for an Individual with Complete Spinal Cord Injury: Retrospective Case Report

Location

Hall of Governors

Start Date

4-6-2018 4:00 PM

End Date

4-6-2018 5:30 PM

Abstract

Background and Purpose: The purpose of the case report was to describe a plan of care to address pulmonary and musculoskeletal impairments in an individual with an acute complete spinal cord injury to assist in weaning the patient off mechanical ventilation and progress in rehabilitation. Mechanical ventilation is associated with nosocomial infections such as pneumonia which increase ICU stays and costs to the hospital.

Case Description: 37-year-old African American male presenting with C8 complete spinal cord injury and fractured proximal humerus, scapula, and clavicle secondary to multiple gunshot wounds in an acute care setting. The patient received interventions to improve function during his rehabilitation at the hospital. The patient was seen by physical therapy over a three-week period.

Outcomes: Patient demonstrated improvement in respiratory function with being discontinued from mechanical ventilation by the second physical therapy session and more consistent vital signs such as respiratory rate and oxygen saturation. The patient was discharged to an inpatient rehabilitation clinic to continue physical therapy.

Discussions: The case report supports the importance of pulmonary rehabilitation in acute care physical therapy to improve rehabilitation potential and quality of life. Physical therapy may not have been the major focus in the plan of care but did play a vital role in the healthcare team

This document is currently not available here.

Share

COinS
 
Apr 6th, 4:00 PM Apr 6th, 5:30 PM

Physical Therapy Involvement in Acute Care Rehabilitation of Pulmonary Function for an Individual with Complete Spinal Cord Injury: Retrospective Case Report

Hall of Governors

Background and Purpose: The purpose of the case report was to describe a plan of care to address pulmonary and musculoskeletal impairments in an individual with an acute complete spinal cord injury to assist in weaning the patient off mechanical ventilation and progress in rehabilitation. Mechanical ventilation is associated with nosocomial infections such as pneumonia which increase ICU stays and costs to the hospital.

Case Description: 37-year-old African American male presenting with C8 complete spinal cord injury and fractured proximal humerus, scapula, and clavicle secondary to multiple gunshot wounds in an acute care setting. The patient received interventions to improve function during his rehabilitation at the hospital. The patient was seen by physical therapy over a three-week period.

Outcomes: Patient demonstrated improvement in respiratory function with being discontinued from mechanical ventilation by the second physical therapy session and more consistent vital signs such as respiratory rate and oxygen saturation. The patient was discharged to an inpatient rehabilitation clinic to continue physical therapy.

Discussions: The case report supports the importance of pulmonary rehabilitation in acute care physical therapy to improve rehabilitation potential and quality of life. Physical therapy may not have been the major focus in the plan of care but did play a vital role in the healthcare team