Mr. S, 22, was admitted to Kindred Hospital La Mirada
from a short-term acute care hospital for continued care of his acute
respiratory failure. He was on life support and had a complicated medical
history, including giant cell axoral neuropathy diagnosed at age 7, dependence
on a power chair, requiring total assistance with activities of daily living,
scoliosis, seizure disorder and a stage III sacral wound.
Upon admission, the interdisciplinary care team determined
that Mr. S would require total bed care, GT feeding, wound care and respiratory
support. Mr. S and his family expressed the wish that, when he was stable for
discharge they could be together as a family and take him home.
An extensive team approach was required to meet Mr. S and
his family’s social, emotional, spiritual and discharge planning needs,
including respiratory, wound care, nursing, dietitian, social service/discharge
planning and case management.
Mr. S’s complex condition also required extensive education
for the family and community agencies for required vent and nursing care upon
discharge. Eventually four home health agencies were authorized to set up a
ventilator, special bed, medication and wound care supplies.
After 35 days in our hospital, Mr. S was able to be
discharged home on a ventilator under the care of his parents, overseen by
community agencies. His family’s wish was made possible through the focused
commitment of the Kindred Hospital La Mirada team.
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