Our Success Stories 

Medically Complex Patient Returns Home

Linda Thompson, age 74, was admitted to Carolinas ContinueCARE Hospital at Pineville from Carolinas Medical Center (CMC). Her primary diagnoses were acute respiratory failure, traumatic brain injury secondary to a fall resulting in subdural hemorrhage, multiple rib fractures and pneumo/hemothorax with chest tube placement.

Situation:

Linda Thompson, age 74, was admitted to Carolinas ContinueCARE Hospital at Pineville from Carolinas Medical Center (CMC). Her primary diagnoses were acute respiratory failure, traumatic brain injury secondary to a fall resulting in subdural hemorrhage, multiple rib fractures and pneumo/hemothorax with chest tube placement. Her medical history included liver cirrhosis with hypertension, renal carcinoma, emphysema and COPD. She received a tracheostomy and a peg tube while at CMC. Her chest tube was removed prior to coming to our LTACH. Ms. Thompson tolerated some trach collar trials prior to admission. She transferred to us for vent weaning and further management of her injuries related to her fall and multiple comorbid conditions. Early during her stay at our LTACH, she struggled with severe agitation and was placed on a precedex drip. Eventually, she was weaned from the drip and her agitation resolved. Prior to her admission, she resided with her granddaughter in their home in Shelby, NC. Her goal was to be able to return home and to her previous level of functioning.

Solution:

While at Carolinas ContinueCARE Hospital at Pineville, her treatment plan included oversight by internal medicine, pulmonology, ENT, physical, occupational and speech therapy, dietary, a wound care nurse and a nurse practitioner.

Results:

During her 22-day stay at our LTACH, Ms. Thompson was weaned from the ventilator and had her trach capped with 2 liters of oxygen. She passed a swallow evaluation and began a regular diet. She progressed with physical and occupational therapy, and was able to take a few steps with a rolling walker and participate in activities of daily living.
She was evaluated and accepted into the Acute Rehab program at Pineville Rehabilitation Hospital. After her two-week stay in acute rehab, she was discharged and able to return home with home health care and family support.