A 74-year old man had been taking digoxin for many
Case Study: Teamwork in Healthcare Assignment THE PATIENT: Relevant Past Medical History Pneumonia COPD DM Type 1 diabetic neuropathy and diabetic ulcers Osteoarthritis GERD CAD multiple gastric surgeries History of Present Illness 71 yo male was involved in a MVA, resulting in an incomplete spinal cord injury. Also a Traumatic Bain Injury (TBI): as well as other physical injuries including a severed popliteal artery causing left above knee amputation. Surgeries/Procedures: Emergency surgery to remove initial hematomas and repair skull/vertebral fractures; tracheotomy; Left temporal decompressive craniectomy; jejunostomy tube insertion Social History Work: retired Naval Captain w/ 40-yrs service; has private primary insurance, and Medicare as secondary insurance. Marital Status: married for 25 years to 67 yo woman Support: wife is retired, but has type-2 DM, diabetic neuropathy, osteoarthritis and uses a wheelchair to ambulate so she has limited ability to physically help; 50 yo son lives 15-min away and 46-yo daughter lives an hour away, but will be staying with the parents for a month to assist; grandchildren are all out-of-state in college and unable to assist as caregivers. Home: potential dischage to home with assistance of daughter (temporarily) and spouse. Both will be home 24/7 until patient is independent enough
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