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Brian is a 6-month-old infant who has been a patient in the Children's Center for Restorative Care for 3 months
while his severe bronchopulmonary dysplasia is stabilized. He spent the first 3 months of life in the neonatal
intensive care unit. He has been critically ill on numerous occasions,
requiring re-intubation, and finally has stabilized with a trache collar and humidified
oxygen at 40% during the day. He also has a feeding gastrostomy through
which he receives drip feeding of an enriched elemental formula. He is on
four inhaled medications and two enteral medications. His developmental
level is 4-6 months. His family lives 150 miles from the medical center.
You have just started your 1-month rotation on the Children's
Restorative Care Team, the hospital team which cares for special needs
children. Brain has been assigned to you as your patient for the next
month. or until discharge. The Team meets to discuss discharge
planning.
List six major issues which must be addressed before Brian can be discharged.
Answer |