1. Case Studies 8e
Natalie Woronchuk , RN

2. COPD Case Summaries: Natalie Woronchuk RN, BS, BSN – Physician’s Health Alliance
JM – 78 yo male
LJ – 75 yo female
PMH: COPD, CAD (MI, PTCA), HTN
1st admit 10/ CM transition call
2nd admit 12/2010 -CM transition call and initiated Care Plan and CM f/u q 2 weeks x 6 weeks - monthly
3rd admit 3/2011 – exac COPD: difficulty returning to baseline; DME
4th admit 4/2011 – exac COPD: decline in status; weight loss
HH f/u with pulmonary rehab; breathing exercises; pulse ox with exercise; meal supplements, pulmonologist standing orders
Doing well, weight increase, returning to baseline and usual activities
PMH: COPD, CAD, angina, HTN
2/2011 Referred to CM by PCP – declined follow up
1st admit 3/2011 – resp distress; anxiety- CM transition call and pt now agreeable: initiated Care Plan and CM f/u
2nd admit 5/2011 – resp distress; HH for extended time – returned to baseline
ED visits 7/2011, 9/2011, and 10/2011 for breathing “worked myself up into a tizzy”