Caleb recovers well enough to be discharged from the hospita…
Caleb recovers well enough to be discharged from the hospital. He also begins to undergo additional testing for lung transplantation eligibility. After assessment by the lung transplant team, he is placed on the transplant waiting list with a lung allocation scale of 68. He is unable to continue participating in PR due to his deteriorating condition and begins using supplemental oxygen at home. He also moves into an apartment with his mother, which is closer to the lung transplant center. After 5 months on the wait list, Caleb receives a double lung transplant from an adult male cadaver donor. Following a 14-hour surgery, he is transferred to ICU, place on mechanical ventilation. On day 2 post-op he is weaned from mechanical ventilation and displays no complications or signs of acute organ rejection. On day 4 he is transferred from ICU to a hospital ward. On day 15 he is discharged to his local apartment. Immediately following the procedure, he is placed on immunosuppressant regime including prednisone, tacrolimus, and mycophenolate mofetil. For the first 3 months post-transplant he is followed by the transplant team for weekly medical checkups and attends a pulmonary rehab program 2-3x a week. Pre-Transplant 6MWT (5 weeks prior) Pretest Posttest HR 97 126 BP 136/88 150/92 SpO2% 88 74 RPE- SOB 4 9 REP- leg fatigue 2 7 Total Distance: 390m Rest Breaks: 1 Supplemental O2: Venturi mask, FiO2= 34% Walking aid: rollator Post-Transplant 6MWT (12 weeks post) Pretest Posttest HR 84 116 BP 130/84 146/82 SpO2% 95 92 RPE- SOB 0 3 REP- leg fatigue 0.5 7 Total Distance: 530m Rest Breaks: 0 Supplemental O2: none Walking aid: none Assume your PR program is AACVPR certfied. This means you must address assessment, planning, reassessment, and discharge plans for each of the following components: exercise, nutrition, psychosocial, supplemental oxygen, and other core components/risk factors (as required for individual patients). Describe how you will assess, plan, and reassess the psychosocial aspect for Caleb in PR? (6pts) What member(s) of the interdisciplinary team is most appropriate to provide education and guidance on this topic? (2pts)