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f Michael. Michael is a 38-year-old man with a history of congenital heart disease. He is a construction worker and also enjoys spending time with his aging parents for whom he is the sole caretaker. Michael presents to the inpatient rehabilitation unit after a heart transplant 14 days ago. There were no complications from the procedure, but prolonged hospitalization left Michael weak and with a poor functional reserve. Take a moment to reread the case and familiarize yourself with the details. Occupational therapy after transplant. Treatment often focuses on regaining function, optimizing endurance, and improving strength in order to return to important life roles. It’s important to note that vitals may need to be monitored more often during intensive therapy, and lab values may be monitored more closely as well. Michael will come to inpatient rehabilitation with sternal precautions as well as neutropenic precautions. Sternal precautions are specific to people who have undergone a sternotomy as part of cardiac surgery. For Michael, he will not be able to push, pull, or lift anything heavy overhead for about six to eight weeks. Neutropenic precautions specifically exist to prevent infection in all patients who are immunocompromised. Short and long term goals
SCIENCE
HEALTH SCIENCE
NURSING

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