Inpatient Care Pathway

Many patients are able to undergo evaluation, testing, and treatment in the outpatient setting. Some patients are hospitalized due to their disease. The following outline of hospital care pathway for our Interventional Pulmonology patients at Henry Ford Hospital provides a general overview of what patients and families may expect to occur, We believe every patient, like every disease, is different, and we aim to design care plans and treatment based on many factors specific to each patient. Therefore, this outline is a general overview, which we hope will help to make patients and families feel more comfortable about what to expect during the hospital care process.

Transferring a patient to Henry Ford Hospital

When the Patient is first admitted to Henry Ford Hospital

For patients who are intubated

  • If the diagnosis is tracheal stenosis, a CT scan of neck with 3D reconstruction will be completed
  • Quality of Life: Karnofsky assessment to be performed
  • Interventional Pulmonology staff evaluation with bronchoscopy if indicated

For patients who are not intubated

  • If tracheal stenosis, then CT scan of neck with 3D reconstruction will be completed
  • If tracheobronchomalacia is suspected, then CT scan per our TBM protocol
  • Quality of Life: Karnofsky assessment to be performed
  • Interventional Pulmonology staff evaluation with bronchoscopy if indicated

All patients, intubated or not intubated, receive:

  • Quality of Life Questionnaires to be completed by patient and/or family
    • TDI
    • St George's Respiratory
    • ATS
  • Medical evaluation forms to be completed by patient and/or family
  • Referring Doctor form to be completed by patient and/or family
  • Interventional Pulmonology hospital care team list of names and photos will be given to the patient and/or family to help patients and families know the caregivers
  • Interventional Pulmonology doctor's business card

Next steps

Schedule appropriate procedure for patient:

  • Procedures may be performed in different areas depending on the procedure selected and the patient's condition:
    • Operating Room procedure
    • Bronchoscopy Suite procedure
    • Bronchoscopy in the Intensive Care Unit

Day of surgery

Some patients my be taken to the operating room immediately upon transfer to Henry Ford Hospital. Others may be inpatient for several days before being taken to the operating room. The final decision for this will be at the discretion of the interventional pulmonology staff that evaluates the patient.

  • Preoperative
    • Pre-surgical assessment completed by IP staff or fellow
    • Consent completed by the IP staff or fellow
  • Operation
  • Postoperative
    • Talk to family
    • Postoperative instruction sheet and patient information sheets
    • Stent card completed
    • Appropriate follow-up bronchoscopy scheduled
    • Patient to return to room

After surgery care

  • While the patient is in the hospital
    • Patient evaluation post-operatively
    • Patient is seen daily and cared for by the Interventional Pulmonology team to determine recovery and readiness for hospital discharge
    • Hospital discharge planning with patient and family

Follow-up care after hospital discharge

  • 7 days post-operation patient called
  • For all patients, follow-up evaluation and treatment will be individually assessed and complete recommendations given to patient.
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