“Hello. It’s Lori, the community paramedic. Would it be an okay time to provide a quick update on Mr. and Mrs. Blejnar?”
“Yes, thank you for calling.”
“Mr. Blejnar was quite short of breath today. We revisited his goals of care; he and his wife have communicated they do not want to go back to the hospital for bi-level treatment. He wishes to remain at home with his family. His BP was 145/90, RR 26, HR 100, SpO2 was 92% on room air, his temperature was 36.7°C orally. He denies pain and rates his dyspnea as 7/10. He is alert and oriented. We offered a cool cloth, fan and provided emotional support.
They describe his dyspnea episodes similar to his daily experience, they seem to occur more often now. He feels it may be related to his fears about what may happen when he can’t catch his breath. He is interested in revisiting his care plan to support his comfort and ability to remain at home with his wife.”
“Great thank you for going to see them and for the update. Let’s book a care meeting with them to revisit his care plan and to provide some additional supports so together we can support his wishes.”
“Wonderful, thank you so much. I will let them know.”