A 70-year-old female was admitted to Cypress Wood Care after being discharged from the hospital, and she was referred for skilled physical therapy services. The reason for referral was decrease in strength, inability to perform bed mobility and transfers, and also inability to walk. At time of evaluation, patient was oriented to time, place, and person.
She participated in the plan of treatment and was apprehensive and anxious. At the time of evaluation, she was totally dependent for bed mobility and transfers. She could not walk. After skilled physical therapy services, she started to perform supine to sit activity, rolling on one side, sit to stand with the walker with assistance. At start, she was on bedpan, but later, with physical therapy, she was no more on bedpan. Transfer training to restroom was achieved with physical therapy. Patient started walking with the walker with assistance for few steps initially. At the time of discharge, patient could perform bed mobility and transfers with minimum assistance. She could walk 25-30′ with the walker with 50% assistance. She appeared more confident in transfers and walking. Patient was discharged to home, and hence family training for transfers and walking was provided.
– Reliant Rehabilitation
Skilled occupational therapy was provided with goal to return home independent in self care. Patient required standby assist for upper body dressing and hygiene and grooming, Maximal A for lower body dressing, overall level independence 50% at admission. Patient discharge to home Independent to Modified Independence in self-care task and patient very pleased with outcome. Patient was evaluated for skilled physical therapy services. At the time of evaluation she demonstrated decrease in B/L lower extremity strength, decrease dynamic standing balance, increase right knee pain, increase right knee swelling, decrease in right knee range of motion, and inability to walk. Patient required min (A) for bed mobility and transfers. Patient underwent skilled physical therapy services which included strengthening exercises, balance exercises, cryotherapy for the knee, mobilization, bed mobility and transfer training, and walking with the standard walker. At the time of discharge patient had minimal to no pain, decreased swelling, increase right knee ROM to 100 degrees, increased lower extremity strength, increased dynamic balance to grade Good-, and improved walking ability with the walker for 120′ with no assistance. Patient was pleased with the outcomes achieved. On visit with the orthopedic, the doctor was very pleased with the patient progress.
– Reliant Rehabilitation