Patient Executive Summary

He is total care with his ADLS, he is able to verbalized his needs but unable to perform them. He reports that he had a colostomy placed in 2011 and urostomy placed in 2014. His father provides hygiene care and changes for both his colostomy and urostomy bag. He has bilateral arm/hand contractures and he has gotten weaker. He is getting OT and PT from kindred home health. He uses a hospital bed with air mattress and his father changes his position every 3 hours. He reports pain in his legs and back that is constant, dull and aching. His pain is worse with movement and dressing change. His current pain level is 8/10 on a pain scale. His pain regimen consists of fentanyl 75 mcg patch every 72 hours and oxycodone 5 mg p.o every 6 hours as needed for breakthrough pain. He has been taking 2 prn doses daily because he did not want to run out of medication. He states that 2 prn dose is not effective in relieving his breakthrough pain. He previously was getting his medication from his PCP but since his condition has deteriorated his parent who are elderly is not able to get him to the

-Contacted Desert Springs facility and follow-up on the patient. Spoke to medtech Muriel and stated that another caregiver has been going to patient’s room and no complaint or concern was raised from the patient. Instructed Muriel to see the patient and she stated that patient is the same and “normal” sitting up in her recliner’s chair. Speech is clear and no facial droop per Muriel. Per Muriel, patient did complaint about a week ago with right foot

The patient is an 85-year-old female who is brought to the ED by her family because of increasing confusion and supposedly she had a degree of altered mental status of two hours previous to presentation. In the ED she is completely worked up. CT shows advanced atrophy with microvascular changes and several lacunar infarcts nothing acute. Specific gravity in the urine reveals her to be markedly dehydrated. She culture completely, started on IV antibiotics, IV fluids and B12. On the day after admission she still presents as persistently confused. She is evaluated by PT. The patient who was formerly ambulating with a walker and allegedly driving a car is unable to be ambulated. Before the history indicates that she has a slow downward

JS is geriatric female patient comes for a cleaning. She is in a wheelchair and prefers to be treated in the wheelchair because transferring to the dental chair makes her very anxious. Medical history was reviewed, patient is takin several medications daily, but none of her medical conditions represent a contraindication to treatment (list of medications and conditions were reviewed, but I did not copied it).

Journey’s intake unit completes all initial assessment to assess client for different level of care and accurately assign them to the most appropriate unit. The different level of care ranged from intensive inpatient care unit to medication only. As a practicum student, I worked in the outpatient services unit. The assessment was completed via an online program with an intake staff and the client, usually a week or two before the first scheduled appointment with a clinician. Therefore, once a client is assigned to me, I have access to review their file. The assessment are usually completed in a brief model format, and as the clinician assigned to work with a client, I am expected to use the first two sessions of therapy

John Doe, a 70 years old Caucasian male admitted to the acute rehab unit after Ischemic CVA of the right pareito-occipital region. He has left hemiparesis and newly diagnosed Type II Diabetes. He is a school teacher, and teaches Art and paintings. He is alert and oriented times four. His past medical history is Essential Hypertension, GERD, and Hyperlipidemia. He is non-compliant with his medications, he did not take his blood pressor medication properly. He is overweight and does not exercise. He lives with his wife, and have two sons and four grandchildren. His current medications include, Cozaar, Norvasc, Pepcid, Lipitor and he takes Aleve for pain. He has blood sugar checks before meals and at bedtime with a sliding scale coverage of Humalog insulin subcutaneously. His diet is Carbohydrate consistent, Fat Cholesterol modified, 2 gm Sodium.

At today’s visit she is accompanied by her husband and private aide. Her husband reports that she is doing much better. He states that her pain has improved and she has not taken her pain medication since last visit. He states that her anxiety had improved extremely with the recent change in her Xanax. He states that he has hired 24 help for the patient and since she has not fallen. She reports that she is feeling well. The caregiver reports that the patient continue to suffers from hypotension and hypertension with variation in blood pressure. The patient also continues to suffer from chronic tremors as a result of her Parkinson.

no problems with mobility noted, patient ambulates w/o assistance, ROM of joints intact, patient pt able to rotate feet,

This case study is about a patient, T.C., who I treated while a physical therapy assistant at an acute rehabilitation hospital. T.C. had terminal spinal cancer and at the time of admission had a fair prognosis to maintain function and strength enough to be discharged to his daughter’s home with home health care and family support, and he wanted to eventually go back to his own apartment. He was using a wheelchair as he was partially paralyzed from the waist down, and was able to use a transfer board to transfer from his wheelchair to bed and back.

Susan Hartman, a Chief Executive Officer of Healthsouth Nittany Valley Rehabilitation from State College was a guest speaker of the class. Furthermore, she is also the chair of the Medical Division Committee for the Pennsylvania Association of Rehabilitation Providers and a member of the Hospital Association of Pennsylvania. Her presentation was very fascinating and highlighted the importance of Inpatient Rehabilitation and Post Acute Care in the United States. She started her presentation with the continuum of care. Gradually, she explained about the Acute care hospital and long-term acute care hospital in which the patients from both care receives an equal number of beneficial and quality care to make them better longevity. Furthermore, she also disclosed about post-acute care industry readmission rates, which showed that the skilled nursing facility has 22.0 % and inpatient rehabilitation has 9.4 % rehospitalized after using post-acute care setting. Similarly, she explained that HealthSouth overview of hospitals with IRF patients in which the average age of all patients is 72 and the age for Medicare FFS is 76. Additionally, she also talked about the operational excellence in post acute care in which everything matters for the operational excellence, including the quality, cost effectiveness and investment in

Patient did not show for his appointment on 03-21-17. SPT failed to contact the patient by phone. The patient will be put on the waiting list until further notice.

Patient is a 76 y/o male that lives with family members and his wife who has Alzheimer’s disease. They live in a single family home with 1 step to enter. Pt has 2 daughters and 1 son who live locally and assist him and his wife with driving to the grocery store. The reason that the patient was referred to Occupational Therapy is because of his decline in strength, decrease in functional mobility, and decrease in transfers along with his reduced participation in his activities of daily living. Pt’s prior level of function was moderate independent with the assist of adaptive equipment such as a rolling walker. His prior level of function doing his ADL’s was moderate independent in hygiene, grooming, bathing, toileting, UB &

Patient has a history of a myocardial infarction (MI, or also known as a heart attack) in 2004, she had a hip pinning in 2005, and a traumatic amputation of fingers on her left hand in 1974 from a lawnmower accident.

The key informant that I chose for my interview was Breanne Watson who is a registered nurse at Surry County Health and Nutrition Center in Dobson, NC. Watson explains that she has been a county health department nurse for five years and has worked in several different areas within the health department. Currently, Watson specializes in communicable diseases at the health department. Watson states that her job consist of providing services to individuals with communicable diseases, reporting the disease, planning treatment regimens for the individual, ordering medications and following up with the individual. In addition, Watson educates and counsels individuals on communicable diseases and takes part in the health team planning of the community

The patient has a supportive neighbor who drove him home from the hospital and a senior services volunteer who drives him to the nursing home his son resides at. Strength in his right UE is 4/5 in shoulder movements, 3+/5 in elbow and hand, and 3-/5 in his wrist. He has edema in his wrist and fingers along with pain in most wrist movements. AROM in his elbow is a -25 degrees extension, wrist has 20 degrees of flexion and 15 degrees of extension, and his fingers are -1/3 of full ROM. The patient is right handed and also has impaired coordination during fine-motor and dexterity movements with his right UE but is left UE is WFL. The patient has a positive prognosis with nursing and occupational therapy interventions to return to a functional level of