Physical Therapy Executive Summary

The patient is an 8-year-old female first grade student known as E.S. Her diagnosis is a specific learning disability involving visual perception and fine motor deficits. E.S. is seen for 30 minutes every other Thursday for OT services.

At today’s visit she is found in her room at Tiffany hall SNF. She is awake, alert and confuse. The facility staff reports that the patient often refused care. She is wheelchair dependent. She is assist with most ADLS. She has chronic edema in lower extremities and refuses to elevate legs. She also refused

I spoke with Mr. Naranjo many times since the last reporting period regarding scheduling of occupational therapy and also the MRI. Once the MRI and x-ray were done he declined going back to Dr. Branch for a follow-up appointment on 1/31/8. He has requested to see his primary care doctor’s office.

10:24-10:50 AM SC completed monitoring phone call with Pa on 12/24/2015. SC spoke with Tina Carroll Pa’s dtr and CG/DOC. Tina reported that Pa is getting worse and she is just doing the best she can. No falls, ER visit, hospitalization or medications were reported since last contact. Tina reported that Pa is satisfied with services and her agency and aides. Tina is requesting weekend PAS support. SC informed the Tina that SC will assess Pa’s needs that home visit in January, 2016 Tina agrees. Tina confirmed that Pa is receiving services as indicated in the ISP in the following type, scope, amount, frequency and duration: Pa receives Agency Model PAS 4 hours 5 days a week 10am - 2pm via Independent Home Care. PAS provide assistance with bathing,

Requested verification from the provider’s office regarding the correct laterality for this request, as well as the IW’s conservative treatments to date; however, no information was received prior to the submission of this request to PA.

The patient has been diagnosed with bilateral peripheral neuropathy. She has been seeing Kishori Somyreddy, MD. Dr. Somyreddy recommended physical therapy, which she is not sure it helped with the neuropathy, but she does think it helps with her chronic back pain and she is feeling better from that standpoint. She has not been able to stick with the physical therapy exercises as much of late, but does plan on getting back to that now that she is settled and feeling less stress with all that she needs to do.

Pt. was readmitted to the program on 8/10/16 and he has shown good participating during therapy session. Pt. is currently encouraged to meet with the Primary Counselor to discuss and practice new behavior in order to progress to the Maintenance stage of change. As the Pt. has participated in the recovery program and has been able to achieve phase 5 of TX program and maintain 7 months of negative UDS results. Pt. remains in compliance with TX obligations by attending mandatory monthly counseling and making payments in advance despite recent hospitalization. Pt. was hospitalized due to a car accident in Lewes, DE. Pt. also indicated that he stills support his child financially. Pt. indicated that he is currently not working after having a facial

The patient has attended 3 PT sessions for the ankle per daily note dated 04/05/13.

I met Ms. Milton at Dr. Vanderjadt's office. Her husband was in Canada fishing. Her son brought her to the appointment. Her weight is up from last time, she is using the walker. She reports her legs are very unsteady and will buckle without warning. The braces she got do not stay on, her leg shape is large on the top then down small so they just will not stay up. She said she needs someone standing by her when ever she gets up. Dr. Vanderjadt would like her to go and have custom braces fitted to her leg shape. She was given contact information. She reports her neck is so painful she went to the urgent care clinic. Dr. Vanderjadt reviewed her x-rays and he said her spine is full of age related wear and tear, arthritis. She has had prior back surgery and he said this is all age and nothing they can do about it.

Thank you so much for the updates. I just filled out the form and sent it to Susan.

I hereby wish to articulate my impetus to apply for the Doctor of Physical Therapy (DPT) program at your institution. As an institution of higher learning, you have been in the frontline of providing quality education since 1962. Your institution has gained practical experience in solving real-life challenges facing today’s society. Your institution strives in providing an individual focus to the academic and personal development of each student. I believe your institution’s mission is in line with my aspiration as a learner and a professional. By recognizing and embracing the varying capabilities of the students, your institution encourages the students to be passionate towards their learning. This approach is especially critical since it not only increases one’s academic excellence but also cultivates a lifetime culture of personal and intellectual growth.

She has minor visual impairment because of Sjogern Syndrome and lack of lubrication within her eyes. Her cardiovascular and respiratory systems are hindered by a Dx of hypertension, A-fib, and asthma. Neuromuscularly, she has pain, decreased ROM, decreased strength, and increased swelling at shoulder, elbow, and smaller joints of the hand due to chronic RA. BK has displayed a positive affect during all of the sessions. Her mobility is limited because of a left AKA, but she displays modified independence in functional mobility, using a powered wheelchair to navigate her home and community. She does have the motor, sensory, and cognitive capacity to ambulate with a walker and a prosthetic leg, and she can ambulate using the walker, without her prosthetic for distances shorter than 10ft. Currently, she cannot use her prosthetic leg due to a cyst on her left

SC called Pa and spoke to Pa. Pa reported that she is receiving services as outlined in the ISP. Pa stated that she is please with her services and feels that they meet her current needs. Pa reported that she is schedule to have surgery two weeks from now to remove two hernias from her stomach. She also, reported several medication changes. No falls, ER visit, hospitalization was reported by Pa. SC informed the CG that Pa is up for a home visit in January, 2016 and then SC will assess Pa for the increase and submitted it for review. CG ok with waiting until SC visits in 01/2016. Pa confirmed that he is receiving services as indicated in the ISP in the following type, scope, amount, frequency and duration: Pa receives 4 hrs x 7 days via PPL consumer

Julietta Wenzel is the most caring and professional physical therapist I know. I was in a terrible car accident back in January of 2015 and could barely walk. I was diagnosed with 3 herniated disks and occipital neuralgia. The first physical therapist that I went to, did nothing but aggravate my pain. Most of my hour long appointments were spent putting ice and heat on the injured area at the other physical therapists. I can do that at home, however and do not need to go to them for that. I had no hope and did not believe in physical therapy until I went to Julietta. She never wasted a minute on things that I could do at home, her therapy techniques were effective. I would never be back to normal without Julietta’s help. Her knowledge

To conclude, the general adherence to the spinal surgery rehabilitation mainstream protocols is a necessary baseline; however, the therapeutic effect of interventions may be altered by the patient’s motivation and others health promoting cognitive-behavioral factors. In this particular case the PTA’s experience have been the contributing factor to patient’s motivation and further adherence to the rehabilitation program. The future interest in rehabilitation with combined approaches may result in optimization of the physical therapy