March 7, 2017
Mrs. Lois S was admitted to Cumberland Nursing and Rehabilitation Center on October 25, 2016. A customized rehabilitation program was implemented to address functional deficits related to her admitting diagnosis and medical complexity. After successfully completing the therapy program at Cumberland Nursing and Rehabilitation Center on January 04, 2017, Lois S was discharged to long-term care. Mrs. Lois S achieved 88.2% of her optimal level of independence.
Model 10 Composite Score Overview:
Patient achieved 88.2% of their optimal level of functional independence.
Functional Outcome Level Upon Admission 4.6
Functional Outcome Level Goal 7.5
Functional Outcome Level Upon Completion 8.5
Mrs. S received physical therapy five times a week for six weeks. She required minimal assistance with bed mobility, transfers, and ambulation of 75 feet. She also reported pain which limited her mobility. In addition, Mrs. S demonstrated difficulty standing unsupported without loss of balance. Following her physical therapy treatment, Mrs. S was performing bed mobility tasks and functional transfers with contact guard assist. Her strength and endurance for activity also improved as evidenced by her ability to ambulate x 200 feet with stand by assistance. Also her reported pain had decreased from 9/10 to 5/10 at time of discharge.
Mrs. S received occupation therapy five times per week for six weeks. Therapy focused on improving her ability to perform activities of daily living and overall strength and endurance for activity. Mrs. S presented with difficulty bathing requiring moderate assistance and required minimal assistance with toileting and lower body dressing. At time of discharge, Mrs. S was able to perform toileting tasks with contact guard assistance and use of grab bars for safety without loss of balance. She also performed upper and lower body bathing with stand by assistance with use of energy conservation techniques. Mrs. S was able to stand unsupported for 5 minutes with ability to right self and maintain balance while maintaining oxygen saturation of greater than 90%.
Skilled speech therapy was provided five times a week for ten weeks with focus on cognitive-linguistic skills and swallow therapy. At evaluation, Mrs. S’ cognitive performance, specifically reasoning, problem solving and categorization, required moderate verbal cues for increased safety in a new environment. Swallow strength and function presented as a severe swallowing problem. Mrs. S was admitted on a diet consistency of pureed solids with pudding thick liquids. She participated in a swallow evaluation along with neuromuscular electrical stimulation therapy. As Mrs. S’ swallow strength and function improved, her diet consistency was upgraded. At discharge, Mrs. S met all cognitive-linguistic goals at 80% accuracy with 20% minimal verbal cues. Her swallow function and strength improved and she was able to safely tolerate mechanical soft solids with nectar thick liquids 100% of the time with no overt signs and symptoms of aspiration.
It has truly been a pleasure to serve Mrs. S. She was motivated to reach her prior level of functional independence. The entire staff at Cumberland Nursing and Rehabilitation appreciate the opportunity to assist Mrs. S in achieving her goals and rehabilitation needs. If you have any further questions please contact DeAngela Skaggs at (606) 678-5104 or cumberland@reliant-rehab.com. Your therapists are Christy White, Carolyn Bailey, Rhonda Jill Phelps, and DeAngela Skaggs.