The Pulse

Patient Information: Male, Age 57

Diagnosis: Cognitive Communication Deficit / Chronic Obstructive Pulmonary Disease /
Chronic Heart Failure

History: This gentleman was admitted to a skilled nursing facility and referred to speech therapy for decreased cognitive function and failure to thrive following bilateral above knee amputations. Previously, the gentleman lived at home.

It is estimated that over 30 million individuals (9.4%) in the US population has diabetes, while more than one in four do not know they have the disease. A staggering 84.1 million adults have pre-diabetes and, of these individuals, 9 out of 10 are unaware of the condition. Diabetes affects multiple parts of the body and causes many complications such as heart disease, stroke, kidney dysfunction, diabetic neuropathy, orthopedic problems, gum disease, and eye disease. Managing blood glucose levels, a healthy lifestyle and physical activity can help prevent these complications.¹

Patient Information: Female, Age 83

Diagnosis: Acute Encephalopathy / Chronic Heart Failure / Morbid Obesity

History: This woman was referred to a skilled nursing facility due to declining health, functional mobility, and ability to care for herself. Thirteen months prior, she was hospitalized due to encephalopathy and complications from chronic heart disease, she was then referred to a skilled nursing facility for rehabilitation. She had poor adherence and participation in therapy. At that time, her son and daughter-in-law took her home despite requiring assistance for all transfers, mobility, and most daily living activities. Once home, her activity level and health further declined and she was re-admitted to the hospital and subsequently back to the skilled nursing facility. Prior to initial hospitalization, she was able to propel herself in her wheelchair up to 100 feet and was able to assist with transfers and self-care.

ACP’s MFAC Hand Control protocol provides for electrical stimulation-assisted muscle contraction to assist with the development of functional movement of superficial and deep muscles. To maximize the therapeutic effect of the intervention, the electrical stimulation delivered by the MFAC Hand Control protocol should be set to elicit a grade 3-5 muscle contraction and should be administered along with a strong volitional contraction by the patient.

Patient Information: Male, Age 71

Diagnosis: Stroke / Left Hemiparesis

History: This gentleman suffered a stroke causing hemiparesis (muscle weakness) to his left leg and arm. After spending a week and a half in the ICU and an additional three weeks in inpatient rehabilitation, he received six weeks of outpatient therapy. Prior to his stroke, this gentleman was independent with all mobility and worked full-time running a heavy equipment corporation.

Cerebral vascular accident (CVA), or stroke, affects 795,000 individuals each year and is the fifth leading cause of death in the United States, killing 140,000. Approximately 87% of all strokes are the ischemic-type. Additionally, it is the leading cause of serious long-term disability. Individuals who suffer stroke often have communication challenges, dysphagia, pain, edema, depression, limitations in mobility, and impaired functional ability.^1,2

Patient Information: Male, Age 79

Diagnosis: Wallenberg - Stroke / Dysphagia

History: This gentleman was admitted to a skilled nursing facility for rehabilitation services after hospitalization due to a stroke. A feeding tube was placed to address his dysphagia (difficulty swallowing). Prior to the stroke, he lived in his assisted living apartment and was able to eat a regular diet.

What do you do in your free time?  Living in Florida, I just love spending weekends with my family at the beach, watching soccer, or playing music. I started playing the violin at age 5 and guitar at age 7 and it one of my favorite hobbies. But mostly, my time is spent with the entire family as we are involved in the local Hungarian Community. We are members of a performing Hungarian Archery Team – the Hun Archers. We perform all over the Southeast USA at Folk Festivals, Renaissance Festivals, and Hungarian Festivals. Which takes up a lot of my free time but, is so much fun.

Patient Information: Female, Age 91

Diagnosis: Left Hip Pain / Spinal Stenosis / Difficulty Walking

History: This woman, a long-term skilled nursing facility resident, was referred to therapy due to a significant decline in functional mobility including bed mobility, transfers and walking. The decline was preceded by a fall while getting out of the car with her daughter, after which
she experienced increased pain in her left hip and back. Prior to this incident, she required minimal assistance with most functional tasks.