Patient Information: Male, Age 79
Patient Information: Male, Age 72
Diagnosis: Muscle Weakness / General Debility
History: This gentleman had a fall and was hospitalized due to a femur fracture. He experienced multiple medical complications and surgeries and was admitted to a skilled nursing facility. He was transferred to this skilled nursing facility for long-term care two and half months after his fall and was referred to therapy due to weakness, balance deficits, inability to walk and inability to perform self-care. Prior to his fall he lived at home and was independent with all mobility and activities of daily living (ADLs).
Patient Information: Male, Age 75
Diagnosis: Peripheral Vascular Disease / Falls / Muscle Weakness
History: This gentleman was referred to a skilled nursing facility with severe debility after
hospitalization due to a fall at home. Following the fall, he laid on the floor for two days before
being discovered by his home health nurse. At the time of hospital admission, he suffered
from acute renal failure, altered mental status, and infected wounds on both legs. Prior to the
fall, this gentleman lived alone, walked with a straight cane, and was independent with all
self-care, household and community activities.
Patient Information: Male, Age 73
Diagnosis: Chronic Obstructive Pulmonary Disease (COPD) exacerbation.
History: This gentleman was referred to a skilled nursing facility for rehabilitation services to address significant weakness and functional decline after an exacerbation of COPD.
Patient Information: Female, Age 69
Diagnosis: Heart Failure / Dysphagia
History: This woman, a long-term rehab center resident, was admitted to the hospital due to heart failure which resulted in dysphagia (difficulty swallowing). A feeding tube was placed and she was not allowed to eat or drink by mouth. Following hospitalization, she was referred to speech therapy with a goal to return to eating a regular diet and drinking thin liquids independently in the dining room.
Patient Information: Female, Age 80
Diagnosis: Mixed Incontinence
History: This woman, an independent living resident with a 40-year history of incontinence, was referred to outpatient therapy due to increased incontinence episodes. She had mixed incontinence (impaired urge sensation and pelvic floor muscle weakness) resulting in decreased socialization. She was considering the use of a pessary (a insertable prosthetic device that may help with stress incontinence) and took medication for overactive bladder.
Patient Information: Male, Age 77
Diagnosis: Oropharyngeal Dysphagia / Hypoxic Respiratory Failure / Childhood bulbar polio
with paralyzed vocal cord
Patient Information: Male, Age 49
Diagnosis: Pneumonia / Neuropathy
History: This gentleman was found by EMS unable to get out of bed and covered in soiled bedding with insect infestation, and reported he hasn’t been out of bed for “quite some time.” He
was admitted to the hospital with pneumonia, then transferred to a skilled nursing facility
for rehabilitation services.
Patient Information: Male, Age 96
Diagnosis: Fall / Compression Fracture
History: This gentleman was referred to a skilled nursing facility following hospitalization due to a fall in his garage which resulted in a thoracic compression fracture of the spine. Prior to the fall, he lived at home and was independent with ambulation, driving and mowing his yard.
Patient Information: Female, Age 76
Diagnosis: Chronic Obstructive Pulmonary Disease (COPD) / Chronic Heart Failure (CHF) / Diabetic Neuropathy
History: This woman was referred to home health therapy services due to numerous falls, poor balance, and a decline in functional mobility. Over several months she became wheelchair-dependent in part due to fear of falling. Prior to this decline, she was independent with transfers and able to walk with a rolling walker to the dining room for meals in her assisted living facility.