The Pulse

Patient Information: Female, Age 77

Diagnosis: Left Knee Pain

History: This woman, a long-term care resident of a skilled nursing facility, was referred to therapy due to knee pain and a decline in functional activity and ambulation. Prior to this recent decline, she was independent with ambulation throughout the facility.

Patient Information: Female, Age 72

Diagnosis: Cardiac Arrest / Pulmonary Embolism

History: This woman was referred to a skilled nursing facility for rehabilitation services due to severe weakness and debility following hospitalization. She had a pulmonary embolism (blood clot in the lungs) which required intubation and life support with extracorporeal membrane oxygen – ECMO (blood pumped outside the body to a heart and lung machine to remove carbon dioxide and send oxygenated blood back to the body). Prior to hospitalization, she lived at home and was independent with all mobility and self-care.

Patient Information: Female, Age 76

Diagnosis: Chronic Heart Failure / Generalized Muscle Weakness / Shoulder Pain

History: This woman was admitted to the hospital to address multiple medical issues. Following hospitalization, she was referred to a skilled nursing facility for rehabilitation to address her limitations in strength and mobility, with a goal to return home alone at her prior level of function, independent with all mobility.

Patient Information: Female, Age 68

Diagnosis: Respiratory Failure

History: This woman was referred to a skilled nursing facility due to severe deconditioning following a two-month hospitalization for pneumonia, during which she experienced respiratory arrest and required ventilation by tracheostomy intubation (surgical procedure inserting a breathing tube through the trachea to restore breathing).

Patient Information: Male, Age 65

Diagnosis: Stroke / Oropharyngeal Dysphagia

History: This gentleman was admitted to a skilled nursing facility for rehabilitation services following hospitalization due to a stroke. He was diagnosed with oropharyngeal dysphagia (difficulty swallowing). His swallow initiation was inconsistent and he had difficulty managing his own secretions. He could not take any food or liquid by mouth and a feeding tube was placed. Prior to his stroke, he ate a regular diet.

Patient Information: Male, Age 69

Diagnosis: Chronic Heart Failure / Muscle Weakness / Kidney Failure

History: This man was admitted to a skilled nursing facility after a seven day hospital stay due to a decline in his ability to care for himself and his wife. He was referred to occupational and physical therapy to improve his strength and function, with the goal to return home and resume his role as the primary caregiver for his wife.

Patient Information: Male, Age 79

Diagnosis: Right Ankle Fracture / Gastrointestinal (GI) bleed

History: This gentleman was referred to a skilled nursing facility for rehabilitation services due to weakness and reduced functional mobility after hospitalization for a right ankle fracture (from a fall) and a GI bleed. Prior to hospitalization, he used a rolling walker to ambulate and lived in a 2-story home with a roommate who helped with household tasks.

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.