{"id":10392,"date":"2021-01-17T01:24:20","date_gmt":"2021-01-17T01:24:20","guid":{"rendered":"https:\/\/northendrehab.com\/?page_id=10392"},"modified":"2023-06-13T12:38:38","modified_gmt":"2023-06-13T12:38:38","slug":"case-studies","status":"publish","type":"page","link":"https:\/\/northendrehab.com\/case-studies\/","title":{"rendered":"Case Studies"},"content":{"rendered":"
Mr. S.C. arrived at North End Rehabilitation and Healthcare Center after an acute care stay at Beverly Hospital for respiratory failure, pneumonia and sepsis due to the COVID 19 virus. <\/p>\n
After several weeks in the hospital, Mr. S.C.\u2019s mental state began to improve, his encephalopathy cleared, and he returned to his baseline cognition. However, he now required aggressive rehabilitative therapy to return to his previous physical state. Mr. S.C was eventually weaned from the ventilator and successfully transferred to North End Rehabilitation and Healthcare Center to continue his rehabilitation, where he was admitted into our Pulmonary Rehabilitation Program. <\/p>\n
\u201cI am so grateful for the care I received here at North End. Because of them, I am going home. The team here is the absolute best!\u201d <\/strong><\/p>\n Admitting Diagnosis:<\/strong> Displaced Intertrochanteric Fracture of the Left Femur A 91-year-old gentleman who was admitted to The North End Rehabilitation and Healthcare Center from Spaulding Rehabilitation Hospital for skilled nursing and therapy following a left femur fracture. Upon admission, Mr. C. was evaluated by and participated in skilled occupational and physical therapy where he was noted to require stand by assistance with upper body dressing and maximum assistance with lower body dressing. He required moderate assistance for toileting and bathing and contact guard assistance with hygiene and grooming. Additionally, he required minimum assistance with bed mobility, moderate assistance with transfers and contact guard assistance to ambulate 5 feet with a rolling walker. Mr. C. was determined to return home and he consistently participated in therapy. Upon discharge, Mr. C. was able to do 13 steps with contact guard assistance and was able to transfer and ambulate 300 feet with a rolling walker and supervision. He was also able to perform upper body dressing with supervision, lower body dressing with minimum assistance, and was able to perform bed mobility with modified independence. He made great gains toward his therapy goals and was able to return home at an increased level of independence with strong family support and VNA services. Great job, Mr. C.!<\/p>\n <\/p>\n 10.0 \u2013 Complete Independent \u2013 No assist, no equipment Admitting Diagnosis:<\/strong> Cerebral Infarction A 76-year-old female who was admitted to the North End Rehabilitation and Healthcare Center from Mass General Hospital for skilled nursing and therapy services to safely return home following a cerebral infarction. Upon admission, Ms. K. was evaluated by and participated in skilled occupational, physical and speech therapy where she was found to require maximum assistance for lower body dressing, minimum assistance for bed mobility and contact guard assistance for transfers, gait, toileting, upper body dressing, and hygiene. Additionally, she was put on a mechanical soft texture diet to reduce risk of aspiration and required moderate cueing for problem solving. She was determined to return home and worked hard with the therapists to return to a more functional level. Upon discharge, Ms. K. was able to transfer and ambulate 350 feet independently, was able to perform all self-care tasks without assistance and was able to be upgraded to a regular diet, showing vast improvement with her safety during swallowing activities. She made great gains toward her therapy goals and was able to return home with home health services. Great work, Ms. K.!<\/p>\n <\/p>\n 10.0 \u2013 Complete Independent \u2013 No assist, no equipment Pulmonary Rehab Case Study Mr. S.C. arrived at North End Rehabilitation and Healthcare Center after an acute care stay at Beverly Hospital for respiratory failure, pneumonia and sepsis due to the COVID 19 virus. 12\/10\/2021: Required intubation due to an inability to wean from the ventilator. 12\/23\/2021: Required a tracheotomy due to his deteriorating respiratory […]<\/p>\n","protected":false},"author":1,"featured_media":167,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"ngg_post_thumbnail":0,"footnotes":""},"acf":[],"yoast_head":"\n
\nCase Study<\/h3>\n
\nDischarge Location:<\/strong> Home <\/p>\n
\n9.0 \u2013 Modified Independent \u2013 No Assist, but equipment or extra time
\n8.0 \u2013 S\/u \u2013 No physical assist other than set-up; supervision for safety\/technique; and\/or single cue to initiate
\n7.0 \u2013 Supervision-No physical assist; supervision for safety\/technique; and\/or single cue to initiate
\n6.0 \u2013 SBA-Pt. performs task with close supervision and or visual\/verbal cues for task completion
\n5.0 – CGA \u2013 Contact Guard Assist
\n4.0 \u2013 Min \u2013 Occasional assist (25% or less time or effort to complete)
\n3.0 \u2013 Mod \u2013 Frequent assist (40-50% of the time or effort involved to complete task
\n2.0 \u2013 Max \u2013 Constant assist (75-90% of the time or effort involved to complete task
\n1.0 \u2013 CD \u2013 Complete Dependence: No contribution from pt; task done by others or not assessed<\/p>\n
\nCase Study<\/h3>\n
\nDischarge Location:<\/strong> Home <\/p>\n
\n9.0 \u2013 Modified Independent \u2013 No Assist, but equipment or extra time
\n8.0 \u2013 S\/u \u2013 No physical assist other than set-up; supervision for safety\/technique; and\/or single cue to initiate
\n7.0 \u2013 Supervision-No physical assist; supervision for safety\/technique; and\/or single cue to initiate
\n6.0 \u2013 SBA-Pt. performs task with close supervision and or visual\/verbal cues for task completion
\n5.0 – CGA \u2013 Contact Guard Assist
\n4.0 \u2013 Min \u2013 Occasional assist (25% or less time or effort to complete)
\n3.0 \u2013 Mod \u2013 Frequent assist (40-50% of the time or effort involved to complete task
\n2.0 \u2013 Max \u2013 Constant assist (75-90% of the time or effort involved to complete task
\n1.0 \u2013 CD \u2013 Complete Dependence: No contribution from pt; task done by others or not assessed<\/p>\n
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