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Male, 75 years old admitted to Mount Holly Rehabilitation & Healthcare Center from Virtua Marlton Hospital with an admitting diagnosis of Acute Respiratory failure with noted worsening wounds. The patient has a history of HTN, aortic valve stenosis, diabetes, anemia, obstructive sleep apnea requiring nocturnal support (Bipap), and CAD.
On admission, the patient was followed by our internal clinical team led by PCP Dr. Carolyn Cavuto, Pulmonologist Dr. John Bermingham, APN Brian Shannon, Physiatrist Dr. Tracey Harris, In-house RT along with the daily clinical care of the nursing team!
Medication Management – diuretics and insulin management.
Wound Management – daily wound care including assessment and treatments.
Dietary consult – Heart healthy diet, fluid restrictions, and weight management to support his goal of weight loss.
Monitor Labs & Diagnostic Studies – Frequent labs, In-house X-ray capabilities
Goals: Maintain Adequate Oxygenation, Bronchodilation, and DB&C Exercises
Initial assessment revealed the patient was on oxygen and a Bipap machine for respiratory support. The internal team worked with the patient providing him with extensive education on all his respiratory support requirements. A repeat in-house sleep study was completed to support his plan of care consisting of Nocturnal Autopap with home oxygen. The in-house RT worked with him daily to get him comfortable with the machine and mask before being discharged. Respiratory education also included incentive spirometry, coughing & deep breathing exercises, and optimized oxygen conservation interventions.
Upon admission, the patient required maximum to moderate assistance for self-care tasks along with transfers, bed mobility, and ambulation. She actively participated in therapy to regain her independence. Upon discharge, she was at a supervision/independent level with all self-care tasks and was able to ambulate 150 feet with a rolling walker.
The patient was discharged home with the support of his wife. All follow-up appointments were made before his discharge home including PCP Dr. Michele Henritzy.
Ms. V admitted to Mount Holly Rehabilitation and Healthcare Center on May 11, 2022 from Virtua Memorial Hospital of Burlington County with Covid-19. On admission, she was placed under the care of Dr. Nisha Kumar. During the course of the stay, Occupational Therapy, Physical Therapy, and Speech Therapy were initiated to efficiently and effectively identify her unique needs and tailor specialized treatment plans to successfully transition to the next level of care.
On admission, Ms. V was noted to require minimal assistance with bed mobility, ambulation and transfers and standby assistance with swallowing. Decreased balance and activity tolerance also increased her risk for falling. She worked with the interdisciplinary team and participated in care plan meetings and therapy throughout her stay. Her participation was limited in the beginning of her stay due to weakness and overall deconditioning, but as she improved and increased her strength, she was able to increase her participation in higher level functional activities.
The therapy team provided skilled interventions to address her adaptation, compensation, and restoration potential and coordinated with the interdisciplinary team to ensure appropriate clinical care areas were addressed. On June 01, 2022, she successfully discharged home being able to complete swallowing with setup assistance, ambulation and transfers with supervision and bed mobility with standby assistance. Great work Ms. V!
The rehabilitation length of stay was 22 days.
Rehabilitation outcomes are assessed on a 10-point rating scale. 10 is the most independent level of ability, and 1 is the most dependent level of ability. A score of 0 may represent an inability to perform the task. The Model 10 Composite Score represents Ms. V’s overall outcomes.
Functional Outcome Level Upon Admission: 4.5 | Functional Outcome Level Upon Discharge: 7.0
Ms. K admitted to Mount Holly Rehabilitation and Healthcare Center on August 04, 2022 from Virtua Memorial Hospital of Burlington County with Covid-19. On admission, she was placed under the care of Dr. Nisha Kumar. During the course of the stay, Occupational Therapy, Physical Therapy, and Speech Therapy were initiated and she was placed on the Pulmonary Specialty Program in order to efficiently and effectively identify Ms. K’s unique needs and tailor specialized treatment plans to successfully transition to the next level of care.
On admission, Ms. K was noted to require minimal assistance with bathing and lower body dressing and contact guard assistance with toileting, ambulation and transfers. Decreased balance and activity tolerance also increased her risk for falling. She has been working with the interdisciplinary team and participating in care plan meetings and therapy throughout her stay. Her participation was limited in the beginning of her stay due to weakness and overall deconditioning, but as she improved and increased her strength, she was able to increase her participation in higher level functional activities.
The therapy team provided skilled interventions to address her adaptation, compensation, and restoration potential and coordinated with the interdisciplinary team to ensure appropriate clinical care areas were addressed. On August 23, 2022, she successfully discharged to long term care being able to complete bathing, lower body dressing, toileting and transfers with modified independence and ambulation with setup assistance. Great work Ms. K!
The rehabilitation length of stay was 20 days.
Rehabilitation outcomes are assessed on a 10-point rating scale. 10 is the most independent level of ability, and 1 is the most dependent level of ability. A score of 0 may represent an inability to perform the task. The Model 10 Composite Score represents Ms. K’s overall outcomes.
Functional Outcome Level Upon Admission: 4.6 | Functional Outcome Level Upon Discharge: 8.8
Ms. B was admitted to Mount Holly Rehabilitation and Healthcare Center on September 07, 2022 from Virtua Voorhees Hospital with Covid-19. On admission, she was placed under the care of Dr. Nisha Kumar. During the course of the stay, Occupational Therapy, Physical Therapy, and Speech Therapy were initiated and she was placed on the Pulmonary Specialty Program in order to efficiently and effectively identify her unique needs and tailor specialized treatment plans to successfully transition to the next level of care.
On admission, Ms. B was noted to require standby assistance with ambulation and supervision with toileting. Decreased balance and activity tolerance also increased her risk for falling. She has been working with the interdisciplinary team and participating in care plan meetings and therapy throughout her stay. Her participation was limited in the beginning of her stay due to weakness and overall deconditioning, but as she improved and increased her strength, she was able to increase her participation in higher level functional activities.
The therapy team provided skilled interventions to address her adaptation, compensation, and restoration potential and coordinated with the interdisciplinary team to ensure appropriate clinical care areas were addressed. On September 22, 2022, she successfully discharged home being able to complete toileting independently and ambulation with modified independence. Great work Ms. B!
The rehabilitation length of stay was 16 days.
Rehabilitation outcomes are assessed on a 10-point rating scale. 10 is the most independent level of ability, and 1 is the most dependent level of ability. A score of 0 may represent an inability to perform the task. The Model 10 Composite Score represents Ms. B’s overall outcomes.
Functional Outcome Level Upon Admission: 6.5 | Functional Outcome Level Upon Discharge: 9.5
