100 year old Horace Harrod was admitted to Friendship Health and Rehab following a fall at home with subsequent hospitalization. On admission, he required minimal assistance with bed mobility, transfers, and only ambulating ten feet with a rolling walker. He also needed moderate assistance with bathing, dressing, and toileting. He demonstrated poor safety awareness and endurance.
After just two weeks of physical and occupational therapies, Mr. Harrod was modified independent with bed mobility, transfers, and walking 100 feet with a rolling walker supervised. He was also able to perform his daily living activities with set up assist. His safety improved and endurance increased by 50 percent. Mr. Harrod returned to his private residence with occasional assist of family.
Dorothy Johnson received therapy at Friendship Health and Rehab following a left total knee replacement. Prior to surgery, Mrs. Johnson had been unable to walk for nearly four months and was using a wheelchair at home.
On admission to the rehab unit, she required moderate assistance to sit at the edge of the bed, maximum assistance for sit to stand and transfers to a chair. She was unable to ambulate, needed maximum assistance for lower body dressing, and her knee would only bend 80 degrees. Mrs. Johnson had significant knee pain and swelling with limitations in strength in her arms and legs. To complicate her situation even more, she was placed on bed rest for 10 days while being treated for a blood clot in her left leg.
Once Mrs. Johnson was allowed to resume therapy she progressed steadily and was motivated to reach her goal of walking again. And she did just that!!! In four weeks, Dorothy was walking 150 feet on a rolling walker with stand-by assist, independent getting in/out of bed and transferring to a chair. She was also able to dress herself with set-up assist and her knee range improved to 110 degrees flexion. She was able to straighten her knee, lacking only eight degrees from full extension. She returned home and planned to continue her therapy there.
Mr. Cecil received therapy at Friendship Health and Rehab following a left total knee replacement. Upon admission, he required contact guard assistance with bed mobility, transfers, and ambulation 90 feet with a rolling walker. He had an antalgic gait pattern and rated his pain 7 out of 10. Mr. Cecil’s left knee strength was a 3 out of 5 and left knee range of motion was 10-88 degrees with balance being fair with walker. He also needed moderate assistance for lower body dressing.
Mr. Cecil spent 20 days in the skilled rehab unit and made excellent progress. At discharge he was ambulating independently with a straight cane for community distances and independent with dressing. His left knee range of motion improved to 0-114 degrees in supine and 7-118 degrees in sitting. The pain level was now a 2 out of 10. Mr. Cecil demonstrated independence with his home exercise program and was also able to ascend/descent a full flight of steps with supervision. He’s all smiles about going home but we made him get just a little more therapy in on his last day.
Mr. Straughn was a rehab patient at Friendship Health and Rehab for nearly 7 weeks following a fall resulting in a left humerus fracture and surgical repair of a left hip fracture. At the start of care, Mr. Straughn required moderate assist for bed mobility and transfers. The left arm was in a soft cast and he was non weight bearing, and had no range of motion in his elbow. He could only ambulate 5 feet using a hemi walker and needed moderate assist due to pain, weakness, and poor balance. He also needed moderate assist to dress and maximum assistance to bathe himself.
At the end of his stay, Mr. Straughn was independent with all bed mobility, transfers, and ambulated 350 feet independently using a straight cane to walk on outdoor surfaces. He could ascend/descend 4 steps using a rail with supervision for safety. He was independent with dressing and set up assist only for bathing. Mr. Straughn was able to return to his private residence with home health services.
Mr. Brooking was admitted to Friendship Health and Rehab following a right hip fracture from a fall he sustained at home.
On admission, Mr. Brooking required maximum to total assistance with bed mobility, transfers, toileting, dressing, and bathing. He was unable to ambulate upon admission.
After 6 weeks of intensive physical, occupational, and speech services and teamwork of nursing staff and support of family, Mr. Brooking made considerable progress. At discharge, he was ambulating 350 feet independently with a rolling walker, up and down steps with minimal assist, and dressing with minimal assist for lower body only. A home evaluation was completed prior to discharge and recommendations were made for equipment and arrangement of the home to increase safety.
Happily, Mr. Brooking was able to return home with home health services and the continued support of his family. He even came back to visit us at Friendship after he was home for a couple of weeks.
Mrs. Gracey was admitted to Friendship Health and Rehab following a hospital stay due to a left tibial plateau fracture and complications with blood sugar levels. On admission, she was non weight bearing, required a knee immobilizer brace and was unable to ambulate. She needed moderate to maximum assist to get in/out of bed and to/from a chair. She needed full assistance with dressing, bathing, and toileting on admission. Cognitive testing also showed showed moderate impairments in memory, problem solving, and safety awareness.
Mrs. Gracey received physical, occupational, and speech therapies as well as 24/7 nursing care for six weeks and progressed very well. She was discharged independent with all bed mobility, transfers, dressing, toileting, and bathing. She ambulated 300 feet independently with use of a rolling walker. She was also able to ambulate up and down three steps with use of rails and supervision for safety. Her cognition improved greatly during her stay too. She returned to an apartment living alone with home health to follow for transition.
Mr. Schook came to Friendship Health and Rehab following a left hip fracture with surgical repair. Upon admission, Mr. Schook rated his pain 10/10 and required maximum assistance for dressing and bathing. He did not tolerate putting weight on his left leg and could only take a couple of steps with a walker. Mr. Schook needed moderate assistance just to sit on the edge of the bed. He also required oxygen to help with breathing.
After 4 weeks of physical and occupational therapies as well as teamwork with nursing to manage pain, Mr. Schook made incredible progress. At discharge he was independent with bed mobility, transfers sit to stand, toileting, and dressing. He was able to ambulate modified independent with rolling walker 200 feet. His pain was decreased to 3/10 with activity.
Mr. Schook was very motivated and worked diligently with the therapists to achieve his goals. A home evaluation was completed prior to discharge in order to assess need for equipment and recommendations for safety in the home. Home health services were also set up prior to going home. The Friendship Health and Rehab team was happy to help make Mr. Schook’s rehab experience a success!
Mrs. Norma Barnhill came to us following a right hip replacement. On admission, she presented with RLE weakness, limitations in right hip, and knee range of motion. She required minimal assist with bed mobility and transfers, minimum assist to pivot to chair with walker, and restriction of toe touch weight bearing right leg. She was only able to ambulate 10 feet on admission with minimum assist. She also required maximum assist for lower body dressing and bathing.
With occupational and physical therapy, Mrs. Barnhill progressed in all areas of mobility and strength. She ambulated 75 feet with a walker and all transfers were independent. She was also independent with dressing herself and bathed with set-up. Right hip and knee motion improved to an acceptable functional range.
Upon her follow-up visit to her orthopedic surgeon it was determined Mrs. Barnhill needed to remain toe touch weight bearing for an additional two weeks for further healing of the bone. After a home evaluation done by our therapy team at Friendship to determine equipment needs she was discharged home with home health services.
Once her physician gave her permission for full weight bearing status on her right leg, Mrs. Barnhill returned to Friendship to complete her recovery. Within 7 days she returned home ambulating household distances with no assistive device, outdoor surfaces and community level distances with a straight cane. She scored a 52/56 on her BERG balance test. She did not require home health upon discharge
Mrs. Thomas came to us at Friendship Health and Rehab very debilitated from a complex and long standing list of medical issues (including LE amputation, congestive heart failure, kidney disease, a wound and required a catheter and oxygen). She was extremely weak on admission needing help to roll in bed, dress and bathe, assist of two persons to get in/out of bed to a chair and she was unable to stand or wear her prosthesis.
After 9 weeks of Physical and Occupational Therapy and teamwork between therapies, nursing and the wound care group, Mrs. Thomas progressed to independence with bathing, dressing, getting in/out of bed and was able to put her prosthesis on independently. She no longer required oxygen or a catheter and she progressed to ambulating with a rolling walker 150 ft with supervision and up/down 6 steps using rails with stand by assistance.
Mrs. Evelyn Shepherd initially came to Friendship Health and Rehab following a fall at home with subsequent hospital stay for treatment of wrist fracture and congestive heart failure. She came to Friendship weak, non-weight bearing on her left hand and requiring moderate assistance to dress, bathe, toilet and ambulate with a platform walker. Her balance was poor and she had shortness of breath and limited endurance for activity.
Mrs. Shepherd was cooperative and motivated to return home and progressed well reaching a modified independent level for dressing and toileting and ambulating 500 ft without a device with supervision. However, the day before discharge home, Mrs Shepherd presented with significant shortness of air, low tolerance for activity and changes in blood pressure prompting nursing and therapy much concern. The MD was notified immediately and Mrs. Shepherd was sent to the hospital for assessment. She was admitted to the hospital with a pulmonary embolism and a clot in her right leg. Mrs Shepherd stated that the staff at Friendship “saved my life” by responding so quickly to the change in her symptoms.
Mrs Shepherd returned to Friendship Health and Rehab to complete her rehab following her hospital stay for treatment of blood clots and the replacement of her pacemaker. On this admission she was again very weak and much the same deficits as she did on the initial admission: general weakness, balance deficits, and need for assist with walking, dressing and toileting. Therapy was scheduled to her tolerance and vitals closely monitored. Within 3 weeks, Mrs Shepherd progressed to independent with all activities including walking steps and on indoor/outdoor surfaces. Her wrist fracture had healed and she had gained functional strength and movement in her right hand and wrist. She returned to living with her daughter at an independent level requiring no assistive device or equipment of any kind.
Mrs. Judith Pessolano came to Friendship Health and Rehab following extensive spine and pelvic surgery. She was non-weight bearing and confined to bed the first 4 weeks due to restrictions put in place by her doctor following surgery. She was only able to have her head up 30 degrees. She participated in upper and lower body strengthening exercises to tolerance and learned to turn herself and dress in bed during those first weeks. Once the doctor gave her the go ahead to begin getting out of bed, she required the use of a tilt table to acclimate her body to being upright, stabilize her blood pressure and progress to standing, sitting and walking.
The process was slow at first, and Mrs. Pessolano initially required assist of 2 persons to get from bed to a wheelchair, but she was very motivated and progressed steadily. Within two weeks, she was able to get herself from bed to chair and walk throughout the facility with supervision using a rolling walker. At discharge, Mrs. Pessolano was independent with all transfers, dressing and bathing and left the building walking with a cane.
Mr. James Ireland came to us after a right total knee replacement. On admission, Mr. Ireland required moderate assistance for bathing, dressing, and sit to stand transfers.
His right knee range of motion on admission was a -23 degrees extension and 58 degrees flexion with pain rated 8/10 with movement. He was only able to ambulate 40 feet with a rolling walker with stand by assistance demonstrating a step to gait pattern and continued pain.
After two weeks of therapy, Mr Ireland was able to return home totally independent with all bed mobility, bed transfers, dressing, and bathing. He was ambulating 400 feet with use of a rolling walker safely on his own and ambulated 12 steps with supervision using rails. His knee range of motion improved to -5 degrees extension and 95 degrees flexion with pain at 4/10 with movement. His leg strength improved from 3/5 to 4/5 and balance from poor to fair.