Rehabilitation Outcomes
Ms. G admitted to Mont Marie Rehabilitation and Healthcare Center on February 03, 2023 from Holyoke Medical Center with Spinal Stenosis. On admission, she was placed under the care of Dr. Joshua Mintz. During the course of the stay, Occupational Therapy, and Physical Therapy were initiated and she was placed in the Orthopedic Specialty Program in order to e iciently and e ectively identify her unique needs and tailor specialized treatment plans to successfully transition to the next level of care.
On admission, Ms. G was noted to be unable to complete toileting and required maximal assistance with lower body dressing, moderate assistance with bathing, minimal assistance with upper body dressing, bed mobility and ambulation and setup assistance with hygiene tasks and self-feeding. 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 March 05, 2023, she successfully discharged home being able to complete hygiene tasks and self-feeding independently, bed mobility with modified independence, upper body dressing with setup assistance, bathing with supervision, lower body dressing and ambulation with standby assistance and toileting with moderate assistance. Great work Ms. G!
Overall Composite Score Outcomes
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. G’s overall outcomes.
Rehabilitation Length of Stay: 31 Days
Functional Outcome Level Upon Admission: 4.2
Functional Outcome Level Upon Discharge: 7.4
Rehabilitation Outcomes
Ms. F admitted to Mont Marie Rehabilitation and Healthcare Center on January 23, 2023 from Mercy Medical Center with a Wedge Compression Fracture of Unspecified Lumbar Vertebra. On admission, she was placed under the care of Dr. Joshua Mintz. During the course of the stay, Occupational Therapy, and Physical Therapy were initiated and she was placed in the Orthopedic 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. F was noted to require maximal assistance with lower body dressing, moderate assistance with bathing and upper body dressing, minimal assistance with bed mobility and transfers, contact guard assistance with toileting and ambulation and setup assistance with hygiene tasks. 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 February 10, 2023, she successfully discharged home being able to complete hygiene tasks, dressing and toileting independently, bathing with supervision and bed mobility, ambulation and transfers with standby assistance. Great work Ms. F!
Overall Composite Score Outcomes
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. F’s overall outcomes.
Rehabilitation Length of Stay: 19 Days
Functional Outcome Level Upon Admission: 4.2
Functional Outcome Level Upon Discharge: 8.1
Rehabilitation Outcomes
Mr. M admitted to Mont Marie Rehabilitation and Healthcare Center on December 17, 2022 from Baystate Medical Center for a Lack of Coordination. On admission, he was placed under the care of Dr. Lisa Levheim. During the course of the stay, Occupational Therapy, and Physical Therapy were initiated and he was placed in the Renal Specialty Program in order to efficiently and effectively identify his unique needs and tailor specialized treatment plans to successfully transition to the next level of care.
On admission, Mr. M was noted to be unable to complete lower body dressing, toileting, bed mobility, ambulation, stair negotiation or transfers and required maximal assistance with bathing and supervision with upper body dressing. Decreased balance and deconditioning also increased his risk for falling. He has been working with the interdisciplinary team and participating in care plan meetings and therapy throughout his stay. His participation was limited in the beginning of his stay due to weakness and overall deconditioning, but as he improved and increased his strength, he was able to increase his participation in higher level functional activities.
The therapy team provided skilled interventions to address his adaptation, compensation, and restoration potential and coordinated with the interdisciplinary team to ensure appropriate clinical care areas were addressed. On January 12, 2023, he successfully discharged home being able to complete upper body dressing independently, bed mobility, ambulation, stair negotiation and transfers with modified independence and bathing, lower body dressing and toileting with supervision. Great work Mr. M!
Overall Composite Score Outcomes
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 Mr. M’s overall outcomes.
Rehabilitation Length of Stay: 27 Days
Functional Outcome Level Upon Admission: 1.9
Functional Outcome Level Upon Discharge: 8.4
Case Study
Admitting Diagnosis: Covid-19
Discharge Location: Home
A 52-year-old female who was admitted to Mont Marie Rehabilitation and Healthcare Center on 11/10/20 from Mercy Medical Center for continued skilled nursing and rehab needs following a hospitalization for Covid-19. Upon admission, Ms. Mercado was evaluated by and participated in skilled physical and occupational therapy where she was noted to require minimum assistance to transfer and ambulate 10 feet with a rolling walker. She was also noted to require contact guard assistance with most self-care tasks and was experiencing decreased activity tolerance and strength, which increased her risk for falling. Ms. Mercado worked hard with her nursing and therapy team and as she progressed with her goals, she was able to participate in higher functional activities. Upon discharge, she was able to transfer and ambulate 150 feet with a rolling walker and supervision, ascend and descend 11 stairs with minimum assistance and was able to perform most self-care tasks independently. Ms. Mercado made great gains toward her therapy goals and was able to return home at an increased level of independence. Great work Ms. Mercado! You will be missed.
10.0 – Complete Independent – No assist, no equipment
9.0 – Modified Independent – No Assist, but equipment or extra time
8.0 – S/u – No physical assist other than set-up; supervision for safety/technique; and/or single cue to initiate
7.0 – Supervision-No physical assist; supervision for safety/technique; and/or single cue to initiate
6.0 – SBA-Pt. performs task with close supervision and or visual/verbal cues for task completion
5.0 – CGA – Contact Guard Assist
4.0 – Min – Occasional assist (25% or less time or effort to complete)
3.0 – Mod – Frequent assist (40-50% of the time or effort involved to complete task
2.0 – Max – Constant assist (75-90% of the time or effort involved to complete task
1.0 – CD – Complete Dependence: No contribution from pt; task done by others or not assessed
Case Study
Admitting Diagnosis: Covid-19
Discharge Location: Home
A 79-year-old female who is a long-term resident of Mont Marie Rehabilitation and Healthcare Center was diagnosed with Covid-19 and was noted to have a decline in function. The nursing team recommended her for rehabilitation services, and she was evaluated by and participated in skilled occupational and physical therapy where she was noted to have decreased upper extremity strength and sitting balance during ADL’s and required moderate assistance to transfer and minimum assistance to perform bed mobility and ambulate 5 feet with a rolling walker. Mrs. G. worked hard with her nursing and therapy team and participated in interdisciplinary rounds to assist in the achievement of her highest functional potential. Upon discharge from therapy services, Mrs. G. was able to improve her strength from 2/5 to 2+/5, improved her sitting balance from poor+ to good- and was able to perform bed mobility, transfer, and ambulate 100 feet with a rolling walker and contact guard assistance. She made great gains toward her therapy goals and was able to be discharged at an increased level of independence to remain in this long term facility for continued nursing needs.
10.0 – Complete Independent – No assist, no equipment
9.0 – Modified Independent – No Assist, but equipment or extra time
8.0 – S/u – No physical assist other than set-up; supervision for safety/technique; and/or single cue to initiate
7.0 – Supervision-No physical assist; supervision for safety/technique; and/or single cue to initiate
6.0 – SBA-Pt. performs task with close supervision and or visual/verbal cues for task completion
5.0 – CGA – Contact Guard Assist
4.0 – Min – Occasional assist (25% or less time or effort to complete)
3.0 – Mod – Frequent assist (40-50% of the time or effort involved to complete task
2.0 – Max – Constant assist (75-90% of the time or effort involved to complete task
1.0 – CD – Complete Dependence: No contribution from pt; task done by others or not assessed
