Case Studies

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


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