Rehabilitation Outcomes
Mr. P admitted to Blueberry Hill Rehabilitation and Healthcare on June 20, 2022 under the care of Dr. Chieke Udom. During the course of the stay, Occupational Therapy, and Physical Therapy were initiated to efficiently and effectively identify his unique needs and tailor specialized treatment plans to successfully transition to the next level of care.
On admission, he was noted to require moderate assistance with lower body dressing and toileting, minimal assistance with bathing and upper body dressing, contact guard assistance with transfers and supervision with bed mobility. 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 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 June 29, 2022, he successfully discharged home being able to complete dressing, toileting, bed mobility and transfers with modified independence and bathing with setup assistance. Great work Mr. P!
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 his overall outcomes.
Rehabilitation Length of Stay: 10 Days
Functional Outcome Level Upon Admission: 4.3
Functional Outcome Level Upon Discharge: 8.8
Case Study
Admitting Diagnosis: Polyneuropathy; Charcot Joints; History of Falls
Specialty Program: Neurology
Discharge Location: Home
A 69-year-old gentleman was admitted to Blueberry Hill Rehabilitation and Healthcare Center from Beverly Hospital for rehabilitation and skilled nursing with the goal to safely return home. Upon admission, Mr. F. was evaluated by and participated in skilled occupational and physical therapy where he was found to require maximum assistance for all self-care tasks, minimum assistance to transfer and contact guard assistance to ambulate 15 feet with the use of a rolling walker. He was found to have decreased balance and activity tolerance which increased his risk for falling and had a right lower extremity walking boot due to his Charcot foot making his challenge all the more compelling. He had a strong determination to return home and as he progressed with his therapy goals, he was able to participate in higher level functional activities. Upon discharge, Mr. F. was able to improve his ability to perform self-care tasks with between minimum and moderate assistance and was able to transfer and ambulate independently. We also started the process for him to obtain a new walking boot which he will receive when at home. He made some great gains toward his therapy goals and was able to return home with strong family support and Home Health Services. Great work, Mr. F.!
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
Specialty Program: Pulmonary
Discharge Location: Home
A 71-year-old woman was admitted to Blueberry Hill Rehabilitation and Healthcare Center from North Shore Medical Center for rehabilitation and skilled nursing with the goal to safely return home. Upon admission, she was evaluated by and participated in skilled physical and occupational therapy where she was noted to require contact guard assistance to transfer and ambulate 25 feet with a rolling walker, standby assistance to perform toileting tasks and contact guard assistance to perform bathing and lower body dressing tasks. She was also noted to have decreased balance and activity tolerance which increased her risk for falling. She had a strong determination to return home and as she progressed with her therapy goals, she was able to participate in higher level functional activities. Upon discharge, B.C. was able to independently transfer and ambulate 150 feet and was able to perform all self-care tasks independently. She made great gains toward her therapy goals and was able to return home with VNA services. Great work, B.C.!
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
