Case Study: Platinum Ridge Center for Rehabilitation and Healing (June 2017)

Patients Age: 74
Admission Date: 5/22/17
Admitted From: Allegheny Valley Hospital
Discharge Date:  6/10/17
Discharged To: Home
Length of Stay: 18 Days
Reason for Stay: Rehabilitation/CVA
How did this patient hear about Platinum Ridge? Lives locally in the community

Details of Experience:

Susan was a very kind-hearted 74-year-old female who came to Platinum Ridge Rehabilitation after an ER visit with complaints of left arm weakness and tingling. She shared that she was reading a book at home and when she went to get up from her chair, her left arm went limp and both legs felt wobbly. She also stated she was having difficulty with word finding. Susan was diagnosed with a CVA (cerebral vascular accident) versus a TIA (transient ischemic attack) at that time.

Susan was very independent prior to her admission and was very adamant that she wanted to return to that level. She was also a very private person and did not want to have “all kinds of equipment” to take back to her apartment so that her neighbors wouldn’t ask too many questions.

During Susan’s evaluation she required min assistance (25% assist from a therapist) for transfers and ambulation using a wheeled walker, only able to walk 15’ on evaluation. She also reuired touching assist for toilet transfers using grab bars and for lower body dressing. She was able to complete upper-body dressing with set up assist (provide only item, no assist from therapist). Susan required moderate assist with ADL’s (activities of daily living) (50% assist) decreased balance with standing and performing dynamic tasks.

Susan was always very motivated to participate as she wanted to return home, and she was able to follow through with the programs well. She completed strengthening in her arms and legs with up to 4lbs. to increase her ability to ambulate further distances with decreased assist as well as complete transfers with decreased assist. She completed gait training with the use of a wheeled walker as well as stair training to increase her ability to ambulate further distances with decreased assist as well as simulate her home and community environment. She endured balance training to challenge her stability inside and outside her base of support to increase her reactions and decrease her risk for falls. Susan also completed ADL training such as cooking and simulated laundry management to work towards returning home at her prior level!

Susan completed all of her therapy programs without obstacle. Upon her discharge, she was able to complete all transfers, toileting, dressing, and ADL’s (independent with the use of assistive devices). She was able to walk with a wheeled walker up to 300’ and ascend and descend 12 steps with bilateral hand rails. Susan began training with a cane and was able to walk up to 100’ with a cane SBA (close supervision, no touching assist), but she stated she would like to return home with a wheeled walker because she felt safer with it.

Susan was discharged back to her apartment independently with the use of a wheeled walker. She scheduled to receive home therapy services upon discharge as well. Susan was a stellar example of what hard work and perseverance can help you achieve. Way to go, Susan! We wish you the best!