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“I’m beginning to feel like a kid again!”

“I’m beginning to feel like a kid again!”. Six weeks with RB. Sarah Kruse & Jeffrey Miller June 5, 2008. Health Condition. 59 y.o. male. Vision Corrected with Glasses. B Cochlear Implants. Smoked for 40 years. R shoulder pain. L frozen shoulder. HTN managed with meds.

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“I’m beginning to feel like a kid again!”

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  1. “I’m beginning to feel like a kid again!” Six weeks with RB Sarah Kruse & Jeffrey Miller June 5, 2008

  2. Health Condition 59 y.o. male Vision Corrected with Glasses B Cochlear Implants Smoked for40 years R shoulder pain L frozen shoulder HTN managed with meds MI x2 during surgical stint procedure Amyotrophy Depression S/p DM II 19 yr. History of Falls (5x last 3 mo)

  3. Body Structure & Function

  4. Functional Activities & Participation Functional Limitations  ambulation (velocity, safety, and independence)  transfer safety and independence  BADLs and IADLs. Participation  shopping  housework  independence in the community

  5. Environmental Factors Lives alone on 4th floor of apartment Caregiver 5x/week for 4 hours Elevator and 5 stairs or ramp Neighborhood access: scooter Community access: car and manual w/c

  6. Diagnosis & Prognosis Increased risk of falls and ↓ mobility resulting in decreased independence at home and in the community.

  7. Goal Timeline I 1 2 3 4 D I supine  sit from bed Amb 200 ft with FWW in community room with 2 30-sec sitting breaks I transfer floor  standing Amb 500 ft with FWW and SBA outside on level sidewalk Report no falls in previous 7 days Increase strength to 4/5 MMT of B proximal LE muscles

  8. Plan of Care Gait training with focus on increasing safety, distance, and improving biomechanics. PRE program to increase strength of B hip muscles. Transfer training targeting bed mobility & recovery from falls. Education in preventing and recovering from falls. Testing to assess and determine appropriate interventions to improve balance in varying conditions and environments.

  9. Treatment Weeks 1-3  Treatment Session HEP

  10. Treatment Weeks 4-6  Treatment Session Fatigue!! HEP

  11. Initial Initial vs. Discharge Discharge 21 38 46 0 0 0 0

  12. Lessons Learned Check-in is a MUST!! Have a good set of “behavioral” tools Punted on a few impairments we discovered....appropriate??

  13. Any Biting Questions? ?

  14. Initial Initial vs. Discharge Discharge 17 14

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