Case Studies

Case Study

Admitting Diagnosis: Other Cerebral Infarction
Discharge Location: Home

A 69-year-old male was admitted to the hospital with altered mental status and frequent falls. He was diagnosed with an acute Cerebral Infarction, was treated, stabilized and then transferred to The Brentwood Rehabilitation and Healthcare Center. Upon admission, Mr. A. was evaluated by and participated in skilled occupational and physical therapy where he was noted to require moderate to maximum assistance with most self-care tasks, minimum assistance to perform bed mobility, moderate assistance to transfer and ambulate 5 feet and was unable to ascend/descend stairs. He worked hard throughout his stay and participated in interdisciplinary rounds and care plan meetings to facilitate the achievement of his maximum functional potential. Upon discharge he was able to perform most self-care tasks with supervision, bed mobility with modified independence, was able to transfer and ambulate 300 feet with standby assistance and ascend/descend 7 stairs with contact guard assistance. Mr. A. made great gains toward his therapy goals and was able to return home with strong family support and VNA services.

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: Other Fracture of Left Lower Leg
Discharge Location: Home

A 53-year-old male who admitted to North Shore Medical Center after tripping over his slippers and twisting his left ankle. He was diagnosed with a Left Ankle Fracture, was treated, stabilized, and then transferred to The Brentwood Rehabilitation and Healthcare Center. Upon admission, Mr. B. was evaluated by and participated in skilled occupational and physical therapy where he was noted to require standby assistance with most self-care tasks, transferring and ambulating 30 feet with a rolling walker. He worked hard throughout his stay and participated in interdisciplinary rounds and care plan meetings to facilitate the achievement of his maximum functional potential. Upon discharge, he was able to perform most self-care tasks independently, was able to transfer and ambulate 100 feet with modified independence and a single point cane, and was able to ascend/descend 15 stairs with supervision. Mr. B. made great gains toward his therapy goals and was able to return home at an increased level of independence with strong family support and VNA services.

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


CALL US TO SCHEDULE YOUR PERSONAL TOUR 978-777-2700
Download Our Brochure

Download Brochure

Please fill out the form below to receive a copy of our brochure.