St. James Rehabilitation & Healthcare Center (May 2016)

Patient was admitted to St. James Rehabilitation Center for short term rehab from SBUH for a pleural effusion and cancer that had metastasized to the lung. Upon his admission, he was noted to be highly de-conditioned. He had notable weakness, had shortness of breath on exertion, and needed extensive assistance with his ADLs. He attended physical therapy five days a week for gait training, therapeutic exercise, therapeutic activity, caregiver training, and neuro-muscular re-education. He attended occupational therapy five times a week for therapeutic exercise, therapeutic activities, ADL retraining, neuro reeducation, wheelchair management, and caregiver training. In addition, to physical and occupational therapy, he attended pulmonary rehab he was monitored by a Respiratory Therapist while performing various exercise.

When he was admitted to the facility he was oxygen dependent after his hospital stay. Upon his discharge he was able to perform ADLs and ambulated without it; he only required oxygen at night when he slept. He was able to monitor his own oxygen levels independently. During his stay he was followed weekly by his primary care physician to ensure that he remained medically stable. He was also seen frequently by the in house Pulomonologist, to monitor his respiratory stability. He was educated through out his stay on being compliant with medications and treatments. Both he and his family were educated on the importance of proper medication administration and safety. Upon discharge, vast improvements had been made in his ability to perform self care, ambulate, transfer, and in safety awareness.