Dana Wong Case Summary

Dana Wong is a seventy-year old female who had an ischemic stroke, and is entering our care facility after a seven-day stay at Mercy North Medical Center. The stroke has left her in a wheel chair with decreased mobility on the left side, slurred speech, and relaxed features. The referral came from Dr. Parker on September 12, 2015, which was four days after her admission in the hospital, and request that Mrs. Wong undergo two months of physical, occupational, and speech therapy before she returns to her home at Green Meadows, an assisted care living facility. Dr. Parker noted that Mrs. Wong can benefit from our services, and believes that she can make an adequate recovery, because she is determined to maintain her independent lifestyle. Mrs. Wong has full coverage from Blue Cross Blue Shield, who has agreed to pay for her stay at the facility for a maximum of two months.

Mrs. Wong main goal after the duration of therapy is to remain in the independent care section of her home

Wong’s assessment we began up top with screening her vision and visual perception. We used the Adult Perceptual Screening Test (OT-APST), which showed no initial signs of impairment, but we will continue to recheck her vision, so we can make sure the relaxed features of her face will not produce problems in the future. Next, we tested Mrs. Wong’s memory and cognition, by using the Cognitive assessment of Minnesota. At this time, Mrs. Wong scored a 55, so her cognition is considered mild, and it should improve if she continues working on the memory recall tests. For Mrs. Wong’s upper body, we utilized two tests. First was the Manual Muscle Testing on both the right and left arms. As expected for her left side, most of her muscles scored in the poor range, however, her right side she had difficulty in her pectoralis muscles extending her arm upward and outward. Finally, the grip and pinch strength test showed that her left hand has no strength in it, but her right hand scored