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Rehabilitation Plan

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Therapeutic Interventions in Rehabilitation of Patients with Cerebrovascular Accidents and Total Hip Arthroplasty at Phoebe Home Allentown

Phoebe Home Allentown (PHA) is one of the facilities of Lehigh Valley Phoebe Ministries group that provides a variety of residential options to meet the needs of senior adults depending on level of disabilities and diverse lifestyle preferences. The cohesive work of the healthcare team at PHA short-term rehabilitation unit provides a wide spectre of rehabilitation services of physical, occupational, and speech therapy. PHA specialize in orthopaedic and neurologic conditions, joint replacement, medical and post surgical rehabilitation, pain management, and speech dysfunctions. Due to the fact …show more content…

The rehabilitation team meets on a daily basis to discuss the progress and plan of care of every patient in the unit. The facility’s comprehensive rehabilitation team has developed and implemented the Neurocognitive Engagement Therapy (NET) program that is based on the on-site research of rehabilitation and quality of life of patients with various cognitive impairments. The primary concern of the facility’s healthcare team is each patient’s stage of cognitive impairment which can result in the orthopaedic conditions or fractures. During the clinical experience the majority of patients seen were the patients with hip fractures, total hip arthroplasty (THA) surgeries, and patients suffering from cerebrovascular accidents (CVA). The physical therapy interventions consist primarily of therapeutic exercise, gait training, and the use of physical agents such as electrical stimulation and short wave diathermy therapy. The focus of physical therapy is not limited to primary concerns of rehabilitation and regaining functionality from a …show more content…

The patients were instructed in the safe use of assistive devices, appropriate step sequence and safe foot placement. The focus was to keep the instructions simple, clear and precise while using no more than five words to remember. Since each CVA patient is different, the approach to the interventions was chosen to meet the specific demands of each individual. For example, a patient “A”, a 90-year old female who was previously admitted to the short-term rehabilitation unit and recovering from the left middle cerebral artery accident and right hemiplegia, was refusing to use standard walker and utilized the hemi walker. The patient was alert, had no sign of cognitive impairment, and strived for achievement. However, she was devastated by the thought of the long recovery process and required constant motivation. The rehabilitation interventions included strengthening and endurance exercises (pelvic tilts, hip abduction and flexion) on the plinth, the use of an Omnicycle in neuro-muscular re-eduation and symmetry mode with biofeedback training; ProStretch to engage the muscles involved in normal gait; transfers and gait

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