8th Case of the Week Due10/4/18, by 1pm EST

COMMERCIAL CASE

Clinical Review: CCR1. PHI verified via fax. Brief Clinical Course: A 69 y/o male admitted from acute care with dx: CVA, R hemiparesis, recent placement of long term cardiac monitor.

Target LOS: 21 days (tx goal date: 07/12/18) provided to facility based on DRG number: NA

Expected DCP: To be discharge home in private residence. D/C date, TBD.

Number of Skill Days used out of 100 days: 12 eviCore days including this review.

PMH: DM, HTN, R sciatica, appendectomy, R rotator cuff repair, Previous stoke in L basal ganglia and B cerebellum.

PLOF: Independent.

Home Set Up: Not noted.

Skilled Medical Needs: On Fall/safety precautions. Meds not listed.

Current Mental Status: Alert and oriented x 3.

**Ambulation: 150 ft. CGA w/o AD. (improved Initial Review)

** bed mobility: CGA. (Unchanged Initial Review)

**Transfers: Min A. (Decreased Balance, Strength, and Endurance Initial Review)

**Stairs: 9 steps CGA. (Not noted Initial Review)

**Bathing: Not noted. (Unchanged Initial Review)

**Dressing: UE: Supervision. LE: Min A. (Not noted Initial Review)

**Toileting: Min A. (Not noted Initial Review)

**Toilet Transfers: Min A. (Not noted Initial Review)

**Speech Tx: On speech therapy. Noted with moderate-severe oropharyngeal dysphagia. On Purred and nectar thick liquids. (Diet improved Initial Review)

Pt able to participate in at least 3 hrs of therapy/day 5 days a wk.



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