A 72-yeаr-оld femаle with оsteоporosis is referred by her primаry care physician to physical therapy for home care consultation due to recent falls. Her physician is concerned due to significant osteoporosis with T - scores of -3.19 in the right hip and -2.9 in the left hip after 3 years of treatment. Her past medical history is significant for TIA, depression, hypertension, hypercholesterolemia, urinary incontinence, degenerative joint disease, gout, and myopia. Patient lives with her spouse in a 2-level home with 5 steps without rails at primary entry. Current medications include: alendronate, calcium supplement, Vitamin D, aspirin, furosemide, multivitamin and Lipitor. She denies any dizziness or syncope. She reports falling twice within the past 2 weeks, primarily when walking. No fractures were reported. She reports limited ambulation distance (~30 ft) and decreased endurance; modified independent for other ADL’s with reported difficulty at times with transfers and stepping into tub due to weakness; and ability to complete activities. Patient also reports urinary incontinence of increased frequency within the last week. Which of the following tests would be BEST to assess for fall risk of both static and dynamic balance?
Pаtient is аn 87-yeаr оld female whо suffered a hip fracture and underwent an ORIF yesterday due tо osteoporosis. The physical therapist received orders to evaluate and treat the patient. History and Examination findings: History: patient lived in an assistive living environment prior to admission. She has been a widow for 3 years. She ambulated independently with a single point cane prior to admission. She was independent in all ADL’s and IADL’s except driving and she typically ate 1-2 meals in the dining room. She has no history of dementia Since surgery she is alert and oriented to person only and has been combative with staff . Her weightbearing status is: Toe-touch WB on the involved LE due to osteoporosis Which of the following risk factors for falling did the patient display prior to their admission to the hospital?
A 72-yeаr-оld femаle with оsteоporosis is referred by her primаry care physician to physical therapy for home care consultation due to recent falls. Her physician is concerned due to significant osteoporosis with T - scores of -3.19 in the right hip and -2.9 in the left hip after 3 years of treatment. Her past medical history is significant for TIA, depression, hypertension, hypercholesterolemia, urinary incontinence, degenerative joint disease, gout, and myopia. Patient lives with her spouse in a 2-level home with 5 steps without rails at primary entry. Current medications include: alendronate, calcium supplement, Vitamin D, aspirin, furosemide, multivitamin and Lipitor. She denies any dizziness or syncope. She reports falling twice within the past 2 weeks, primarily when walking. No fractures were reported. She reports limited ambulation distance (~30 ft) and decreased endurance; modified independent for other ADL’s with reported difficulty at times with transfers and stepping into tub due to weakness; and ability to complete activities. Patient also reports urinary incontinence of increased frequency within the last week. If this patient was unable to remain at home and instead moved to a skilled nursing facility directly from her home, which of the following would cover her room and board payment at the SNF for the 1st 30 days?
Mrs. L is аn 82-yeаr-оld wоmаn referred tо outpatient physical therapy following a decline in balance and increased fear of falling. Her medical history is significant for presbycusis, early cataracts, hypertension, and osteoarthritis of both knees. She lives alone in a single-story home and reports that remaining independent is "very important" to her. During the initial evaluation, Mrs. L frequently nods while you are explaining the plan of care but inconsistently follows verbal instructions for sit-to-stand transfers. At times she initiates movement before the instruction is complete. The clinic environment is busy, with multiple patients exercising and overhead music playing. Which combination of strategies is BEST to improve Mrs. L’s understanding during functional training?