• 78 year old male, hospitalized for 66 days.
• Resident at the Facility for 19 days.
• Diagnosed with acute appendicitis and multiple complications including C-diff, pneumonia, and atrial fibrillation. Patient had tracheostomy placement during hospitalization.
• Past Medical History: Gout, hyperlipidemia, hypertension, benign prostatic hypertrophy, hernia, degenerative joint disease in knee, abdominal abscess, acute renal failure, OA, atrial fibrillation, anemia, carotid artery stenosis.
• Lived independently at home prior to hospitalization.

Patient A arrived at the Facility with decline in functional mobility, upper and lower extremity function, and activities of daily living. He also suffered weakness, joint pain and stiffness, coughing/choking episodes, and signs and symptoms of aspiration or airway penetration.

Patient A was examined by Physical Therapy (PT) , Occupational Therapy (OT), and Speech / Language Pathology (SLP) at the Facility. Patient A’s treatment focused on helping him regain his prior level of function and return home. Therapy focused on strength, endurance, dynamic standing balance, functional transfers, and activities of daily living.

After undergoing Physical Therapy, Occupational Therapy, and Speech / Language Pathology at the Facility, Patient A was able to return home at supervision to independent level for all aspects of ambulation, transfers, and activities of daily living. He is tolerating his tracheostomy being capped and has made improvements overall with swallow function.