PBS-BLOG-BONUS-ACCESS  Patient Case Study:

Mrs. Smith is an 88-year-old female who lives with her 92-year-old husband. Her PLOF was ambulation with a single point cane. She has a history of falls. You have two gait goals for Mrs. Smith: one is independent with a rolling walker, and the other is independent with a single point cane. In 8 visits, the patient is now independent and safe with her rolling walker but has not started gait training with single point cane.

 

It may take another 6-12 visits to get her possibly safe and independent with a single point cane.

 

 What Would You Do?

What would you recommend for this patient?  1. Continue with skilled physical therapy to work on progressing her to a single point cane? If so, why?

 

2. Discharge Mrs. Smith with the recommendation to continue using the rolling walker? If so, why?

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Share your answer and rational below?