Faculty Advisor(s)

Amy J. Litterini

Document Type

Course Paper

Publication Date

2-9-2017

Rights

© 2017 Zachary Mercier

Abstract

Background and Purpose: Motor vehicle accidents are a common occurrence causing increased morbidity and possible mortality, thus, increasing lifetime medical costs for those affected. The purpose of this case report is to document the selected patient's response to skilled physical therapy (PT) interventions, ranging from bed mobility tasks to ambulation, following a motor vehicle accident. Case Description: A 20-year-old female was a passenger in a severe motor vehicle versus tree accident with fatalities. The patient suffered multiple fractures throughout her skeleton and spent 20 days in a hospital prior to presenting to the skilled nursing facility. Care included high intensity PT interventions five to six days per week for a total of 50 sessions. The patient demonstrated non-compliance with her non-weight bearing (NWB) status of the bilateral lower extremities (BLE). Outcomes: The CARE Items Mobility Assessment score significantly improved from admission to discharge (18/84 to 51/84). The patient demonstrated improvements in bed mobility and functional transfers, as well as strength and endurance. The patient presented to the SNF with non-weight bearing orders for BLE and was discharged with weight bearing as tolerated in BLE, for transfer purposes only. Discussion: Improvements in functional mobility were noted over the course of care. The patient's improved outcomes and increased independence may be due to the prescription of higher intensity PT interventions. Future research should investigate the relationship of appropriate intervention prescription and non-compliance to weight bearing status, decreased motivation, and the effects of NWB status on a patient's ability to regain functional mobility and return to prior level of function.

Comments

The case report poster for this paper can be found here:

http://dune.une.edu/pt_studcrposter/90/

Files over 3MB may be slow to open. For best results, right-click and select "save as..."

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.