Abstract
A patient, after receiving a total hip arthroplasty, was seen for physical therapy treatment for 8 sessions from 8/01/15 to 8/05/15 in an acute care hospital. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with the Well’s Clinical Prediction Rule to assess for the presence of deep vein thrombosis; the Numeric Pain Rating Scale was used to assess pain; the Physical Function ICU Test –Scored was used to assess strength; the Activity Measure for Post-Acute Care mobility short form was used to assess functional mobility; the 10 Meter Walk Test was used to assess gait speed; the Lower Extremity Function Scale was used to assess independence with ADL’s; a plan of care was established based on the results of these outcome measures. Main goals for the patient were to improve pain, range of motion, strength, functional mobility, gait speed, and functional independence. Main interventions used were over-ground gait training, restorative training, resistive exercises, bed mobility and transfer training, and functional training. The patient improved in pain levels, strength, range of motion, functional mobility, gait speed, and functional independence. The patient was discharged to home with a home exercise program and a plan to follow-up with home health physical therapy.