Abstract
An 88-year-old female patient with left femoral neck fracture status post-surgical pinning was seen by a Student Physical Therapist for physical therapy treatment for 4 sessions over 3 days in the acute care setting of a rural hospital under the supervision of a licensed physical therapist.
The patient was evaluated at the initial encounter with the Modified 30 Second Sit to Stand, Numeric Pain Rating Scale, goniometry, Barthel Index, and Modified Iowa Level of Assistance. A plan of care was established to address severe functional strength impairments, moderate range of motion deficits, and severe functional mobility limitations including an inability to ambulate or complete activities of daily living (ADL). The main goals for the patient were to regain her independence, resume yoga, and to discharge home from the hospital. The main interventions used were bed mobility training, transfer training, gait training, patient education, and therapeutic exercises. The patient achieved the following goals: increased functional strength, decreased pain, and ability to perform ADL. The patient was discharged to a skilled nursing facility for continued short term rehabilitation.