Patient S Case Summary

Patient S cannot hear well and requires whoever is speaking to him to face him so he can see the lips move and hear more clearly. The patient also wears bifocals and requires them for reading. Patient S also claims they help him ‘watch his feet while walking.’ The patient explained that the best way for him to learn is to perform activities and receive written information about medications, diet, and exercises that should be continued throughout his life. The patient also expressed interest about learning the causes of stroke and symptoms that may arise if another stroke is to occur. Patient S likes to walk and reports his goal for himself is to be able to walk three miles in the morning like he used to. The patient is concerned about
becoming independent again and returning to his normal baseline ADLs. The patient reports that he does not have a walker or cane at home, has steps outside to get into his house and stairs in his two-story home, and a bathtub to shower in with no chair. The patient wishes to not use the walker at home, but a cane because it will be easier to maneuver around the house.
The patient and I determined going to rehabilitation or transitional care unit (TCL) in Memorial would help gain his independence. The patient acknowledges that he may not be the same as he was before, but he wants to be as independent as possible by being able to climb the stairs, walk with a cane, bath himself independent, and going for walks again, even if they are shorter. The patient will include his wife in his care plan so together, they can learn to compensate for things that require help such as walking.