Age: 90
Admission Date: 9/6/2015
Discharge Date: 11/3/2015
Discharged To: Home
Length of Stay: 58 days
Reason for Stay: Stroke, Weakness, Dysphasia and Difficulty walking
How did you hear about Chatham Hills? Son came in on a referral from Morristown Memorial and toured our Community.
W. Chen is a 90 year old patient that came in after suffering stroke. Upon his arrival to Chatham Hills Subacute Care Center he had weakness and was unable to transfer himself to a bed, unable to walk and had no independent balance, requiring total assistance for all his needs. Mr. Chen underwent skilled physical therapy with a focus on bed mobility and transfers in the comfort of his room progressing to the high and low mat in the gym. The patient continued to focus on strengthening in the upright position and exercised using different techniques progressing to exercising in sitting and standing against gravity with progression of resistance provided by resistance bands and ankle weights. We then initiated training with a rolling walker, where he progressed from requiring maximum assistance to now requiring only standing next to him to supervise while he stands on his own.
In addition to requiring extensive physical therapy Mr. Chen also required extensive speech therapy. He arrived upon admission with a PEG tube. PEG stands for percutaneous endoscopic gastrostomy, a procedure in which a flexible feeding tube is placed through the abdominal wall and into the stomach. PEG allows nutrition, fluids and/or medications to be put directly into the stomach, bypassing the mouth and esophagus. After receiving Speech Therapy, Mr. Chen has had his PEG tube removed and upgraded to a puree food diet which allows him to now swallow foods he likes to enjoy. His improvements have been immense. Every time you see Spreana, his wife, in the community you can clearly tell how happy she is to have her husband back. He has become less agitated and frustrated because he sees the light at the end of the tunnel.