Utilizing Multi-Center Rehabilitation and State-of-the Art Technology to Improve Mobility and Swallowing After COVID-19 with Respiratory Failure

This 70-year-old gentleman was hospitalized for several months due to COVID-19 with acute respiratory failure and pneumonia. During hospitalization, a tracheostomy (tube inserted into the trachea for breathing) was performed and a ventilator was used. He developed difficulty swallowing (dysphagia) and a feeding tube was also placed. Prior to his hospitalization, he lived at home with his wife, was independent with all mobility, and ate a regular diet.

This gentleman was referred to Bland Nursing & Rehab (BNR) for therapy services as he had severe debility and was bed bound. He made great advancements there, including improved strength, being weaned off the ventilator, and transitioning to a modified diet with occasional supplementation from the feeding tube. As a result of his progress, he elected to transfer to Mulberry Creek Nursing & Rehab (MCNR) where he was confident his excellent care would continue, and he would be closer to his family for added support.

Physical, Occupational, and Speech Therapy: (5x/week x 7 months)

OmniVersa® Ultrasound/Electrotherapy and OmniSWD® Shortwave Diathermy (BNR)

• Interferential current electrical stimulation and thermal diathermy to the left knee for pain relief

OmniCycle® Elite Therapeutic Exercise (BNR & MCNR)

• Upper and lower extremity cycling neuro mode to promote improved endurance and strength

OmniFlow® Breathing Therapy Biofeedback (MCNR)

• Deep inhalation – Diamond Mine
• Rhythmical breathing – Starry Road

Additional Interventions (BNR & MCNR)

• Dysphagia education, transfer & gait training, balance re-education, therapeutic exercise, and self-care management

This gentleman is proud of his progress and credits the two therapy teams who were patient, kind, and encouraged him daily. They collaborated and used state-of-the-art technology as an integral part of his care. He has now returned home with his wife and grandchildren.

Authors:
Andreé Akst, PT, MPT, CEEAA, NASM-CES, Clinical Services Content Specialist
Manda Hobbs, MSPT, CWS, Clinical Program Consultant

PSS-00041 (0.1)