Assignment needed

-This is an intro to a Thesis paper that I will post in a later date for you.

Topic:Does frequency tone(frequency music) increase verbalization in patient with stroke?

*I will attach a real patient chart. Refer to patient as VF(she is a black female, age 65)

Include what time of stroke VF had and if there’s aphasia and what type of stroke will benefit from this therapy.

Mention you plan on conducting 8-10 therapy session with VF to answer if frequency music tone increase verbalization in patients who previously had a stroke—-

Make it more related to speech language pathology

-Pull article on frequency and its effects on communication(4-5 articles)

-“What is the purpose” should be apparent in this introduction

-independent and dependent variables should be apparent

-Include will this therapy improve her receptive or fluency speech

-Include you will conduct a language sample from the beginning of the first session and the last session to compare results

-This intro thesis should be a Five page paper

-this does not include the reference page and a outline

-Connect each articles to the paper evaluating the articles and why those articles are significant to the topic and would be great resources for the thesis on the subject of “Does frequency music increase verbalization in patient with a previous stroke?.”


-All articles should be literature or scholarly articles. Articles should be attached with paper.

-MLA format


-12 font

******This needs to be well written, clear, detailed and use a lot of medical terminology. It will be sent in for review and only then can I post for the completion paper. The finishing Thesis will be 50-60 pages in length

Patient Medical Information

Diagnosis- Intracranial hemorrhage////MULTIPLE BRAIN BLEEDS

Known Problems

VISIT DIAGNOSIS DATE

Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of unspecified duration, initial encounter

8/05/2022

Aphasia 8/05/2022

Exposure to COVID-19 virus 8/05/2022

Hemiplegia, unspecified affecting left nondominant side 8/05/2022

Other encephalopathy 8/05/2022

Vital Signs Recorded Blood Pressure

137/81 mmHg as of 4:30 PM 8/05/2022

Heart Rate

66/min Respiratory Rate

19/min Pulse Oximetry

97%

BMI

23.4kg/m2

Weight

NAME DATE OF ONSET STATUS

Hemorrhage into subarachnoid space of neuraxis 08/05/2022 Unavailable

Hyperlipidemia 08/05/2022 Unavailable

Hypertensive disorder 08/05/2022 Unavailable

Impaired mobility 08/05/2022 Unavailable

Intracranial hemorrhage 07/29/2022 Unavailable

128 lb 5 oz

Height

5 ft 2 in

Lab Results Labs where normal for her case

Medications as of 8/24/2022

MEDICATION DOSAGE ROUTE FREQUENCY

aspirin 81 MG Delayed Release Oral Tablet [Aspir- Low]

81 mg ORAL DAILY

aspirin 81 MG Delayed Release Oral Tablet [Aspir- Low]

81 mg ORAL DAILY

atorvastatin 40 MG Oral Tablet [Lipitor] 80 mg ORAL IN THE

AFTERNOON

atorvastatin 40 MG Oral Tablet [Lipitor] 80 mg ORAL IN THE

AFTERNOON

levETIRAcetam 500 MG Oral Tablet 500 mg ORAL TWICE DAILY

MEDICATION DOSAGE ROUTE FREQUENCY

levETIRAcetam 500 MG Oral Tablet 500 mg ORAL TWICE DAILY

***NOTES from Speech language Pathologist, MD. Occupational therapy, RN and Patient Tech

FUNCTIONAL CHANGE:

TYPE ADMISSION TOTAL INTERIM TOTAL CHANGE Self care 18 29 11 Transfer 14 21 7 Mobility 8 16 8

Wheelchair distance: 150 feet Mobility description: Stair training with mod assist plus max verbal cues on sequeincing and tactile cues on left LE. Gait training using FWW plus AFO on left LE with noted improve advancing left LE with decrease vc. Attempted SBQC gait training and tolerated 30 feet x 2 with min/ mod assist. Wheelchair

lisinopril 5 MG Oral Tablet [Zestril] 5 mg ORAL BID@0900,2100

methocarbamol 500 MG Oral Tablet [Robaxin] 500 mg ORAL Four times per day -

pediatrics

methocarbamol 500 MG Oral Tablet [Robaxin] 750 mg ORAL Four times per day -

pediatrics

Norvasc (as amLODIPine besylate) 5 MG Oral Tablet

5 mg ORAL DAILY

mobility training 150 feet with supervision with minimal verbal cues on sequencing

BOWEL AND BLADDER STATUS:

Bowel continence admission rating: Bladder continence admission rating: Not applicable Bowel and bladder team conference update: continent of bladder,transfers with 1 assist to w/c continent of bowel

INTERDISCIPLINARY TEAM UPDATES:

NUR team conference update: Patient progressing with ambulation with therapy PT team conference update: Current status: Bed mobility supine<=>sit min assist and rolling side to side supervision. Transfers bed<=>wheelchair and sit<=>stand min assist with FWW. Gait training with FWW 115 feet x 2 and 120 feet x 2 with min/mod assist with FWW and AFO Stair training with mod assist and assist on left LE 6 steps using railings. Wheelchair mobility supervision 150 feet with min verbal cues on sequencing. OT team conference update: FEEDING:MOD I ORAL HYGIENE:MOD I SHOWER:MIN A UBD:MOD I LBD:MOD/MIN A FOOTWEAR:MAX A TOILETING:CG/SUP ST team conference update: Limited progress due to poor frustration tolerance, insight and need for multiple educations repeatedly re: effects of CVA. NO DYSPHAGIA - REGULAR/THIN

CM or SW team conference update: LIVES WITH SPOUSE, TWO STORY HOME, NO DME 8/16: FIRST FLOOR SETUP AND READY FOR PT. TO RETURN HOME WITH SPOUSE. Other discipline update 1: Other discipline update 2: Other discipline update 3:

REHAB DC GOALS:

Patient's identified discharge goal: PATIENT WANTS TO DO HER ADLS AND WALK AGAIN.

Eating discharge goal: Independent (6) Shower/bathe self discharge goal: Supervise/touch asst (4) Upper body dressing discharge goal: Independent (6) Lower body dressing discharge goal: Supervise/touch asst (4) Chair/bed to chair transfer discharge goal: Partial/moderate asst (3) Transfer on/off toilet or commode discharge goal: Substantial/max asst (2) Walking 50 feet with two turns discharge goal: Partial/moderate asst (3) Walking 150 feet discharge goal: Not applicable Four steps discharge goal: Not applicable Twelve steps discharge goal: Not applicable Wheeling 150 feet discharge goal: Partial/moderate asst (3)

Goal 1 - Bowel function: PATIENT WILL BE ABLE TO MOVE HER BOWELS DAILY WITH OR WITHOUT LAXATIVES. Goal 2 - Bladder function: PATIENT will maintain continence Nursing goal 3: PATIENT WILL BE FREE FROM FALS WITHIN HER REHAB STAY IN THE UNIT. Nursing goal 4: PATIENT WILL BE ABLE TO MAINTAIN GOOD SKIN INTEGRITY. Nursing goal 5: PATIENT WILL BE ABLE TO USE ASSISTIVE DEVICES PROPERLY.

DISCHARGE PLANNING:

Barriers to discharge: Cognition, Endurance, Fall risk Strategies for D/C barriers: Fall recovery training, Home evaluation, Behavioral mod plan Estimated length of stay in days: 19 Anticipated discharge date: 08/24/22 Discharge date adjustment comment: SPOUSE PRESENT AND AVAILABLE FOR ALL TRAININGS WITH FURTHER PROGRESS EXPECTED Identified financial and/or community resource needs: HHC Family/Caregiver training days: SPOUSE TO BE SCHEDULED Independence day (DATE): 08/23/22 Expected discharge destination: Home Anticipated services upon discharge: Occupational therapy, Physical therapy, Home health Anticipated discharge equipment: 3 in 1 commode

Impairment group: brain dysfunction **NOTE** Document ONLY ONE Impairment Group Brain dysfunction: traumatic, closed injury Etiologic diagnosis: R Frontal Lobe Hemorrhage Bilateral Frontal SAH Head Trauma Review of comorbidities: 1. Hypertension. 2. Hyperlipidemia. 3. TIA.

MD Review/Recommendations Attestation:

The patient is a 68-year-old who was involved in a motor vehicle collision. She was a restrained driver who sustained some loss of consciousness. She had right upper extremity pain. She denied any chest pain; however, she had an episode of vasovagal phenomena when she came to the rehabilitation on the morning of admission. At that time, the patient had a code blue and rapid response team activation and electrocardiogram showed 73 beats per minute with normal sinus rhythm, possible left atrial enlargement and left ventricular hypertrophy. The patient was quickly resuscitated with fluid, her initial blood pressure was low at 89/56, and blood pressure improved after she received IV fluid.

The patient received 1000 mg bolus of normal saline. Her admission labs did not show any evidence of dehydration; however, the patient was constipated for 7 days prior to hospital admission, which led to vasovagal episode when she had a large bowel movement at the time of admission.

FOLEY is out - Voiding well

The patient is admitted for comprehensive inpatient rehabilitation and will require regular stool softeners for having regular BMs, and additionally, we will educate her on opioid-induced constipation as the patient is on Percocet.

PAST MEDICAL HISTORY: 1. Leukocytosis. 2. ETOH.