Poster Sessions - 2018 Research Day

Event Title

Functional Mobility Outcomes of an Elderly Female with Sepsis and Clostridium difficile in A Skilled Nursing Facility: A Case Report

Location

Hall of Governors

Start Date

4-6-2018 4:00 PM

End Date

4-6-2018 5:30 PM

Abstract

Background and purpose: According to the CDC 1.5 million people get sepsis each year, with 250,000 people dying each year from septicemia. Sepsis has an impact on physical and cognitive function and evidence shows decline after episode that continues to persist after the sepsis has resolved. Decline in physical function deems rehabilitation needs in efforts to return to prior level of function.

Case description: Patient is a 72 year old female status post a fall requiring hospitalization with a diagnosis of sepsis and clostridium difficile presenting for rehabilitation services at a skilled nursing facility with severe deconditioning.

Objective: The purpose of this case study is to investigate the impact of C.difficile septicemia on functional mobility outcomes of an elderly patient in a skilled nursing setting..

Design: Retrospective case report.

Outcomes: The patient completed 26 sessions of physical therapy in a skilled nursing facility for a span of three weeks with the inclusion of occupational therapy and speech language pathology. The patient improved in bed mobility, transfers and ambulation with significant decrease in level of assistance. Additionally, the patient improved in strength through improvements in manual muscle testing, sitting balance activities through use of the Function in Sitting Test and most significantly standing balance and gait through evidence in the Tinetti Gait and Balance Test scores. Although the patient made significant gains she did not reach her baseline and continues to be at high risk for falls.

Conclusion: Clostridium difficile induced septicemia can have a detrimental effect on physical and cognitive function. A multitude of therapy services, including physical therapy are required to prevent further decline in function, aid in returning the patient to prior level of function, regain strength and promote physical activity.

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Research was supported by GSU Office of Student Life

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Apr 6th, 4:00 PM Apr 6th, 5:30 PM

Functional Mobility Outcomes of an Elderly Female with Sepsis and Clostridium difficile in A Skilled Nursing Facility: A Case Report

Hall of Governors

Background and purpose: According to the CDC 1.5 million people get sepsis each year, with 250,000 people dying each year from septicemia. Sepsis has an impact on physical and cognitive function and evidence shows decline after episode that continues to persist after the sepsis has resolved. Decline in physical function deems rehabilitation needs in efforts to return to prior level of function.

Case description: Patient is a 72 year old female status post a fall requiring hospitalization with a diagnosis of sepsis and clostridium difficile presenting for rehabilitation services at a skilled nursing facility with severe deconditioning.

Objective: The purpose of this case study is to investigate the impact of C.difficile septicemia on functional mobility outcomes of an elderly patient in a skilled nursing setting..

Design: Retrospective case report.

Outcomes: The patient completed 26 sessions of physical therapy in a skilled nursing facility for a span of three weeks with the inclusion of occupational therapy and speech language pathology. The patient improved in bed mobility, transfers and ambulation with significant decrease in level of assistance. Additionally, the patient improved in strength through improvements in manual muscle testing, sitting balance activities through use of the Function in Sitting Test and most significantly standing balance and gait through evidence in the Tinetti Gait and Balance Test scores. Although the patient made significant gains she did not reach her baseline and continues to be at high risk for falls.

Conclusion: Clostridium difficile induced septicemia can have a detrimental effect on physical and cognitive function. A multitude of therapy services, including physical therapy are required to prevent further decline in function, aid in returning the patient to prior level of function, regain strength and promote physical activity.