By Danielle Banman, OT/DOR, The Healthcare Resort of Leawood, KS Here at The Healthcare Resort of Leawood, we have the privilege of serving our LTC and ALF residents, rehab patients, and community outpatients with our urinary incontinence program. We provide training on exercises to improve pelvic floor muscle strength and education on bladder emptying strategies, adequate water intake, and bladder irritant avoidance during the first 30 days. If the patient has not made significant improvement within 30 days, we are able to initiate PENS during weeks five and six per Medicare guidelines. We are then able to provide continued training and PENS with the addition of MFAC during weeks six to 10 to help the patient make as much progress as possible.
I have been helping people with this program for over 20 years and keep seeing great results! Patients tell us how much it has changed their lives time and time again. They are often able to attend activities and events they love, travel, and have improved quality of sleep, to name just a few benefits. If your team would like to know more about this great program, we would love to help you get started!
Contact email@example.com, livewellatleawood.com, or 913-484-5234.
By Gary McGiven, Therapy Resource, Milestone, UT Since converting to a COVID-designated facility, City Creek has seen a more acutely ill patient population with an increased reliance on staff support for oral infection control. As COVID-19 patients are significantly more likely to experience complications if they also have poor oral health, City Creek’s SLPs have implemented a system to better track data on how frequently oral infection control support is being offered.
Even for patients who are cognitively and physically capable of performing it for themselves, staff support in the form of set-up assistance or verbal reminders has been valuable. Each patient has a laminated chart displayed in their room. It shows which staff member performed oral care and when. We note patterns of support being offered and frequently refused, or observing patients completing oral care independently.
For patients on the free water protocol, for example, the use of this chart has been extremely valuable. This system has increased patient and staff awareness of the importance of frequent oral care, and individual accountability in staff members. When we can identify patterns, for example, the frequency with which oral care is offered during AM versus PM shifts, we can better target staff education. We’re striving to move the perception of oral care toward an oral infection control program.
Submitted by Lisa Brook, PT/DOR, St. Joseph Villa, Salt Lake City, UT Susan Roubian, Hannah Allen, Katie Paulsen and Taylor Schweitzer comprise the St. Joseph Villa Speech Therapy team. This program has grown significantly, going from 1 1/2 SLPs to four full-time SLPs over the last two years! These SLPs have made an effort to collaborate with interdisciplinary teams in our facility to change the way we care for our residents and improve their therapy and quality of life. We have been developing programs in the areas of AmpCare, Think Thin!, Oral Care, Speak Out!, Abilities Care, and high-level cognitive groups for our residents with mild cognitive impairment.
During our COVID outbreaks, our SLPs played a crucial role in managing change in condition and aspiration risk and significantly changed our outcomes. They are now utilizing The Breather with our Respiratory Muscle Strength Training program to meet the growing needs of post-COVID respiratory insufficiency impacting communication and swallowing.
We have also been developing programs to improve outreach to our ALF, ILF and outpatients from the community! Beginning in June, we will begin FEES training in preparation for an in-house FEES program, increasing access to instrumental evaluations by the treating therapists. Our trained SLPs will be facilitating mentorship of others seeking to be FEES certified in our market.
Our SLP team is recognized by our IDT team for their outstanding clinical outcomes, their care of our residents, and their outstanding communication with providers. This team of exceptional therapists are dedicated to providing high-quality care to our residents and are excited to keep expanding and optimizing care for those we serve!
By Dominic DeLaquil, PT, CEEAA, Therapy Resource, ID/NV Steve is a LTC resident at McCall Rehab being treated by Speech Therapy for cognitive/communication deficits. He has a history of alcohol abuse and dementia. With winter in the mountains and COVID restrictions, his behaviors had become a real problem. He was initially refusing to get OOB and staying in a dark room, but as the weather began to turn to spring, he began excessive wandering, wanting to get out of the facility. He was agitated and confused and began urinating in sinks and trash cans.
Using the ACA approach, SLP Cassie Johnson took him outside and listened. He was remarking on all of the things around that building that might need repair or upkeep after the long winter. She asked him what he would do, and one thing led to another, and she got some sandpaper and he started working on refinishing a wooden patio table at the facility. Another resident became interested, and they worked on the table together. They have since formed a friendship and seek each other out. All of Steve’s behaviors have ceased and he is more motivated to improve his abilities and hopes to discharge to an ALF. As an additional benefit, other residents became interested and the furniture sanding became a group activity!
In addition, his SLUMS score in February, when he was depressed and his confusion was worse, was a 13/30. Tested recently, after finding some purpose and satisfaction, his cognition actually shows improvement and he scored a 22/30!
By Heather Bjernudd, Therapy Resource, South Carolina Our speech therapists at Millennium Post Acute Rehab in West Columbia, South Carolina, are incredible! When this facility started taking ventilator-dependent patients this year, these ladies jumped in and have had incredible results.
Here is a highlight on a current patient: 32-year-old male admitted with severe trauma, left hemi craniotomy that affected all function and ventilator-dependent. Swallow response was absent; silently aspirating, NPO, PEG; mild/moderate aphasia with decreased ability to communicate via trach. Cognition impaired, BIMS score of 7. Forty days since admission. Patient able to tolerate Passy Muir Valve up to five hours at a time. Swallow trials with ice chips showing improvement, improved swallow initiation and laryngeal function. Patient is able to follow multi-step directions for swallowing maneuvers and functional tasks. Able to complete diaphragmatic breathing exercises with min assists. Patient has been weaned off of the ventilator and has a real possibility of being weaned off of the trach.
By Jeremy Osmond, DOR, Provo Rehabilitation and Nursing, Provo, UT Dot Stuart, SLP at Provo Rehabilitation and Nursing, decided to focus on education related to growing SLP programs for her Director of Rehab in Training Ops (DORiTO) capstone project. The information was so impressive that I asked her to present at a Sunstone DOR meeting to help other therapy leaders really understand all the things SLPs can do in our setting.
She highlighted that the SLP needs to be committed beyond the patients that they receive orders for on admits and really focus on all residents in their facility to make sure their highest level of function is being attained. Her training focused on SLP support for PDPM, including completing the BIMs; identifying NTAs such as malnutrition and SLPs’ role in intervention; and ensuring SLP swallow assessments are reviewed for accurate Section K reporting.
She focused on the importance of really knowing each payer plan and what that means for intervention. SLPs need to manage their program efficiently based on payers and authorizations along with clinical presentations. They need to be a partner to the DOR to ensure clinical outcomes even with reimbursement challenges.
She addressed how SLPs can help so many LTC patients, including what tools we have in place to help quickly identify any changes of condition; long-term modified diets; etc. Many SLPs and DORs are not as familiar with the available reports in PCC to help with patient identification. She also trained on the importance of being present in the facility and making sure the IDT members, clinical team and other therapy disciplines really understand how they can help with patient care. Click below for a summary of helpful reports in PCC for SLPs.
Dot also emphasized the importance of strong student programs to help future SLPs really understand their value and how they can make a difference in a patient’s life in the Post-Acute and LTC setting.
Provo has trended increased treatment hours and need for more SLP staff with the help of Dot’s focus and drive to ensure every patient’s needs are met.
By Elyse Matson, MA CCC-SLP, Clinical Resource Cognition and Swallowing are among the common challenges persisting for many Americans after COVID-19. Speech-Language Pathologists (SLPs) can help patients regain health and quality of life.
With an estimated 10 to 30% of COVID-19 survivors experiencing a post-COVID-19 syndrome, including brain fog and swallowing difficulties, it is more important than ever to utilize the full range of services provided by SLPs.
The pandemic tested everyone as a society, but one of the persistent challenges is the daunting set of difficulties many of our residents and those in our communities are experiencing after contracting and recovering from COVID-19. Many continue to demonstrate diminished function, including with cognitive skills, communication of needs and swallowing abilities.
This is an excerpt from the new COVID-19 Clinical Pathway, available on the Portal. This tool guides SLPs through the specific treatment needs of residents at various phases of recovery from COVID-19.
Impairments SLPs can assess
● Cognition Many residents who had COVID-19 report persistent brain fog as a debilitating symptom after recovering from the virus. This can prevent a return to home as well as impact independence with ADLs. SLPs engage with individuals to improve their memory, attention, organization and planning, problem solving, learning and social communication — such as re-learning conversational rules or understanding the intent behind a message or behind nonverbal cues. The focus is on the person’s specific challenges as well as regaining the skills that are most important to their daily life and priorities.
● Swallowing Residents diagnosed with COVID-19 may experience swallowing problems that can put them at risk for choking, aspirating, decreased appetite and diminished sensory feedback while eating (loss of taste and smell). This may be the result of time spent on a ventilator, or it may be another side effect of the virus. SLPs are part of the team who decide on the best course of action with the patient and their family. SLPs may recommend modified textures of food and drink for patients; therapy exercises to strengthen the tongue, lips, and muscles in the mouth and throat; and strategies to make eating and drinking safer, such as modifying the pace of chewing/eating, size of food, and more.
● Communication People diagnosed with COVID-19 are also experiencing speech and language difficulties. Some, such as those who spent a significant amount of time on a ventilator or experienced low oxygen to the brain, may have muscle weakness or reduced coordination in the muscles of the face, lips, tongue, and throat — making it difficult to talk. Others, particularly those who experienced a COVID-related stroke, may experience aphasia, which makes it hard for someone to understand, speak, read or write. SLPs intervene with patients through targeted therapy to improve their communication and understanding.
People who have severe speech and/or language difficulties may need to find other ways to answer questions or tell people what they want, such as through gesturing with their hands, pointing to letters or pictures on a paper or board, or using a computer. These are all forms of augmentative and alternative communication (AAC). SLPs help find the appropriate AAC method to meet an individual’s needs.
For questions about SLP scope of practice or program development, contact Elyse Matson, SLP Resource, at firstname.lastname@example.org.
As we celebrate Better Speech and Hearing Month, I wanted to share a few comments from the field about Tamala Sammons, SLP & Super-Resource. Thank you, Tamala, for your kind heart, wicked smartness and desire to see the best in all of us!
Without Tamala, we wouldn’t have had the success that we have had. Her support and motivation means the world to me! And let’s not forget about those POSTettes — they are incredible tools and resources that make my role easier. Love yau! — Heather Bjernudd, Therapy Resource
Since day 1, I have had Tamala on speed dial when it comes to guidance on regulatory updates, POSTettes, and all things ST. She is always quick to respond and she will do her homework to make sure she is providing the most accurate information. What I love and appreciate the most is that each time I reach out for support, her response is always filled with passion and such joy. — Kai Williams, Therapy Resource
Her passion to develop programs not only in the ST realm, but also to the therapy world, is bar none. We admire her for her relentless pursuit of truly dignifying long-term care. But amidst all that, she is grounded, humble, funny and kind — a true clinician, family person, amazing colleague and a friend. Happy ST Month, to the one and only, Tamala Sammons! — Dennis Baloy, Therapy Resource
Tamala was an amazing support for me as a new resource. How does anyone know the answer to everything! A complete wealth of knowledge as well as being easy to talk to — I could be totally honest and vulnerable without concern, always looking forward to our conversations. And then there’s those Postettes… the depth of information in short form is amazing. I didn’t realize how good Tamala was at writing and editing these for any topic until I was on the EPIC committee and we wrote the B&B Postette. Is she sure she’s not a PT and an OT as well? — Shelby Donahoo, Therapy Resource
Tamala has done an amazing job in many areas, but I am extremely grateful for the POSTettes. She has created a library of information that is easily understood and set up to be a quick read. This has been so beneficial to the field, and the therapists use these to enhance their skills, understanding and documentation. The POSTettes have been a significant part of the success of our therapy programs! — Kelly Alvord, Therapy Resource
Tamala is my go-to for everything regulatory, billing and technical. To multiply me as a leader, she will direct me to where I can find the answers, more often than not, but I’m amazed at her bank of knowledge and how she is able to help me grow as a leader in finding and learning information. Tamala has made herself available to DORs and therapists in our market, especially our SLPs, which has added another layer of support and increased the effectiveness of these leaders and therapists. Her leadership has been so impactful. Our therapy teams would be nowhere near where they are now if it wasn’t for Tamala’s influence and support. — Gary McGiven, Therapy Resource
Tamala was my very first Divisional Rehab Director (in another company). I was a new SLP and ready to change the world; Tamala helped not only encourage my passion, but maintain it over the years (and across two companies). She has supported me in all things SLP, from attending conferences together to brainstorming over the latest coding changes. She has a fervor for SLP that can’t be matched, but I keep on trying! Also, POSTettes might just be the best thing known to mankind. — Whitney Warkentin, Therapy Resource
My name for Tamala is “Siri”! Ask her anything and she gets back to you in seconds or minutes with not only an awesome answer, but documents to back it up! She is an amazing lady with so much knowledge and kindness to go right along with it. She’s the real deal! I feel extremely fortunate to have her as a resource partner! — Candy Hardin, Therapy Resource
The last year has been challenging, stressful and dare I say character-building. I do mostly enjoy challenges, and can appreciate the sense of accomplishment after getting through, but I had a challenge I wasn’t sure I was going to make it through okay. Tamala was wholeheartedly in my corner and was so supportive. One particular day I saw trouble coming and called Tamala. She is always so responsive; she answers the phone almost every time I call. (I’m sure it’s because I’m her favorite, but I suppose there is a chance she is always this responsive 😊) She was in the middle of something, but still took the time to listen to my concern, make me feel validated in my concern, and give me confidence to address the concern. I remember thinking how grateful I was for her and the support she gave me. — Cory Robertson, Therapy Resource
Tamala is my “go to” for anything regulatory, any changes that require changes in how we document, and when I really can’t find any information… she digs for us! Tamala has been amazing all these years. Her saying “sharing is caring” really rings true! — Maryann Bowles, Therapy Resource
Tamala has been so great with updating us and keeping us current through her POSTettes! They are an absolute life saver! She is always great with explaining things and being available for questions related to SLP and general therapy questions. She is a rockstar! Woooohoooo! — Stephanie Winkler, Therapy Resource
She is always available and willing to help answer questions as we have them. — Joleen Linn, Therapy Resource Tamala is amazing! Her energy, her spunk, her attention to detail are all things I wish we could all have. She always answers my calls, gives me a good reality check when needed, and pushes me to be better than when our conversations started. Her informational emails, POSTettes, and overall knowledge about everything amazes me. She’s also one of the best humans to hang out with. Smart, witty, entertaining, and always up for an adventure. I honestly don’t know what we would do without her. — Aimee Bhatia, Therapy Resource
I have never worked with someone who demonstrated caring about those she supervised quite like Tamala. Tamala was often aware of, or receptive to, issues affecting those she worked with in a way that demonstrated caring. I always have felt I could bounce anything off Tamala, not just work-related issues but life issues. She strikes the perfect balance of encouraging you to care for your work and care for yourself. In a work environment, you can at times feel lost in a sea of employees, but not with Tamala. She knows her people and is a partner in every sense of the word. She wants to hear your voice and is willing to help that voice shape the organization to become better. Every baseball team needs a good utility player — someone who is good at every position and willing to step up and make things happen. Tamala is Ensign’s ultimate utility player. Thanks, Tamala, for what you do, but more importantly for who you are. — Sam Baxter, Therapy Resource
By Tamala Sammons, MA CCC/SLP, Therapy Resource Elyse Matson, SLP has been with the organization as a treating clinician and SLP Clinical Resource. She has helped SLPs across the entire organization better understand working with dementia patients, navigating the sub-acute population, ensuring CFY supervision experiences are solid, providing education and support of the ThinkThin! initiative, ensuring SLPs are taking vital signs and providing education to ensure accuracy with coding the SLP Casemix. Thank you, Elyse, for all you do to ensure everyone has the support to ensure our patients are being taken care of. Elyse is the best!
“I brought Paula home from Carmel Mountain the day before we locked down for COVID. They had done a great job with her post the brain tumor removal. About midway through the COVID lockdown it seemed like Paula was experiencing a cognitive decline. I reached out to Elyse and she took the time to find out what Paula’s cognitive scores were at discharge and walked me through doing a cognitive assessment. Since Paula was actually even better than when she discharged, she calmed my fears and reminded me of activities to do with her to keep her improving. Thank you Elyse.”—Debbie Miller, Compliance Officer (photo of Paula)
Elyse is not just an excellent clinical resource for our speech therapists, but also a great overall colleague, friend and human being. Her passion to elevate and dignify long-term care is evident with everything that she does! We love you, Elyse! May you continue to spread your knowledge and positive influence to all! — Dennis Baloy, Therapy Resource
Elyse is truly an amazing lady, SLP and resource partner. She has helped every SLP in Iowa from answering billing and coding best practices to how to treat certain conditions to educating on goal examples for someone with esophageal cancer and other conditions. She’s always available by phone and has come to do onsite education many times. She has a wealth of knowledge that she does not hesitate to share. Elyse has gone above and beyond and presented to the Heart Stone Therapy leaders to help educate them as well on how to grow their SLP programs! She is a true partner and we love and appreciate her! — Candy Hardin, Therapy Resource
She did a training for DORs/STs for Bandera West in February; the focus was for LTC programming, and we requested all of the Therapy Leaders be on the Webex as well to help them support and understand the importance of ST involvement in LTC as well. The current STs really trust her and call her, which I encourage — as we are also really trying to increase ST involvement in Section K/BIMs as we have seen a very positive benefit of this in some of our facilities. She keeps me in the loop with who is reaching out to her, which I really appreciate, and she does a great job talking them through it. — Kelly Schwarz, Therapy Resource
Elyse has been a great partner to me as a resource and to our SLPs. She is very approachable and willing to help whenever asked. Elyse has come to our market and provided group training as well as one-on-one training to help build caseload and improve interventions for our residents. Over the last few years, our speech caseload has grown tremendously, and Elyse has been a major factor in this growth. Our SLPs, our market, and our residents are better off because of the support Elyse has provided. — Gary McGiven, Therapy Resource
There has never been a time that Elyse did not follow up and follow through when I needed her support. Be it a minor question or putting her on the spot for an impromptu training with an IDT, she always comes through. Elyse is a fixture on the LTC task force and she has brought so much awareness to the SLPs’ role in serving our LTC patients. I love her direct and objective responses to questions, and I appreciate her style when it comes to teaching. The passion that she has for all things speech is easily shown through her delivery. My love for Elyse is Big! — Kai Williams, Therapy Resource
Elyse has been such a huge blessing to me as I’ve moved into a full-time resource role. She always goes out of her way to help with any projects I’m working on, and has generously shared her expertise and training tools to help me grow personally and train others. I feel like she’s been one of my biggest cheerleaders and has a wealth of knowledge. She pushes all of us speechies to be better! — Tiffany Bishop, Therapy Resource
Elyse has been such an amazing support for our SLPs in Keystone and to me! I can ask her any questions as she is a wealth of information! She is so busy, yet takes the time to get back with us and is great with follow up. She is truly a Rockstar and is such an AMAZING asset to our SLP profession!!!! ~ Stephanie Winkler, Therapy Resource
Elyse has been extremely engaged in our market with welcoming, developing, motivating and educating our SLPs. She had a market SLP meeting last Friday with focus on section K involvement, cognitive assessment and proper coding, LTC programming, and documentation. She is passionate, patient (with my EDs), and is extremely available to field questions whenever they arise. I personally have learned so much from her in my short time as a resource. I think she is pushing us all to further value, refer to, and support all of the amazing SLPs we have in Flagstone. — Aimee Bhatia, Therapy Resource
During one of my visits in the first few months as a Therapy Resource, I had a specific speech therapy question. I quickly stepped out into the hallway and called Elyse. She was so helpful, so quick to respond, and supportive. I look forward to more interactions with Elyse and am grateful to be able to reach out to her. — Cory Robertson, Therapy Resource
Elyse has been a great asset to our market, as she was able to come to NE last year pre-COVID and spent a day with each of our FT ST. This included reviewing patient caseload, offering tips on documentation, and potential caseload development. She has also continued this support with new hires as of late by scheduling telephone/Webex training. This has created an environment of support that our STs have truly appreciated. We are starting up monthly/bi-monthly ST phone calls to foster a support system for this group. During this time, Elyse has offered to be a part of these calls to help get us up and going! — Ryan Hough, Therapy Resource
Elyse has been an amazing support for us in Bandera. She is always willing to help, and her excitement for what she does is contagious to others. She has presented over Webex recently at my DOR meeting regarding how DORs can support ST programming. She also has recently provided support with individual staff members regarding appropriate coding. I only have one negative comment and it is a BIG NEGATIVE: She is not willing to relocate to AZ! — Denny Davis, Therapy Resource
Elyse came to Kansas (pre-COVID) and visited each of our facilities, meeting the SLPs individually, and hosted a live education the same week. We had plans for a follow-up visit, then the world came to a halt with COVID. We had a few new SLPs at that time, and Elyse has acted as a mentor when they had questions — they were so appreciative of her willingness to be available. I know several of them have reached out and continue to reach out as they need assistance. Elyse has a gift for teaching her colleagues, as she is able to relate to their daily schedule and the challenges they face and speak their language. Her passion for her profession is evident in her eagerness to grow others, vast evidence-based knowledge and guidance with documentation. Elyse has also helped with the shift in the mindset in Emerald by helping the SLPs see how they CAN help our LTC residents. We are blessed to have Elyse as a Resource. — Madeana Galler, Therapy Resource
Elyse has been so welcoming to me coming in as a new Therapy Resource. She has shared presentations with me and spent time with me on the phone, discussing what I want to do within the CO market. I already know she has an impact on people because I’ve heard her name multiple times, in multiple buildings. So happy to work with such a dedicated SLP leader! #speechforeveryone — Whitney Warkentin, Therapy Resource
Elyse has been an amazing partner. I haven’t met many as passionate about her craft as she is. She is on Facebook groups and Instagram as it relates to speech. Elyse is connected with school programs, up to date with the latest regulations and trends associated with speech and language. I have watched as she has thrown herself into this role and created something special. She is not only a resource to the facilities, but she is a resource to the resources. I have seen her train SLPs on program development, documentation, taking on CFYs, and assisting with recruiting. You name it, and she does it as it relates to SLP. Most recently, Elyse reached out and told me she thought there would be benefits in providing trainings to SLPs within a market and then following up that training with monthly calls with the SLPs to help them feel like they are part of a community. Elyse has been involved in education as it relates to Abilities Care and taking that training to markets throughout the organization. I could go on and on. Elyse is an amazing partner and friend. You can determine the value at times of an individual’s contribution in the workplace by imagining what things might be like without them. Without Elyse, we would be far less off. Elyse provides immense value to this organization. We love you, Elyse, and are so grateful for you! — Sam Baxter, Therapy Resource
Elyse has done face-to-face training for us in Colorado. Many SLPs text her directly with questions! She’s helped us to analyze documentation as well as caseload utilization. She’s been so helpful for our Colorado market. — Maryann Bowles, Therapy Resource
We have appreciated all the support Elyse provides the WA market. She’s part of our SLP email group and answers all their questions. She responds quickly to texts and phone calls from DORs, SLPS and myself. She has provided at least 5 Webex trainings for us in the last year, whether specific for a building or for our entire group, then follows up with carryover of training. She has audited SLP programming and documentation with valuable feedback for us to improve. As an OTR, her support has been invaluable to me personally in furthering my understanding of speech operations. She really takes our SLP program to the next level. — Mira Waszak, Therapy Resource
She’s passionate about SLP and helping residents and developing SLPs! She’s always readily available. She’s incredibly knowledgeable and a good communicator/teacher. I can’t emphasize that enough. They are different skill sets, and not everyone can do both. And if you can’t teach, then you can’t share your knowledge effectively. — Dominic DeLaquil, Therapy Resource
Elyse has been amazing and supportive of the SLP program development. She is crazy smart and full of new and great ideas. I have appreciated how she is approachable and always willing to answer questions and support the SLPs in their development. She is a great “multiplier” for our SLPs as we continue to enhance the care of our skilled SLPs. — Kelly Alvord, Therapy Resource
Elyse Matson fun facts: 1) She has a sailboat and enjoys being on the water. 2) She stays active by doing sprint triathlons. 3) She’s great at goal writing… need help with a goal? Call Elyse! Elyse is truly an amazing partner. No matter what I need help with from respiratory, trachs and vents to PDPM ST CMI, she always comes through with valuable information that I can share with my market. I truly appreciate her and her skillset. — Heather Bjernudd, Therapy Resource
Thank you, Elyse, for everything you do! We are all so grateful for your contributions to help support and grow our SLP programs across the entire organization. We value your partnership and look forward to many more exciting things to come! — Mary, Tamala, Chad, Jon, Sacchin, Deb, Ciara, Mahta, Brian & Jamie aka the PitCrew
Danielle Kistler, OTR/L, is a new CLT at Holladay Healthcare. We are so excited to have a CLT at our facility, and we are already seeing some great successes with her interventions. We have an LTC resident that had LE skin tears that developed into stasis ulcers. The nurses were providing wound care for about six months with the patient being on and off antibiotics due to infections, with the ulcers being unable to heal.
At the same time Danielle became certified in lymphedema management, the patient was referred to a wound clinic for further wound treatment. With Danielle being able to provide appropriate compression wraps at the same time the patient was attending the wound clinic, his stasis ulcers are now healed. The nurse manager received multiple calls from the wound clinic on how well his legs were being wrapped and how impressed they were with the healing of his wounds. This patient also has aphasia and has difficulty communicating with his caregivers. We have seen a change in this patient, with signs of reduced pain, increased participation in ADLs, decreased outbursts, and improved quality of life.
Submitted by Jeremy McCorristin, DOR, Holladay Healthcare, Salt Lake City, UT