In-patient Course of Treatment

Because Mr. Bynum is not able to give a clear picture of what went on during his hospital stay, some inferences must be made. His care would have involved two distinct periods:

First, since Mr. Bynum was unconscious for a month (by his report), during that period, he would have received basic medical care to sustain life. We have no information about whether he needed a ventilator, but he certainly required hydration and either nasogastric or intravenous nutrition. OT would probably not have been provided during this time, but a PT or PT assistant would have provided passive range of motion to help reduce contractures (shortening of tissues that results in limited motion) that are associated with long periods of bed rest or inactivity.

Once Mr. Bynum regained consciousness, a full range of rehabilitation interventions would have been appropriate. Mr. Bynum reports that at this point he had:

1. Weakness in his lower extremities;
2. Limited endurance

It seems likely that he would also have had some cognitive signs of the long coma, and as indicated in other parts of this assessment description, he may well have had some sensory limitations or weaknesses as well.

In a rehabilitation facility, roles are more clearly delineated, largely because separate departments or sections provide OT and PT services.

To learn more about the course of Mr. Bynum’s PT, click here
To learn more about the course of Mr. Bynum’s OT, click here

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