This looks like a speech-to-text transcript from a care conference at a rehab/skilled nursing facility. The transcription made a mess of some names and medical terms, but the overall meaning is fairly clear. Here’s a cleaned-up, organized summary of what was discussed: Care Conference Summary Attendees - Betty (patient) - Family member(s) - Kelly (Physical/Occupational Therapy) - Wendy (Nursing) - Social worker/discharge planner Therapy Update Kelly reported that Betty is making excellent progress. Physical Therapy - Walking up to 300 feet with a two-wheel walker. - Requires only supervision while walking. - No longer needs someone physically holding onto her. - Transfers (getting up/down from chairs, bed, etc.) require only supervision. - Has been practicing stairs. - Completed approximately 4 stairs with contact assistance. - At home, Betty has 3 steps to enter the house with a railing. Recommendation - Continue having someone nearby when using stairs until strength improves further. Occupational Therapy Betty has been practicing daily living activities. Dressing She can independently: - Put on shirts - Put on pants - Put on undergarments - Put on shoes It takes her some time, but she performs these tasks herself. Toileting - Managing clothing independently. - Performs personal hygiene independently. - Needs minimal assistance pulling clothing up in the back. - Staff believes this difficulty is partly due to the absorbent briefs used in the facility. Grooming - Stands at the sink and brushes teeth independently. - Demonstrates good endurance. - Can stand for extended periods without fatigue. Mobility Equipment At home Betty already has: - A two-wheel walker - A tray for the walker No four-wheel rollator walker was mentioned. Bathing Discussion occurred regarding Betty’s normal bathing routine at home. No major concerns were raised. Discharge Planning Therapy staff recommend: - Continue therapy through Thursday, June 4 - Discharge home on Friday, June 5 Everyone appeared agreeable to that plan. Pain Management Current medications: Scheduled - Tylenol As Needed - Hydrocodone (stronger narcotic pain medication) Staff explained: - Hydrocodone increases fall risk. - Hydrocodone can cause constipation. - If Tylenol adequately controls pain, that is preferred. Discussion noted that Betty has not needed much of the stronger medication recently. Home Health Services After discharge: Horizon Home Health Referral planned for: - Physical Therapy (PT) - Occupational Therapy (OT) The family confirmed they used Horizon previously and were satisfied with them. Follow-Up Appointments Primary Care Physician Family will schedule the appointment themselves. Urology - Appointment had been scheduled for that day. - Rescheduled because it conflicted with nursing visits. - New appointment appears to be around the 23rd and will be a video visit. Orthopedics Discussion about: - Hip fracture healing. - Follow-up imaging may be needed. - Orthopedics typically likes to monitor bone growth and healing. - Family plans to contact orthopedic providers directly. Insurance Discussion Staff reviewed coverage. Medicare - Traditional Medicare covers up to 20 days. Supplemental/UAW Insurance - Covers copays after Day 20. Staff indicated: - Betty is not yet at Day 20. - No current insurance concerns. - Coverage appears to be in good standing. Nutrition Update Dietary department reported: - Betty is eating approximately 63% of meals. - Weight has remained stable. - Nutrition staff will continue monitoring. Betty’s only complaint: - Portions are sometimes too large. No concerns about food quality. Transportation Home Discharge planned for Friday. Family will check with Betty’s brother regarding transportation. Staff stated discharge can occur: - Morning - Afternoon - Evening Timing is flexible. Contact Information The discharge planner provided a direct office number: [414-316-2256](tel:414-316-2256) (for questions after the meeting) Pain Status Near the end of the meeting Betty reported: “I don’t have any pain.” Staff were pleased to hear this. Medicare Discharge Notice The final document reviewed was a standard: Medicare Non-Coverage Notice It states: - Last therapy day: June 4 - Planned discharge: June 5 Staff explained: - Patients always have the right to appeal a discharge decision. - Betty was asked to sign acknowledging receipt of the notice. - A copy was provided to the family. Overall Takeaway The tone of the meeting was overwhelmingly positive. The staff repeatedly described Betty as doing “marvelous” and “amazing.” The major message was: - Mobility has improved significantly. - Daily living skills are largely independent. - Pain is well controlled. - Insurance is not causing problems. - Home therapy is being arranged. - The team feels Betty is ready to return home on June 5 after a few more days of strengthening therapy.