-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 ORA ...

1. -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)

2. -“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.

3. -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

4. 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

5. 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

6. 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/

7. mod assist. Wheelchair
lisinopril 5 MG Oral
Tablet [Zestril] 5 mg ORAL [email protected],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:

8. 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:

9. 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

10. 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:

11. 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

12. 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.