I asked my AI to give me the whats next. (it has been trained to give me info in ordered, terse form, aka, a nice simple easy to scan outline)
Additional details can be found by searching ...
I dont "know" his deficits. I know that his brain doesn't have full control of his legs, but clearly he's holding a CUP. SO YAY!! And that alone will help with a walker and a cane and etc etc etc
My understanding of IRF is that the goal is to get him home.
Which might be even if he cant do stairs ... he can sleep in the living room while doing outpatient therapy etc etc
🎉 IRF Day 1–3 (what actually happens)
🧠 Intake + baseline evals
Neuro check: alertness, memory, attention, orientation
Speech eval: understanding, speaking, swallowing
Mood/behavior: motivation, confusion, impulsivity
Functional cognition: can he follow steps, make decisions
💪 Physical eval
Strength (each limb)
Balance / sitting / standing
Walking (if possible)
Coordination
Transfer ability (bed ↔ chair 🚶)
🧰 Therapy assessments (3 disciplines)
PT (physical therapy): walking, stairs, endurance
OT (occupational therapy): dressing, bathroom, hands, daily tasks
SLP (speech therapy): speech + cognition + swallow
🍽️ Swallow + diet
Test for choking risk
Set diet: normal / soft / thick liquids / tube support
🗺️ Plan + goals
Team builds a weekly plan
Typical: 3 hrs/day therapy (split across PT/OT/SLP)
Set clear targets (e.g., walk 50 ft, speak basic needs, dress self)
🏥 Medical stabilization
Adjust meds (BP, blood thinners, etc.)
Sleep, pain, bowel/bladder routines
Prevent complications (clots, falls, pneumonia)
⚡ Day-by-day feel
Day 1: mostly evaluations + light activity
Day 2–3: full therapy starts, schedule locks in
🎯 What matters
How much he can participate
How fast he improves day-to-day
Whether he can tolerate the 3 hrs/day
If you want, tell me his current deficits and I’ll predict his IRF trajectory.
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