Persons Admitted Into On With Life in a Coma or Minimally Responsive Condition

We admitted 16 persons into On With Life in the 2008-2009 fiscal year who were in a coma or minimally responsive condition. 13 of those 16 recovered through their rehabilitation to the point that they were no longer designated as being in such a condition by the time they were discharged!

Of the 16 Persons Served admitted in such conditions, at discharge:

Length of stay = 174 days.

This represents the unique niche of our program in working with individuals in Coma/Minimally Responsive conditions and the tremendous rehabilitation opportunity that these individuals have when coming to On With Life!

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OUR TARGET: 33% increase on performance of the Functional Outcome Measure (FOM), admission to discharge.

RESULT: Our goal was that 60% of Persons Served would hit that mark of improvement. 73% of Persons Served achieved this impressive degree of improvement in their functional skills! (The FOM tool broadly measures a Person Served's progress, in a number of areas, such as communication, cognition, physical skills, activities of daily living, psychological and social adjustments, and other areas of growth/skill/development.

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OUR TARGET: Percent meet the goal of achieving 70% or more of their long-term goals set at admission.

RESULT: 55% of Persons Served entering On With Life in a Coma/Minimally Responsive condition met at least 70% of the long-term goals set for them, these goals being made by therapists, nursing, and other departments, over their rehabilitation stay at On With Life! Many of the individuals meeting this criteria achieved more than 70% of their long-term goals. Many of those who were not able to meet this goal experienced medical complications which interfered with their ability to participate in the rehabilitation program.

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OUR TARGET: At 90 days post-discharge, at least 70% of Person Served functional level at discharge from rehabilitation will be maintained.

RESULT: We follow-up with Persons Served after discharge, and track if they have maintained their overall status across multiple areas of life functioning. 100% of Persons Served admitted in a Coma/Minimally Responsive condition maintained their functional levels! Not one declined, overall, after they were discharged!

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OUR TARGET: Increase in Rappaport Coma/Near-Coma Scale score of one level by at least 80% of persons served.

RESULT: The Rappaport Coma/Near-Coma Scale is also an internationally-accepted measure of ability and recovery of ability for persons in Coma/Minimally Responsive conditions. Our ambitious goal was that 80% of Persons Served would meet this criterion of improvement, and 83% of Persons Served were able to do so!

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OUR TARGET: Discharge to home or other, less restrictive, setting for at least 62% of persons served.

RESULT: 25% of Persons Served were able to be discharged to home. Discharge to home is a difficult goal to achieve for this population, given the severity of cognitive, motor, behavioral, and life skill deficits that persons entering On With Life in a Coma/Minimally Responsive condition have. Our Persons Served definitely made good progress, but returning individuals to home is a difficult placement to make. It should also be noted, however, that all of those individuals who were able to return home were rated as being generally independent in their skills in the home setting, and not needing much assistance from others!