 As the patient was showing signs of improvement with some speech and ability to follow commands, decision was made to continue to pursue an aggressive level of care, treat her dysphagia, hypertension, debilitation and this was being done. 
As the patient was showing signs of improvement with some speech and ability to follow commands , decision was made to continue to pursue an aggressive level of care , treat her dysphagia , hypertension , debilitation and this was being done .