Case Study: Bethany Center for Rehabilitation and Healing (April 2021)

Director Concierge: Deaven Golding
Patient Age: 74
Admission Date: 3/22/21
Admitted From: StoneCrest Medical Center
Discharge Date: Early–Mid May
Discharge to: Independent Living Facility
Length of Stay: 21-30 Days
Reason for Stay: Therapy from the complications of the recent hospitalization along with discitis, an infection of the discs between vertebrae of the spine in the thoracic region. 
How did the patient hear about Bethany Center for Rehabilitation and Healing? She has been a patient at Bethany before. 

Details of Experience:
Shirlee spent five nights at Stonecrest Medical Center following a recent hospitalization for urinary retention and C-Diff. After her discharge from the hospital, she was admitted to Bethany Center for rehab therapy and 24-hour skilled care. She has been diagnosed with discitis and would need therapy to rebuild her strength and independence. 

Upon her admission to Bethany Center, she was greeted by the admission nurse, coordinator, and concierge. She will be evaluated by occupational therapy, physical therapy, and speech therapy after 24 hours of being admitted. During the initial evaluation with the concierge, Shirlee shared, “I don’t want to be here longer than I have to; I would like to get back to my apartment.” She was very determined to get back on her feet and succeed in therapy. 

The next morning therapy came to evaluate her to determine her therapy goals. She will be participating in physical therapy five times a week for one hour a day for four weeks. Shirlee would require therapy for the following: muscle weakness, difficulty in walking, and unsteadiness on feet. Therapy set short term and long term goals for her, which included: patient will safely perform bed mobility tasks without the use of side rails, safely perform functional transfers with correct hand/foot placement, increase the static standing balance to above ‘poor’ rating, demonstrate the ability to take four steps, safely ambulate on level surfaces 300 feet using walker, and demonstrate PMS score of 40/45 indicating modified for most mobility tasks in order to return home safely with reduced fall risk. Therapy was started on 3/23, and goals are to be met by 5/15.

Shirlee’s baseline was taken on 3/23; therapy stated she required side rails for bed mobility and needed two people to transfer due to fear and anxiety. Her static standing balance started a Poor rating and needed to be increased to a Good rating before discharge. On 3/23, her first PMS rating was a 10/45. By 4/5, her static standing balance was increased to a Poor+ rating, and her PMS score increased to 17/45. At this time, she was not able to ambulate without experiencing fear and anxiety of falling. The therapist continued to work on lower body strength and transfers to help with ambulating in the future. The first time Shirlee was able to walk comfortably with the walker, and two therapists were on 4/12, and she made it 10 feet. She shared, “I was so excited and nervous all at the same time!” Once or twice a week after each therapy session, she would request a little sweet treat from the concierge, and she stated that’s what helps her get through these therapy sessions. 

As of 4/29, she is able to transfer with one assist, performing bed mobility without the assistance of side rails, her PMS score is 27/45, static standing balance is a Fair+ rating, and she is walking between 75-85 feet in one therapy session. Therapy shared she is doing extremely well, and they are planning on discharging her early to mid-May in hopes she will continue this amazing progress.

Shirlee is doing so well in therapy and wants to continue to succeed so she can discharge soon!