Case Study: Bethany Center for Rehabilitation and Healing (Q4 2022)

Concierge: Deaven Golding

Patient Name: Vicki

Patient Age: 53

Admission Date: 10/28/2022

Admitted From: St. Thomas Midtown Hospital

D/C Date: 12/26/22

D/C Location: Home with daughter

Length of stay: 59 days

Reason for stay: Fracture to right femur due to falling

How did this patient hear about Bethany Center? The case manager at the hospital


Details of experience:

Vicki was admitted to Bethany Center after a several-night stay at St. Thomas Midtown. She was admitted to the ER with complaints of right leg pain after continually falling at home. She was given IV narcotics due to severe pain and had several X-rays done on her right leg. Vicki had a knee replacement in 2008 and has worn a brace on and off ever since.

Vicki had stayed at Bethany Center a few months prior, so she was already acquainted with the community and a few of the staff members upon arrival. Upon admission, she was greeted by the admissions nurse and Director of Concierge Services. Those team members helped her get settled into her room, unpack her belongings and complete their initial evaluations. Vicki shared she was mostly independent at home prior to being in the hospital. She lives with her daughter and utilizes her help with a few tasks but can complete most chores on her own. She shared that one of her goals was to “be able to be mobile and play with my grandkids again.”

After being assessed by our highly trained therapy team, they knew she would benefit from PT and OT services. During her initial assessment, she was using a wheelchair for mobility and could not bear any weight on her right leg. She was very anxious and excited to start her therapy journey. Vicki participated in therapy 6x a week for one hour a day. When she was not in therapy, you could find her participating in group activities or doing her chair exercises in her room. She was consistently working with her therapists on transfers, personal hygiene tasks, and mobility and gradually working her way up to ambulating with her walker. 

After several weeks of therapy and Vicki’s drive to reach her goals, she was able to ambulate with her rollator and meet the rest of her specific goals assigned to her by her therapy team. Nearing discharge, the Director of Concierge Services met with Vicki to discuss her stay at Bethany Center.

Vicki stated, “my therapy team was incredible and helped me more than I could’ve imagined! Everyone was so welcoming and nice to me during my stay – 10/10!” We are so pleased to hear Vicki had a great stay and wish her the best on her journey home!

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Case Study: Bethany Center for Rehabilitation and Healing (Q3 2022)

Concierge: Deaven Golding
Patient Name: Ms. Harvey
Patient Age: 81
Admission Date: 9/6/2022
Admitted From: Skyline Medical Center
Discharge Date: 9/28/2022
Discharge Location: Home
Length of stay: 22 days
Reason for stay: Generalized weakness and strengthening after a hospital stay.
How did this patient hear about Bethany Center for Rehabilitation and Healing? Case manager referral.


Details of Experience:

Ms. Harvey thought she was only being admitted to the Hospital for a UTI, but she then was diagnosed with COVID, severe dehydration, and pneumonia. She stated, “I was scared I was never going to recover from this. “She spent six nights at Skyline Medical Center, where they gave her IV fluids and antibiotics. During her stay at the Hospital, they recommended rehabilitation to regain her strength and independence.

On the evening of September 6th, Ms. Harvey was admitted to Bethany Center for Rehabilitation and Healing. Upon her arrival, she was greeted by the receptionist, who then passed her along to the Care Transition Coordinator, where helped Ms. Harvey get settled into her room and completed her initial evaluation. The next morning, the Director of Concierge Services met with Ms. Harvey, and she shared, “my goal is to get better so I can go home and enjoy the things I love.” Ms. Harvey lives alone, so she likes to sit on her porch with her neighbor, read books, take walks, and attend activities at her local community center. Then our highly trained therapy team completed their evaluation with Ms. Harvey, and they assessed she would benefit from OT and PT services. They wanted to get her up and move as quickly as possible. On September 7th, she started her therapy journey and participated in therapy six days a week. Over the next 22 days, she worked very hard towards meeting her goals.

Ms. Harvey was admitted with a walker but was not feeling very stable on her feet without assistance. Therapy provided her with a wheelchair to use until they got her on her feet and she felt safe. She only utilized the wheelchair for two days, after that, she was able to ambulate with her therapists with mod assistance. The therapists also showed her how to do chair exercises to improve her strength and range of motion. Ms. Harvey said she did those chair exercises three times a day and would continue that even after going home. Before she knew it, she was able to ambulate over 400 ft with minimal assistance from her therapists, complete her personal hygiene activities, and gain almost all of her strength back!

Nearing discharge, the Director of Concierge Services met with Ms. Harvey for a final discussion about her stay at Bethany Center. Harvey stated, “I have no complaints about being here, everyone and everything was great. I am so thankful therapy got me on my feet again!”

We are wishing Ms. Harvey the best in her return home!

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Case Study: Bethany Center for Rehabilitation and Healing (Q2 2022)

Concierge: Deaven Golding
Patient Age: 71
Admission Date: 5/20/22
Admitted From: Acute Care Hospital
Length of stay: Long Term
Reason for Stay: COPD, Anemia, Diabetes, decrease in ADLs.
How did this patient hear about Bethany Center? Her daughter chose Bethany Center because she has heard good things about this community and its proximity to their home.


Details of Experience:

Ms. Jones was admitted to the hospital for acute diastolic heart failure and respiratory failure. After a few nights in the hospital, she was admitted to Bethany Center for further care, and her family looked at long-term placement. Upon admission, Ms. Jones stated she was “weak and not energetic.” She said, “I wanted to come here to regain my strength, independence, and be happy.”

Ms. Jones was admitted to Bethany on May 20, 2022, for COPD, anemia, diabetes, and a decrease in ADLs (activities of daily living). Upon admission, she was greeted by the care transition coordinator and her nurse completed the initial evaluations and got her settled in. The following day, the Director of Concierge Services greeted Ms. Jones, presented her with the welcome bag and welcome book, and proceeded to complete the initial evaluation. She shared with the concierge that her goal upon admission “was to regain her independence and be active again.” She knew she would have to stay motivated to meet her goals. Our highly trained therapists knew she would benefit from occupational and physical therapy services. The therapy team met with Ms. Jones to discuss her goals and see where she was at that point with personal hygiene, ADLs, range of motion, and more. During her initial assessment, she presented with limited range of motion, low oxygen when exercising, unsafe transfers, and unable to ambulate with a walker. Per the therapist’s documentation, she was unable to dress herself without max assistance, could not raise her arms above her head, and could not brush her hair without assistance.

Ms. Jones participated in therapy five times a week for up to one hour daily. She was very eager to get started with her therapy journey. She stated, “I was excited to see my therapists every day and get stronger and stronger.” Her therapy sessions consisted of practicing safe transfers from bed to wheelchair to the bathroom and back, arm exercises to improve strength and range of motion, and ambulating with and without a walker. Over time they included more and more walking and added in hygiene tasks with less and less assistance.

Her favorite things to do in her free time included sitting outside, attending church, playing games such as cards and Bingo, puzzles, gardening, and more! She wanted to get back to doing those activities more independently. When she was not in her therapy sessions, you would find her in the dining room participating in group activities or in her room watching her church services while doing her chair exercises.

After 3 weeks of being admitted to Bethany and being on her therapy journey, she was able to safely transfer to and from her wheelchair, brush her hair without assistance, complete her ADLs and personal hygiene tasks with minimal assistance, and ambulate with a walker! She worked so hard to get to where she is, and she isn’t stopping! Ms. Jones shared, “I am a long-term patient, but that’s not stopping me from getting better every day. I love being here, the staff is so nice, and the activities are so fun!”

We are so proud of our therapy team for providing such wonderful treatment and our staff as a whole for such great care and support for Ms. Jones and her journey!

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Case Study: Bethany Center for Rehabilitation and Healing (Q1 2022)

Concierge: Deaven Golden
Patient Name: Gail
Patient Age: 72
Admission Date: 2/9/2022
Admitted From: Vanderbilt Medical Center
Discharge Date: 3/25/2022
Discharge Location: Home
Length of stay: 54 days
Reason for stay: Gail fell at home, which resulted in a hematoma to the right side of the forehead.
How did this patient hear about Bethany Center? Bethany Center’s Marketer reached out to the case manager at Vanderbilt and referred the patient to us.

 


Details of Experience:

Gail was admitted to Bethany after several serious falls at home that resulted in a hematoma on the right side of her forehead and bruising on her face and neck and arms. She was sent to Vanderbilt Hospital, where she spent four nights. She stated while at Vanderbilt, they administered IV fluids for hydration and completed several tests and scans of her head to verify there were no further injuries.

Upon admission to Bethany, she was greeted by the Care Transition Coordinator and the Director of Concierge Services. Nursing completed their initial evaluation, followed up by the Concierge administering their initial evaluation and presenting the welcome bag to Gail. During the admission process with the Concierge, Gail stated, “I am excited to be here and get my life together. I need to be stronger for my independence”. When Gail was six years old, she was diagnosed with polio. She had several surgeries growing up. She shared that she had a limp growing up, but when she was in her 20s, she trained her body to walk without a limp, but the consequences started to get worse. One day, she couldn’t walk “normal” anymore, and her hip muscles were starting to atrophy. Gail came to Bethany knowing she would not be able to walk without a walker or cane, but she wanted to get stronger and more independent.

The following day, she was evaluated by our highly trained therapists. Her therapists created specialized goals for her to meet during her stay at Bethany Center. The patient admitted being able to ambulate very little but was unbalanced and unsteady. By February 11, Gail was able to ambulate in her room 40 feet, from door to window, with a walker and gait belt assistance provided by therapy. Gail stated, “My first therapy session gave me high hopes that I could continue to get better .”When Gail was not in her therapy sessions, she would spend time doing her leg and hip exercises in bed, participating in activities, and watching her favorite TV shows.

By March 16, Gail was improving on the four-step square test. Her first attempt was about 23 seconds long, the second trial was 12 seconds, and the final trial took her 9 seconds to complete! That is record time for her! Therapy continued to work with her on balance exercises, functional activities, ambulating further distances, and safe transfers. Gail started exceeding in her therapy journey and meeting her goals.

The Director of Concierge Services met with Gail upon discharge, and she shared a sweet story. “During one of my therapy treatments, I worked with the best therapist, and I started to cry tears of joy! She showed me two exercises to use to strengthen my hip muscles. Those exercises woke up those muscles that hadn’t been used in decades due to my polio when I was young. I will forever remember those sweet moments I had with my therapist and cherish those exercises as they have given me my independence back!”

We wish Gail the best in her future endeavors!

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

Director Concierge: Deaven Golding
Patient Age: 79
Admission Date: 10/25/2021
Admitted From: Acute Care Hospital- Methodist LeBonheur Healthcare
D/C Date: 12/10/2021
D/C Location: Home
Length of Stay: 46 days
Reason for Stay: Encephalopathy, difficulty walking, and respiratory failure due to COVID.
How did the patient hear about Bethany Center for Rehabilitation and Healing? Bethany’s marketer and case manager connected with her case manager at the hospital and referred the patient to our community.


Details of Experience:

Dona had tested positive for COVID 19 and was admitted to Methodist LeBonheur Healthcare. She presented to the hospital with a severe cough, occasional shortness of breath, and diarrhea. The hospital admitted her and proceeded to do several tests on her. She was diagnosed with acute respiratory failure, acute pneumonia, and dehydration. Dona was given antibiotics, fluids, and electrolytes. After her stay in the Methodist hospital, she was driven by ambulance from Memphis, Tennessee, to Nashville, Tennessee, admitted to Bethany Center. 

 Upon admission, she was greeted by our Care Transition Coordinator and the nursing staff. The nursing staff completed their initial evaluation, provided her with a welcome basket filled with all essential toiletries, and helped her get settled into her new room. The following day, the Director of Concierge Services met Dona and welcomed her with a welcome bag, and completed her initial evaluation. The concierge shared information about the community during the initial evaluation, her dietary needs and requests, hobbies, and more! 

Our team of highly trained therapists was ready to meet with Dona and complete their evaluation and set specific goals for her. 

Dona participated in therapy five times a week for one hour a day. Dona was ready to get into therapy and complete her goals. She was prepared to get back home with her daughter and enjoy her hobbies! Therapy assessed her and set specialized goals for her to meet. Some of those goals included: safely performing functional transfers, ambulating safely on level surfaces 25 feet while maintaining oxygen saturation, improving endurance, and ambulating on unlevel surfaces up to 15 feet. Although Dona was ready to get into therapy and meet her goals, there were a few roadblocks. There were days that she did not feel the best and didn’t do her therapy. She had abdominal pain, and that interfered with her treatment in therapy. Once her pain subsided and the therapist and concierge worked together to create a reward system for her, she participated in therapy daily. Dona was doing well with transferring with minimal assistance but refused to ambulate. By 11/8, she could transfer with minimal assistance to and from the bathroom, to and from the bed, and to and from the chair. She stated, “I started to feel more motivated when I felt comfortable enough to transfer.” By 11/15, she could ambulate 10 feet on level surfaces and 5 feet on unlevel surfaces. Dona worked very hard with therapy for the next few weeks and kept pushing herself to get better and better. She shared, “some days were harder than others, but I knew if I kept working, I would meet my goals and get to go home.” By 12/3, Dona was able to ambulate 300 feet on level surfaces and 150+ feet on unlevel surfaces! 

 She had met and surpassed all of her goals! Nearing Dona’s discharge date, the concierge met with her to complete her discharge evaluation. Dona was very thankful for the entire Bethany Team and all they had done for her to get to where she is now.

We wish Dona the best as she discharges home! 

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

Director Concierge: Deaven Golding
Patient Age: 82
Admission Date: 10/12/2021
Admitted From: Select Specialty Hospital
D/C Date: 11/12/2021
D/C Location: Home
Reason for Stay: She was admitted to the hospital for COVID and pneumonia and admitted to Bethany for rehab after being hospitalized. Lori was admitted to Bethany for generalized weakness.
How did this patient hear about Bethany Center for Rehabilitation and Healing? Her case manager at the hospital referred her to Bethany Center, and our marketer visited her in the hospital with more information.


Details of Experience:

Lori was admitted to the hospital with complaints of hypoxia, shortness of breath, and a high fever. She had tested positive for COVID and later was diagnosed with pneumonia. While in the hospital, she was treated with several medications received high-flow oxygen and breathing treatments. Her hospital stay lasted 20 days or so. According to Lori, she received some therapy while in the hospital, but not enough to make a difference.

Lori was welcomed to Bethany Center on the evening of October 12th. The admissions team greeted her with a smile and assisted her with getting settled into her room. The care transition coordinator completed her admission paperwork and assisted her with any questions upon admission. The concierge greeted Lori with a welcome bag and completed her admission evaluation the following day. Lori also met her amazing therapy team to evaluate her to set her personalized goals. She was very excited to start her therapy journey and “get back on her feet.”

Our highly trained therapy team created personalized goals for Lori; some of those included performing functional transfers while maintaining good oxygen saturation, sustaining good balance, standing for up to/longer than 6 minutes, ambulating more than 15 feet, and ascending/descending four stairs. Lori knew this would be a big assignment, and she would need to work hard.

She shared some of her hobbies included traveling, reading, doing crafts, and being outdoors. All she wanted to do was get better, return home, and do her favorite things. Occupational and physical therapy sessions happened 6x a week for up to one hour periods. Lori stayed positive and persistent during her therapy sessions. She stated, “some days were harder than others, and I wanted to give up, but I kept telling myself to keep going.” After her therapy sessions, the concierge often rewarded her with a sweet treat and her favorite drink!

After just over a week, she was already able to stand for up to 4 minutes, ambulate 21 feet and keep her oxygen saturation up! Being the positive person she is, Lori kept pushing and progressing and finally met her goals! Her therapists shared how wonderful she was doing in therapy, and they knew she would make a full recovery.

Nearing her discharge date of 11/12, therapy gathered some information on at-home exercises and ensured she had all the needed equipment. The concierge met with her to discuss her discharge plans, and Lori shared, “I am so thankful for Bethany and all the wonderful people who took care of me. I wouldn’t be where I am today with y’all”.

We wish Lori the best on her return home!

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

Concierge: Deaven Golding
Patient Name: Joan
Patient Age: 82
Admission Date: 10/4/2021
Admitted From: Stonecrest Medical Center
Discharge Date: 10/21/2021
Discharged To: Home
Reason for stay: She had a fall while at home and was admitted to the hospital to find further complications.
How did this patient hear about Bethany Center for Rehabilitation and Healing? Our marketer visited her in the hospital, and the patient chose Bethany as her number one choice.


Details of Experience:

Joan had a dizzy feeling in her head as she was walking outside. The next thing she knew, she was on the ground, and she had fallen in her driveway. She arrived at Stonecrest Medical Center via EMS and complained of right leg pain. They admitted her to the hospital, where she spent the next ten nights. During her stay at the hospital, they examined her right leg and noticed it was shortened with external rotation, which means she had a hip fracture in the right hip. Her doctor discussed options with her about surgery, and she decided that was the best option. Joan underwent surgery on 9/24/2021. After the surgery, she was found to have a UTI and placed on an IV for 7 days.

Upon admission to Bethany Center, Joan was greeted by the Admissions Team and the Director of Concierge Services. Together they worked and made sure she was settled into her room, her vitals were taken, and the concierge administered her admission evaluation. The following day, our highly trained therapist team came in to greet Joan and acquire her baseline so that they could set therapy goals. They determined she would participate in therapy 5x a week for four weeks. Joan shared her goal was “to return home and be able to walk again.”

Some of the goals therapy set for Joan included: performing transfers safely, ambulating on a level surface at least 50 feet, and performing activities of daily living with minimal assistance. Right off the bat, Joan was able to ambulate 15 feet with a walker and some assistance. Joan continued to push through her therapy sessions and get stronger and better every day! Just seven short days after her admission, she was able to ambulate up to 30 feet with her walker. Joan stated, “she was feeling better than she had in over a month!” By 10/19, she had exceeded all goals in therapy! Therapy and Social Services decided she was ready to go home based on her progress with therapy.

Nearing her discharge date, the concierge met with Joan to discuss her stay at Bethany Center. She shared, “Everyone was so nice, and I enjoyed my therapists. They made recovering so much fun.”

We wish Joan the best as she returns home and gets back to doing her favorite things!

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

Director Concierge: Deaven Golding
Patient Age: 72
Admission Date: 8/25/2021
Admitted From: Stonecrest Medical Center
D/C Date: TBD- hoping Mid-October
D/C Location: Home
Reason for Stay: Walter was admitted with a UTI, lower extremity cellulitis, generalized muscle weakness.
How did this patient hear about Bethany Center for Rehabilitation and Healing? He has been a patient at Bethany Center in the past.


Details of Experience:

Walter was admitted to Bethany Center following a four-night stay at Stonecrest Medical Center. He was admitted to the hospital for generalized weakness and poor food intake, which caused him to be very lethargic and weak. It also caused Walter to have a little bit of an altered mental status. He shared, “I felt very confused and a little groggy.. It was kind of scary, and I knew I needed help”. During his hospital stay, they administered IV fluids and drew blood to run some tests.

Upon admission to Bethany Center, he was greeted by our wonderful team and quickly settled into his room. Walters’s initial goal was to “return home to his wife with more mobility and strength.” The next day, physical and occupational therapy met with Walter to discuss his goals and treatment plan. He was to meet his goals by 9/20/2021. They were all very excited about his upcoming therapy journey!

Walter was ready to dive into therapy and get moving. Upon evaluation, he was not able to propel himself in his wheelchair or sit to stand transfer safely. Since he could not transfer from sit to stand, the therapists trained him on how to use the sliding board to transfer from wheelchair to bed and back. He participated in therapy six days a week for one hour a day. Walter was consistently practicing his transfers, leg mobility, and arm and back strength. He was starting to enjoy his sessions and excelling in therapy. He shares, “I can tell I’m getting stronger and better every day.”

Some of Walters’ favorite things to do outside of Bethany are golfing, spending time with his wife and family, and watching his grandkids baseball and football games. He states, “thinking about being able to do those things again is what is keeping me motivated to do therapy every day.” By 9/18/2021, Walter could safely transfer independently with the sliding board, propel himself in his wheelchair up to 125 feet without stopping and lift 10-pound weights with both of his arms.

After meeting his goals, our concierge met with Walter to check on him and see how he was doing and feeling. Walter shared with her, “I am feeling better than I have in months!” We are so happy for Walter and all of the accomplishments in his therapy journey. He will continue his therapy treatment until we have a set scheduled day for him to discharge home.

Until his discharge date, Walter states he will still be enjoying his cup of coffee in the morning, his morning activities, and his afternoon naps here at Bethany Center!

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

Director Concierge: Deaven Golding
Patient Age: 74
Admission Date: 7/22/2021
Admitted From: Centennial Medical Center
D/C Date: 8/18/2021
D/C Location: Home
Reason for Stay: Nancy was admitted with bilateral leg pain.
How did this patient hear about Bethany Center for Rehabilitation and Healing? She has been a patient at Bethany Center in the past.


Details of Experience:
Nancy was admitted to Bethany after an eleven-night stay at Centennial Medical Center. She presented to the hospital with complaints of bilateral leg pain. She stated, “when I arrived, my leg pain was a 10/10”. They completed their evaluations after she was admitted, which showed she was tachycardic with an elevated respiratory rate. Nancy was started on IV fluids and kept in the hospital to manage the pain and run further testing. She was recommended for therapy and admitted to Bethany on 7/22.

Upon admission, she was greeted by our admissions team and her nursing staff. After settling in her room, the Concierge met Nancy to present the welcome bag and complete the initial evaluation. Our highly-trained therapy team then met with Nancy, completed their initial evaluation, and set some short and long-term goals for her. The therapists knew she would benefit from PT, OT, and ST. Prior to being admitted to the Hospital, Nancy was fairly independent and enjoyed spending time with loved ones and sitting outside. Her goal for herself was to “be able to go home and be safe and not have any more pain.”

Nancy was ready and excited to start her therapy journey. She participated in therapy five times a week for four weeks for one hour a day. Some of her goals included safe bed mobility tasks, ambulating on level surfaces, and performing safe, functional transfers. When she first started her therapy journey, she could ambulate 15 feet without stopping, still needing maximum assistance to perform safe, functional transfers.

Over the next few weeks, Nancy continued to work hard and push through every therapy session, continuing to get stronger and stronger each day. By 8/17, she had met all of her goals and was able to ambulate over 100 feet!

Upon discharge, the Director of Concierge Services met with Nancy to discuss her stay at Bethany Center. Nancy shared, “I was scared coming here, but everyone is so nice, and the therapy team really took care of me. I am ready to be home and independent again”.

We prepared Nancy for discharge by packing up all of her equipment and belongings, and we wish her the best of luck!

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