Case Study: Hospitality Center for Rehabilitation & Healing (June 2017)

Patients Age: 67
Admission Date: 4/18/17
Admitted From: Kettering Medical Center
Discharge Date: 6/30/17
Discharged To: Home
Length of Stay: 74 days
Reason for Stay: Stroke
How did this patient hear about Hospitality? Visited friends

Details of Experience:

Kay, a visitor of Hospitality Center who would always stop in to visit her beloved friends, never imagined that one day she, too, would need the support and services of a skilled nursing center. In April of 2017, Kay suffered a stroke, eliminating almost all of her mobility and cognition. Kay’s daughter, whom knew of her mother’s frequent visits to Hospitality, assisted in admitting her mother to the community from Kettering Medical Center on April 18th, 2017. Upon admission, Kay was unable to communicate with staff and required total assistance in daily care activities. The interdisciplinary team connected with Kay’s daughter immediately to ensure her personal preferences would be met. The Hospitality team shared that, “we wanted to give Kay the best environment in which to recover from her illness.” Kay’s daughter shared that Kay was an active person, and enjoyed card and word games, as well as attending church services. Prior to her stroke, she was able to walk with a walker and was able to care for herself independently at home. During the first two weeks of her stay at Hospitality, she was only oriented to self and did not respond to staff. She received therapy, but she was not actively involved. “The first couple weeks during her stay, we worked on range of motion and keeping her from losing strength while her cognition improved,” said her physical therapist. Speech therapy also worked alongside Kay. “I think the biggest barrier at first was her mental state. Her daughter told us she was a motivated person, but she was unable to get her brain and body in sync. She was stuck in her body.”

Over several weeks, she began to slowly become aware of her surroundings and became more alert to her condition. With consistent support and care, Karen began to resemble “a walking and talking miracle”, according to her speech therapist Karen. She was self-propelling and connected with staff. She was oriented to person, places, events, and regained her memory. She became very sociable with the staff, frequently spending time at the nursing station. Within days, she was cleared to walk with moderate assistance.

She received physical and occupational therapy. She was soon able to care for herself and transfer in her room. When she was ready to discharge from Hospitality, she was mobilizing with a four-wheeled walker. After she returned from the hospital, speech therapy continued to support her diet. “She went through all of our diets. She was NPO, eating through a tube when she arrived after her stroke. After returned from Haven, we had her on puree’ and then “soft” foods. She was eventually able to eat a regular consistency diet and her feeding tube was discontinued a few weeks before she left.” She was able to participate in a pizza party with many of the residents. “It’s been amazing to see her progress from being in a comatose state to socializing at a pizza party, and then walking home with her walker!”

One of the keys to her success were the staff that worked with her every step of the way through her recovery. Even when she wasn’t completely oriented, they innovated ways to understand her needs in efforts of making her feel comfortable. Kay shared, “Everyone has been so nice to me here; they have helped a lot. I will miss everyone when I leave.” It was a long road to recovery, but with patience and perseverance, she reached her goals!

Kay was able to discharge home with her daughter on June 30th, 2017.