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

Patients Age: 84
Admission Date: 2/27/2017
Admitted From: Greene Memorial Hospital
Discharge Date: 5/4/2017
Discharged To: Home with Kettering Home Health
Length of Stay: 66 days
Reason for Stay: Pancreatitis and renal failure
How did this patient hear about Hospitality? Attending Physician and Medical Director, Dr. Venkatesh

Details of Experience:

Frances joined the Hospitality community following an infection and fall that brought her to the hospital. She was admitted on February 27th, 2017. She arrived very weak and disoriented. She experienced periods of confusion and was at times only oriented to herself. She was also at times unaware of her surroundings, lacked motivation, and was failing to consumer ample nutrition.

Frances was living independently prior to falling ill and her goal was to return to being able to care for herself. Looking back, Frances realizes how sick she really was. “I had a rough time at first. I slept a lot. I wasn’t sure how therapy could help me, but once I started, I could see its worth.” Physical and occupational therapy began working with her, but she was unable to do much outside of her room. She had the most success from speech and cognitive therapy. Her speech therapist, Karen, worked with her to build confidence and motivation. “When I first started working with her, she could only tell me her name and she didn’t have the motivation to do anything.” They worked on sequencing events based on how she would normally complete tasks at home. They also worked on orienting with a calendar. “We worked on things that were familiar to her. It was also important that her family was involved as well.” Soon, she was socializing with others, sitting up in her chair, and even left Hospitality to get her hair done. “We gave her small steps to work on and she saw small successes that built her confidence.” She regained her sense of humor, and was eating better from being taught how to eat safely at mealtime.

Once she was more medically stable and regained her motivation, physical and occupational therapy was much more successful. Rodney, her physical therapist assistant, said that she was motivated to come to therapy every day without being asked. “We worked on strength, balance, and walking using her walker.” Fran enjoyed physical therapy, especially the bicycle. “Rodney helped me walk further each day. Each day, I could go a little farther, and that’s when I could see how important therapy was.” Ruth, her occupational therapy assistant, also worked with Fran in improving her daily living activities such as dressing, eating, and transferring out of the bed. “We focused on doing things safely because she was going to be living at home alone.” She went from being completely dependent on the nursing aids for assistance to being able to move around with her walking and taking care of herself with little assistance.

When she was ready to be discharged, she was oriented to person, place, time, and events. She was completing daily crosswords and cryptograms. We were walking with a four wheel walker, considered modified independent, and able to go home to live on her own. She discharged on May 5th, 2017 with Kettering Home Health to assist her with therapy at home!