Case Study: Chatham Hills Subacute Care Center (April 2017)

Patients Age: 89
Admission Date: 03/08/2017
Admitted From: Overlook Medical Center
Discharge Date: 4/15/2017
Discharged To: Assisted Living Facility
Length of Stay: 39 Days
Reason for Stay: Pelvic Fracture, COPD
How did this patient hear about Chatham Hills? Hospital referral

Details of Experience:

Peggy is an 89-year-old female with PMH significant for acquired Hypothyroidism, hypertension, COPD, and Anemia. She was admitted to Overlook Hospital after she experienced a fall, resulting in a pubic fracture as well as a fracture of the left clavicle.

Peggy was admitted to Chatham Hills Subacute Care Center on 03/08/2017 from Overlook Medical Center. The hospital’s physical therapy team recommended subacute rehabilitation for Peggy, where the social work team consulted Peggy to be discharged for rehabilitation at Chatham Hills Subacute Care Center. As such, Peggy cleared for discharged to SAR, pain controlled on Oxycodone IR prn and Tylenol prn.

As a Patient at Chatham Hills Subacute, Peggy was an easy going, upbeat patient. Peggy is a very social person, and delighted in socializing and spending time with other residents & patients doing a variety of activities, including trivia, discussion groups and games. She was very quick-witted, and was an absolute pleasure to be around.

The personalized physical therapy team at Chatham Hills Subacute have conducted for Peggy the following Assessment Summary:

Impressions – Physical Therapy Clinical Impressions: Upon arrival at Chatham Hills Subacute, it was noted that Peggy demonstrated a significant decline in overall functioning following her fall with a left clavicle and inferior/superior pubic rami fractures. Peggy required assistance for all mobility, transfers, ambulation, and for safety.

Skilled Justification – Reason for Skilled Services: Peggy required skilled physical therapy services to evaluate need for assistive device, facilitate (I) with all functional mobility and promote safety awareness in order to enhance patient’s quality of life by improving Peggy’s ability to perform steady gait.

Risk Factors: Due to the documented physical impairments and associated functional deficits, the patient was at risk for: falls, immobility, and decrease in level of mobility.

Skilled Intervention Focus = Restoration.

Peggy’s Success Story:

Despite Peggy’s complex medical history, Chatham’s Physical Therapy performed its magic with the support of Peggy’s incredible drive and determination to persevere. By discharge, Peggy had met both of her long-term and short-term goals! She was able to walk more than 350 feet independently using a rolling walker. This enabled her to return home to her Assisted Living Facility.