Case Study: Oasis Center for Rehabilitation and Healing (December 2017)

Patients Age: 60
Admission Date: 10/24/17
Admitted From: St Elizabeth’s Hospital Main Campus
Discharge Date: 12/21/17
Discharged To: Home
Length of Stay: 58 days
Reason for Stay: Pneumonia
How did this patient hear about Oasis? Family states it is very close to their home.

Details of Experience:

Ms. Sheryl George is a 63-year-old female that went to the emergency room on October 17, 2017 with elevated blood sugar. Her sugar was reading “high” on her glucometer last night. She did not have any symptoms of chills, fevers, headache or pain in the ER. She was also experiencing some shortness of breath with activity. While in the ER, labs were drawn and the nurse noted that her sugar was over 500 and significant acidosis. The hospital felt she met criteria for DKA. She was started on IV fluids and IV insulin drip and admitted to the ICU at St. Elizabeth Hospital. Over the next 48 hours in the ICU her sugar improved and she was transitioned to subcutaneous insulin. At the hospital, staff noticed that she was choking with swallowing so a swallow evaluation was ordered and a slight modification to her diet was made to prevent aspiration. This patient has a history of Coronary artery diseases, COPD, Diabetes mellitus, hypertension, hypothyroidism and restless leg syndrome. The hospital recommended that she be seen by therapy to further her functional improvement.

Sheryl lives with her family in a one floor plan home that has three steps to enter. Prior to going to the hospital the patient was independent with everything at home. At the hospital, the patient was placed on oxygen and was requiring assistance with her bed mobility, her transfers, and ambulation. She was ambulating with a wheeled walker and only able to walk about 8 feet with limited endurance. She was a fall risk as well while in the hospital.

Recommendation by both the Physical Therapist and Occupational Therapist that she go for additional inpatient therapy. The Social Worker at the hospital provided the family with a list of communities that accepted her insurance and the patient and her family chose Oasis Center for Rehabilitation and Healing because it was very close to the families’ home.

Ms. George became a resident in our community on October 24, 2017 to receive short term rehabilitation services following a hospitalization after an exacerbation of her COPD. Upon admission to Oasis Center, the patient presented with difficulty with transfers, standing, ambulation and completing her ADL’s due to her overall weakness and difficulty with her breathing.

The Oasis Therapy Team evaluated her and started daily Physical, Occupational and Speech Therapy. Sheryl’s willingness to participate with her full effort during all of her therapy sessions lead to meeting and exceeding our expectations. On December 21, 2017 she was finally ready to return home. Upon her discharge, she was ambulating over 200 feet with a front wheeled walker, standing 10 minutes and transferring with very little assistance. She also was performing all of her ADL’s with some set-up and verbal cues, demonstrated good functional standing balance and had decreased her need for oxygen during most physical activity. The patient will continue to receive therapy services at home with her family there to support her. Everyone on our therapy team were so glad to have met and worked with Sheryl and wishes her the best of luck.

“The service is good here. The Therapy department had me exercising everyday while I was here. They got me stronger so that I can go home. I had fallen four times at home before going to the hospital. I decided while in the hospital that I needed to get some therapy to get stronger. One thing I liked about my therapy was working with Molly the dog in therapy; I love dogs. I get to go home tomorrow and get to see our new puppies. If you need therapy, come here to Oasis. They will treat you real nice.”

– Sheryl G.