Patients Age: 86-years-old
Admission Date: 07/15/20
Admitted From: Starr Regional Medical Center
Discharge Date: 08/13/20
Discharged To: Assisted Living
Length of Stay: 29 days
Reason for Stay: Fall with right femur fracture
How did this patient hear about Gallatin Center for Rehabilitation and Healing? Referred to the Gallatin Center by a family member

Details of experience:
Mrs. Johanna Raybourn arrived at the Gallatin Center for Rehabilitation and Healing on July 15, 2020 from an inpatient stay at Starr Regional Medical Center. Mrs. Raybourn’s postoperative right hip cephalomedullary nail placement was primarily caused by a loss of balance and fall with injury. After a successful procedure, Mrs. Raybourn was notified about her options for her plan of care and that she would need inpatient rehabilitation services to prepare her for the next steps in recovery. Her family was familiar with the Gallatin Center and has known people who have been successful with treatment from the rehabilitation services team.

Mrs. Raybourn’s first day was filled with meeting the professional members of the interdisciplinary team. She was evaluated by her therapists, clinicians, physicians and administration and the team ensured her needs were met. Mrs. Raybourn’s Occupational Therapist, Caroline and her Physical Therapist, Jessica began their evaluations at bedside and discussed with her about her goals and treatment plan to return to PLOF. Mrs. Raybourn required moderate to maximum assistance with most of her ADLs and functional transfers.

Mrs. Raybourn started her treatment sessions to increase strength and balance and was soon able to stand with a rolling walker and work on her dynamic balance. During her therapy sessions, she noticed that she was not having as much pain as she initially did, and she was gaining her strength back. Her baseline with ambulation on admission was 20 feet with a rolling walker and moderate assistance to complete. Within two weeks she was able to ambulate with a rolling walker and stand by assistance for 200 feet! She continued to perform therapeutic exercises to increase strength in her lower extremities to assist with increased balance and functional mobility.

Mrs. Raybourn continued her therapy sessions and the distance she was able to ambulate increased. She performed weight shifting and balance training activities to facilitate functional balance skills. She also participated in gait training to normalize gait patterns, training in correct hand and foot placement when ambulating, and training with an emphasis on safety and performance in her room. Because of her ADLs training, Mrs. Raybourn was able to decrease assistance needed to dress her lower body from requiring maximum assistance to minimum assistance. Her bed mobility showed improvements from moderate assistance to set up. During her final week at Gallatin Center, she was able to ambulate 350 feet with a rolling walker and stand by assistance. She gained independence with her transfers from requiring moderate assistance to supervision during transfers. She also noticed a decrease in her pain level from 5/10 to 3/10 during functional tasks.

Mrs. Raybourn’s progress continued, and she was eager to share her experiences while at the Gallatin Center Community. “I am happy about the progress I have made with the therapists. Everyone has been so nice, and nurses and techs have been really sweet to me while I am recovering from my injury. I have been able to get some rest and I still have been able to see my family through the video calls. The service I received from this facility is more than what I expected!”

On August 13, 2020, Mrs. Raybourn was discharged home. Team Gallatin is thrilled for Johanna and the incredible strides she achieved while under our care. We wish her nothing but the best and a continued happy and healthy 2020.