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

Patients Age: 86
Admission Date:  7/26/17
Admitted From: St Elizabeth Hospital, Boardman Campus
Discharge Date: 8/18/17
Discharged To: Home
Length of Stay: 23 Days
Reason for Stay: Acute Respiratory Insufficiency
How did this patient hear about Oasis? A family friend of the patient is a current team member at Oasis Center.

Details of Experience:

Elizabeth is an 86-year-old-female who has a past medical history of congestive heart failure (CHF), arthritis, atrial fibrillation, hyperlipidemia, hypertension, hypothyroidism and non-insulin dependent type 2 diabetes mellitus. Upon discharging from the hospital, Elizabeth transferred to a neighboring skilled nursing facility, where she was doing very well until developing an acute kidney injury. Subsequently, she was unable to eat or drink fluids due to the nausea caused by her iron levels.

On July 12, 2017, she was admitted back to the hospital for weakness. Elizabeth was placed on a bipap, assisting her energy levels and wellbeing. She also underwent a colonoscopy and upper endoscopy (EGD) where it was revealed that she had multiple ulcers, a healing duodenal ulcer and severe gastritis. An order of continuous oxygen was placed to assist Elizabeth during this time.

Prior to her hospital stay in June of 2017, Elizabeth lived at home with her husband and daughter in a one floor level with a one step. At home, she did not require any type of device to walk around her home.

While at the hospital Elizabeth was evaluated by the therapy team to support her healing journey. The therapy team shared that she was only able to complete four steps with the assistance of a wheeled walker and minimal assistance. She also was requiring minimum assistance to stand and moderate assistance for bed mobility. Throughout her evaluation, Elizabeth demonstrated shortness of breath and chronic back pain; she was also a fall risk. The team’s occupational therapy evaluation revealed that she required maximum assistance for lower body dressing and moderate assistance for other activities of daily living. The team determined that her rehabilitation potential was substantial and her outlook was very positive.

At the end of her stay at the hospital, the therapy team recommended she seek out serviced from an in-patient skilled nursing facility for additional therapy. Her family sought out a recommendation from a family friend who was an employee at Oasis Center. The agreed that Oasis Center would be the best resource for therapy as it was also in close proximity to their home.

Elizabeth Dellick was a resident at our facility that admitted to receive short term rehabilitation. Elizabeth came to us on July 27, 2017 following a hospitalization secondary to acute respiratory failure. Upon admission to Oasis Center, Elizabeth presented with difficulty with transfers, standing, ambulation, completing her ADL’s and trouble with swallowing due to her overall weakness, pain and limited mobility.

Mrs. Dellick was evaluated by the incredible Oasis Therapy Team and began receiving daily Physical, Occupational and Speech Therapy. With hard work and a great family support, Elizabeth excelled quickly with her therapy. On August 17, 2017 she was finally ready to return home. Upon her discharge, Mrs. Dellick was ambulating over 300 feet with a front wheeled walker, standing 5-7 minutes and transferring with very little assistance. She also was performing all of her ADL’s with some set-up, demonstrated good functional standing balance and had increased her swallow strength to the point that she was upgraded to thin liquids and a regular diet. Elizabeth will continue to receive therapy services at home with her family there to support her.

Elizabeth was an absolute pleasure to work with. She will be remembered by our therapy team for always sharing her own personal experiences as a former therapist. Everyone on our therapy team was so glad to have met you, Elizabeth!
On August 18, 2017, Elizabeth was discharged home. She was so excited to finally be able to return home, but she shared in her testimonial that she had wonderful care here in the community. Just shortly prior to discharging, Robyn, our Social Worker, spoke with her and the family to set up anything that they would need in her home. Robyn was able to order Elizabeth oxygen and a front-wheeled walker for her at have at home.

RESIDENT TESTIMONIAL

“This is a good place to come. You would be happy here. The therapy here is wonderful. The food is really decent. My therapists who took care of me were wonderful. When I called for help, they were there for me helping me out; everything was wonderful. This is a good place if you need rehabilitation or therapy.”
Elizabeth “ Liz” D.
Short Term Rehab Patient.