Case Study: The Grand Pavilion for Rehabilitation & Nursing (December 2017)

Patients Age: 91
Admission Date: 10/24/2017
Discharge To: Mercy Medical Center
Discharge Date: 1/11/2017
Length of Stay: TBD
Reason for Stay: Patient had a diagnosis of non-traumatic intracerebral hemorrhage, unspecified
intestinal obstruction and generalized muscle weakness.
How did patient hear about the Grand Pavilion?: She was referred by the Social Worker at the Mercy Medical Center.

Details of Experience:

Ms. Nora Saunders was admitted to the Grand Pavilion from Mercy Medical Center on October 24, 2017. Nora was admitted with a diagnosis of non-traumatic intracerebral hemorrhage, unspecified intestinal obstruction and generalized muscle weakness. Upon arrival to the Grand Pavilion, Nora was greeted by our Concierge, Nursing Team, Rehab team and Social Work team.

Prior to being admitted to the Hospital Nora was leading a healthy, pleasant and independent life at Maple Point Assisted Living and was now faced with the challenge of accepting total dependency and the challenges that come with it. Nora was extremely motivated with the strong desire to get stronger for both herself and family. We ensured Nora that she was in good hands and that she can be assured that she will return home to the Assisted Living.

Ms. Sounders was in love with both our Recreation Team and Program. She would always speak highly of our Director of Recreation, John, and his team. She was a big fan of the Thursday Musical Concerts as well as Bingo, Art Therapy and she was always in attendance to our Catholic Services every Wednesday. Nora is an extremely pleasant woman and always had encouraging words to say. Every Time our Administrator, Avi, would pass by Ms. Sounders she would call him over and thank him for all the wonderful staff that takes such good care of her.

Ms. Sounders was experiencing a decrease in bilateral muscle strength with an increased risk of falls, impaired functional mobility, reduced balance and required an increased need for caregiver assistance. For her activities of daily living she required max assistance. The goal of Occupational Therapy (OT) was to increase functional activity tolerance, improve motor control and tone in her upper extremities and enhance Nora’s quality of life by improving her ability to perform activities of daily living safely. It was the goal of Physical Therapy (PT) to enhance fall recovery abilities, facilitate increased independence with ambulation/stair negotiation and to increase lower extremities range of motion in preparation for an eventual discharge to home environment at highest and safest functional level. Secondary to periods of confusion Nora required constant redirection to tasks at hand due to easy distractibility during functional activities.

Nora was extremely cooperative and pleasant with the entire Rehab team. Being that Nora presented with bilateral decreased muscle strengths she would work with a walker during her Rehab sessions. For example, physical therapy would have her hold onto the walker while exercising techniques involving dynamic balance activities to challenge and determine Nora’s risk of falls and improving stability during transfers and ambulation. Nora made slow and steady progress during time spent in skilled rehab sessions. She initially required max assistance, was walking zero feet and was non-weight bearing, but due to her daily participation in therapeutic exercises activities to facilitate increased upper and lower extremity muscle strength she is 100% weight bearing and walking 100 feet with the assistance of a walker.

With the work of the whole Grand Pavilion team, Nora is reaching the point where she will be able to return to her prior living environment, the Maple Point for Assisted Living. The whole Grand Pavilion family is looking forward to providing her with a safe transition back home!