Case Study: Palmetto Subacute Care Center (June 2021)

Concierge: Marialcira Hernandez
Patient Age: 92-years-old
Admission Date: 4/8/21
Discharge Date: 6/14/21
Discharged To: ALF
Reason for Stay: Decline in ADLs, weakness, Dysphagia, and decrease in cognitive-communications skills.


Details of Experience:
Mrs. Sanchez was admitted to Palmetto due to a decline in her activities of daily living (ADL) and generalized weakness. Previously, she was hospitalized at Kendall Regional Medical Center from April 4th to April 8th due to a change in mental status. Mrs. Sanchez decreased strength and required more assistance during bed mobility, transfer, gait, poor endurance to activity, and decreased balance. She was also unable to walk independently. The hospital recommended she transition to a rehabilitation facility to regain her strength. After interviewing several facilities and with the guidance of the hospital’s Social Worker, they decided that Palmetto was the best option.

Mrs. Sanchez showed strong commitment and improved. She had wonderful family support that was very important in her recovery. She worked hard to improve and achieve her goals. Mrs. Sanchez started her journey at Palmetto on April 8th. She was greeted and evaluated by the Nursing Team, Rehabilitation Team, Social Worker, and Concierge. All the staff worked very hard to ensure she felt comfortable and all her needs were met. Mrs. Sanchez communicated to the team that her main goal was to walk again by herself. Her hobbies and pleasures were reading about history, listening to classical music, boleros, coloring, and playing Bingo. She also enjoys chatting with other patients.

During her journey, she required the intervention of Speech Therapy due to Dysphagia and decreased cognitive-communication skills. The team worked with her to assess her swallow function and cognitive-communication skills to safely meet nutrition and hydration needs and improve her safety and independence in ADLs.

Upon discharge, she required less assistance during bed mobility from moderated assistance to supervision. She also requires less assistance during all functional transfers from stand-by assistance to supervision. Gait distance increased from 100ft. to 200ft. using a rolling walker on a level surface with stand-by assistance. In Speech Therapy, Mrs. Sanchez could tolerate a regular diet and thin liquids. She was functioning at baseline for cognitive-communication skills, demonstrating minimal deficits.

Mrs. Sanchez showed a lot of commitment and improved. She had strong family support that was very important in her recovery. She worked hard to improve and achieve her goals. Upon discharge, she required less assistance during bed mobility from moderated assistance to supervision. She also requires less assistance during all functional transfers from stand-by assistance to supervision. Gait distance increased from 100 ft. to 200 ft. using a rolling walker on a level surface with stand-by assistance. In Speech Therapy, Mrs. Sanchez was able to tolerate a regular diet and thin liquids. She is functioning at baseline for  cognitive-communication skills, demonstrating minimal deficits.

Mrs. Sanchez’s family expressed appreciation for the loving care and the improvement she gained during her journey at Palmetto. We are very proud of her!