Case Study: Palmetto Subacute Care Center (October 2018)

Patients Age: 83-years-old
Admission Date: 09/08/2018
Admitted From: Baptist Hospital
Discharge Date: 10/29/2018
Discharged To: Home
Length of Stay: 51 Days
Reason for Stay: Nontraumatic Acute Subdural Hemorrhage
How did this patient hear about Palmetto Subacute Care Center? From Social Worker at Baptist Hospital.

Ms. Mirurgia Roque Pastrana is a 83-year-old female from La Habana, Cuba. She came to the United States of America in 1960, and lived in New York. She has two sons, both in California, and she is planning to move there to be near them. Ms. Roque arrived to Palmetto Subacute Care Center after hospitalization at Baptist Hospital post subdural hematoma. She suffered a mechanical fall on July 25th, which resulted in a small left subdural hematoma. Ms. Roque was evaluated by neurosurgery and was noted with dysarthria, right-side weakness, and confusion. When she arrived to Palmetto, she was welcomed by all nurses and technicians. Shortly after, the dietician spoke with her and reviewed her diet. Later in the day, she was evaluated by all therapy teams. The next day, our Director of Concierge discussed therapy, menus, and recreational programming with Mrs. Roque.

Ms. Roque was referred to physical therapy due to her decrease in strength, decrease in transfers, reduced ability to safely ambulate, decrease in functional mobility, decreased neuromotor control, reduced ADL (Activities of Daily Life) participation, and reduced static and dynamic balance.

Ms. Roque increased her independence and was able to facilitate with all functional mobility, promote safety awareness, enhance rehabilitation potential, facilitate motor control, increase coordination, improve dynamic balance, enhance fall recovery abilities, increase functional activity tolerance, and minimize falls.

Ms. Roque was referred to the occupational therapy team to gain the ability to follow cues. She was presented to the therapy team with significant declines in functional mobility and overall ADL performance, and required the need for skilled therapy services in order to improve functions for a safe return home. After a week, Ms. Roque improved with toilet transfers and toileting tasks using grab bars and efficiently performed lower-body dressing with independence, Ms. Roque is fully oriented and gives a good reliable history; she is very active and able to ambulate independently. Ms. Roque requested to be discharged home on October 29th, 2018, and was. She was transported by her sister; she no longer needs any medical equipment or Home Health services. Ms. Rogue discharged from our community in good condition, stating that she was very pleased with her recovery and the professionalism of the staff!