Case Study: Palmetto Subacute Care Center (October 2021)

Concierge: Marialcira Hernandez
Patient’s Age: 66 years old
Admission Date: 07/24/2021
Discharge Date: 10/13/2021
Discharged To: Home
Reason for Stay: Cellulitis, gout

Details of Experience:

Mr. Santiesteban is a 66-year-old retired male who resides in a one-story home with his wife. He loves listening to music, playing on his computer, and watching the news on TV. He presented to the Emergency Room at West Kendall Baptist Hospital on July 7th with bilateral lower leg extremity swelling and pain for one week. During the prior week, he visited Baptist Hospital in Miami and received a prescription of oral antibiotics. He had improvement with the swelling, but the pain continued and became worse. He decided to return to the hospital. During his evaluation, the patient reported a history of gout, and after performing routine labs and tests, it was found he was experiencing a gout episode. After two weeks at the hospital, Mr. Santiesteban was discharged with a therapy recommendation in a skilled nursing facility. He and his family discussed the options with the Social Worker and decided to go to Palmetto Subacute Care Center.

Mr. Santiesteban was admitted to Palmetto Subacute Care Center on July 24th. Upon his initial evaluation by the Nursing Team, he reported having generalized discomfort and pain that didn’t allow him to move in bed. The nurse immediately evaluated him to provide appropriate methods to ease his discomfort and pain. When the patient expressed being more comfortable, the Concierge, Social Worker, and Rehab Team welcomed the patient to Palmetto. In the initial evaluation by Rehab, Mr. Santiesteban expressed a lot of limitations with his functional activities and activities of daily living (ADL’s) caused by generalized pain. In the functional assessment, he required total dependence without support to initiate during bed mobility, transfers, and gait. Prior to his hospitalization, he was able to ambulate and perform his ADLs independently.

Mr. Santiesteban and the Team established goals and a treatment plan that included therapeutic exercises and activities, neuromuscular reeducation, self-care management training, gait training, and manual techniques. Day after day, Mr. Santiesteban was improving. His hard work, commitment, and perseverance paid off. He showed gains in lower extremities, motor strength improved, the patient was able to perform functional transfers with standby assistance, gait pattern improved to 150 feet using a rolling walker with standby assistance, and he was able to perform his ADL’s with minimal assistance.

Mr. Santiesteban was discharged on October 13th to his home with an excellent prognosis. He expressed being pleased with the care and therapy he has received. Palmetto Subacute staff is proud of Mr. Santiesteban!!

We want to wish him all the best and healthy life!!