Case Study: The Willows at Ramapo Rehabilitation and Nursing Center (May 2020)

Patient’s Name: Martha Williams
Patient’s Age: 80-years-old
Admission Date: 03/09/20
Admitted From: Good Samaritan Hospital
Discharge Date: 05/29/20
Discharged To: Home
Length of Stay: 87 days
Reason for Stay: Fall/ Fracture


Details of Experience:
Martha Williams arrived in our community from Good Samaritan Hospital as a result of a recent fall and fracture of her left femur. She had a history of COPD, Cellulitis, Hypertension, and Pneumonia. She also shared that she had two daughters, who were very involved in her care and anxious for their mom to return home independently to her own apartment.

When she arrived, Martha was greeted by our Concierge, Yehuda, who welcomed her. She was escorted to her room and introduced to the team. During her admission assessment, the nurse spoke with Martha and reviewed her medications and current condition. She also met with dietary, who reviewed her menu preference and allergies.

The patient was greeted by our Rehabilitation Team, who assessed her current condition and formulated goals, as well as a plan to return home at her prior level of function. She was assessed by our respiratory therapist due to her diagnosis of COPD. She did not have a need for supplemental oxygen, but she did have moderate shortness of breath with activity. Martha was monitored during activity to track her progress. The team worked with Martha on energy conservation tips and techniques. Also, exercises were modified to help focus on building back her respiratory strength and tolerance.

As time progressed, she had a decrease in shortness of breath and built up her stamina. Her Physical Therapy regimen focused on strengthening her legs, which promoted healing in the fracture area. The program began with strengthening exercises with resistance and weights and continued with gait balance and ambulation. Initially, she was only able to ambulate with a rolling walker 20 feet before she had to sit down due to fatigue and leg pain. She was determined and walked during every session. Session after session, week after week, she built up her strength and during her last week, she was able to ambulate over 60 feet.

With Occupational Therapy, she worked on strengthening her upper body, with a focus on her Activities of Daily Living (ADL). The team put an emphasis on transfers from bed to wheelchair and toileting. Once those goals were met, Martha’s goals were revised to include upper and lower body dressing and personal hygiene, both with minimal assistance. At the end of her therapeutic journey, she was able to return to her prior functionality and prepare to return home.

The Concierge, Yehuda ensured her stay at The Willows was engaging, including making sure she kept in close contact with her family. During her stay, visitation was suspended, so Yehuda coordinated numerous virtual visits with her family. Martha always had a smile on her face and a compliment for everyone.

Martha’s stay at The Willows was marked by much uncertainty on the outside, but she was certain to reach her goals and return home with the interdisciplinary team supporting her throughout her recovery journey. Martha left the community with strength, training, skills, and knowledge to have a successful return home. The team at The Willows wishes Martha the best of everything! Martha Williams arrived in our community from Good Samaritan Hospital as a result of a recent fall and fracture of her left femur. She had a history of COPD, Cellulitis, Hypertension, and Pneumonia. She also shared that she had two daughters, who were very involved in her care and anxious for their mom to return home independently to her own apartment.

When she arrived, Martha was greeted by our Concierge, Yehuda, who welcomed her. She was escorted to her room and introduced to the team. During her admission assessment, the nurse spoke with Martha and reviewed her medications and current condition. She also met with dietary, who reviewed her menu preference and allergies.

The patient was greeted by our Rehabilitation Team, who assessed her current condition and formulated goals, as well as a plan to return home at her prior level of function. She was assessed by our respiratory therapist due to her diagnosis of COPD. She did not have a need for supplemental oxygen, but she did have moderate shortness of breath with activity. Martha was monitored during activity to track her progress. The team worked with Martha on energy conservation tips and techniques. Also, exercises were modified to help focus on building back her respiratory strength and tolerance.

As time progressed, she had a decrease in shortness of breath and built up her stamina. Her Physical Therapy regimen focused on strengthening her legs, which promoted healing in the fracture area. The program began with strengthening exercises with resistance and weights and continued with gait balance and ambulation. Initially, she was only able to ambulate with a rolling walker 20 feet before she had to sit down due to fatigue and leg pain. She was determined and walked during every session. Session after session, week after week, she built up her strength and during her last week, she was able to ambulate over 60 feet.

With Occupational Therapy, she worked on strengthening her upper body, with a focus on her Activities of Daily Living (ADL). The team put an emphasis on transfers from bed to wheelchair and toileting. Once those goals were met, Martha’s goals were revised to include upper and lower body dressing and personal hygiene, both with minimal assistance. At the end of her therapeutic journey, she was able to return to her prior functionality and prepare to return home.

The Concierge, Yehuda ensured her stay at The Willows was engaging, including making sure she kept in close contact with her family. During her stay, visitation was suspended, so Yehuda coordinated numerous virtual visits with her family. Martha always had a smile on her face and a compliment for everyone.

Martha’s stay at The Willows was marked by much uncertainty on the outside, but she was certain to reach her goals and return home with the interdisciplinary team supporting her throughout her recovery journey. Martha left the community with strength, training, skills, and knowledge to have a successful return home. The team at The Willows wishes Martha the best of everything!