Case Study: Gallatin Center Q 3 2025
Concierge: Emanuel Slappey
Age: 83-year-old female
Name: Nancy G.
Admit Date: 7-14-25
Discharge Date: 9-12-25
Discharged to: Home with Home Health
Length of stay: 59 days
Reason for stay: Therapy
Referred by: Returning Patient
Nancy was hospitalized at Saint Thomas Midtown Nashville with an admitting diagnosis of Rectal Prolapse. Nancy also had a diagnosis of COPD and chronic hypoxic respiratory failure on two liters of home oxygen, coronary artery disease with recent stenting, and restless leg syndrome. X-rays and other tests were performed in the ER by Dr. Steven Hegedus. It was determined that Nancy was not a candidate for a surgical procedure, and it was recommended to balance comfort and dignity with any possible treatments. Nancy and her family decided they would try a skilled nursing home for an “attempt” at rehabilitation.
Nancy was admitted to the Gallatin Center for Health and Rehabilitation on 7/14/25 for therapy and respiratory services. Upon admission, Nancy G. was in no pain but very short of breath. Nancy was introduced to her therapy team, nursing team, concierge, respiratory therapist, social services, dietician, and activities director, and a plan of care specifically for her needs was created.
The therapy team created an assessment of her functional status. Nancy’s functional limitations were something the therapy team was ready to tackle. Nancy G. required moderate assistance with mobility and self-care and moderate assistance with activities of daily living (bathing, toileting, dressing). Nancy’s oxygen would drop when she tried to walk or get out of bed on her own. She was weak and short of breath at rest and while walking with therapy, and, therefore, was placed on Airvo.
Over the next few weeks, Nancy worked very hard with the therapy department and stated, “They would push me hard even when I really didn’t want to, but it was definitely worth it.” Nancy made huge improvements while at the Gallatin Center. She is now able to ambulate 300 feet with stand-by assistance, supervision for all activities of daily living, and set-up assistance with mobility. Nancy was given lots of education on breathing exercises and proper rest periods to help cope with her chronic lung disease. Nancy improved her respiratory muscle strength and ability to maintain oxygen levels while walking. Nancy came off Airvo and back to her normal 2 liters of oxygen. Nancy stated, “The respiratory therapist was truly amazing and helped me in many ways”. Nancy G. was discharged home with her son on 9/12/25 and is much better than when she came.
Nancy G., we thank you for allowing and trusting the Gallatin Center for Rehabilitation’s team to start you on your way to better health. Best wishes from all staff here.