Case Study: Gallatin Center Q 2 2025
Concierge: Christina Mitchell
Age: 60-year-old female
Name: Lisa D.
Admit Date: 5/29/2025
Discharge Date: 6/27/2025
Discharged to: Home with home health
Length of stay: 29 days
Reason for stay: Therapy
Referred by: St. Thomas Midtown Hospital
Lisa D was hospitalized at St. Thomas Midtown Hospital in Nashville, TN, after falling while at work. During her hospitalization, Lisa was in excruciating pain, being managed by IV narcotics. An ultrasound was performed and cleared her of any deep vein thrombosis. She was seen in the ER by Dr. Christopher Nelson and referred to Dr. Amanda Martin for consultation. Once swelling was managed, a Total Knee Replacement was performed by Dr. Lucas Burton of Nashville related to fractures of the right leg/knee.
Lisa was admitted to Gallatin Center for Health and Rehabilitation on 5/29/2025 for therapy services following a Total Knee Replacement of the right knee s/p fall with injury, resulting in a fractured tibial plateau and a displaced right fibular neck fracture. Upon admission to Gallatin Center, Lisa D was introduced to her therapy team, nursing team, concierge, social services, Dietary manager, and activities director. A plan of care was designed specifically for her needs, and the work began.
An assessment of her functional status was performed by the evaluating therapists. Lisa had many functional limitations due to pain and swelling. She required moderate assistance with bed mobility and was completely unable to perform a stand and pivot transfer. Lower body dressing required substantial assistance, and she was altogether unable to put on and take off her socks and shoes. She rated her pain an “8” on a scale of one to ten and sometimes worsened with movement. Some of the impairments and/or obstacles that were affecting tasks were decreased balance, decreased hand/eye coordination, decreased safety awareness, pain, and a decrease in overall strength.
Over the next few weeks, Lisa D. worked very hard with her therapy team. Lisa stated during this consultation, “Sometimes I felt that the therapists may have been doubtful at first, due to the intensity of my pain. I know I was doubtful at times.” She went on to say, “ I think the combination of the different personalities of my therapists helped me the most. One of my therapists, Janetta, was extremely patient with me, understanding, and very, very gentle. And my other therapist, Jessica, was more of the assertive type, never sugar-coated anything. And that gave me the confidence and boost that I needed.” “They never gave up on me. This therapy department is wonderful.” After working hard for approximately three weeks, Lisa D. made huge improvements with her tasks. She no longer required verbal cueing or hands-on assistance with bed mobility or stand / pivot transfers. Ambulating 150 ft with a rolling walker. Her range of motion improved greatly to her right knee, although she continues to have some slight swelling at times, the pain has decreased as well. She reports, “ The pain is definitely still there, but it is so much better and it’s tolerable.” Lisa is being discharged 06/27/2025 home with home health to continue with therapy.
Lisa D., we wish you all the luck with your continued therapy journey. We are grateful for allowing us to start you on your way to better health. Thank you for trusting our therapy department with your rehabilitation needs. Best wishes from the staff at Gallatin Center.