Case Study: Trevecca Center for Rehabilitation & Healing (Q3 2023)

Director Of Concierge: Alexander Jones
Patient Name: Mr. John Cheairs
Admission Date: August 15, 2023
Admitted from: Summit Medical Center
Discharge Date: September 16, 2023
Length of stay: 1 month, one day


Details of experience:

by the name of John Cheairs. Once we got acquainted, we began to talk more about his reason for being with us at Trevecca.

Mr. Cheairs suffered a fall at home, which triggered a mild stroke. Unable to get up or have any contact aids at his reach, Mr. Cheairs was forced to lie there for 3 days until his sister contacted the building manager to check on his status. The building manager opened his unit and found Mr. Cheairs responsive and disoriented, unsure of what had happened. The property manager let him know that he had suffered a fall, but later, at the hospital, it was revealed that he had suffered a mild stroke. Although he had no history of stroke, doctors began closely monitoring his status.

Days later, his tests came back with positive results showing no harm to the brain and bodily, so the next step was to get Mr. Cheairs back functioning the way he was before the accident, which led him to the Trevecca Center. He was met by our Admissions Nurse Tanya, Front Desk Clerk Ms. Tyra, and CNA Shydrika, 15 hours later, I introduced myself as his Concierge, and the interdisciplinary team followed shortly thereafter.
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Mr. Chearis’s path back home was a short one, his turnaround time was one month, one week, and two days. He came in fairly weak in his upper extremities; swallowing regular foods was a problem as well due to him being on a restricted diet out of the hospital. Speech, Physical, and occupational therapies were needed in his matriculation back home. Major strides were met within his first week, from transfers from bed to chair to toileting using aids. Week third, his granddaughter could even see the progress when she visited and witnessed him ambulating to cook for himself and his ability to transfer in and out with minimal assistance. Mr. Chearis was discharged on September 16, 2023, to his family with the plans of returning to his retirement home and long-time friends he made there.

Throughout his process, he wrote many ray of sunshine cards about our great therapy team and CNAs who helped him along his journey.

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Case Study: Trevecca Center for Rehabilitation & Healing (Q1 2023 A)

Director Of Concierge: Meleah Haley
Patient Name: Danny Milam
Patient Age: 77
Admission Date: 1/20/2023
Admitted from: Southern Hills Hospital
Discharge Date: 3/9/2023
Discharge To: Home
Reason for stay: Fracture of Left Femur
Length of stay: 48 days
How did the patient hear about Trevecca Center? Case Manager at Southern Hills Hospital


Details of experience:

Mr. Danny Milam was admitted to Trevecca Center for Rehabilitation and Healing on January 20th, 2023, from Southern Hills Hospital in Nashville, Tennessee. Mr. Milam was initially admitted to Southern Hills due to falling in the shower at home, which led to his fractured left hip. Once he arrived at Southern Hills from West Tennessee, he was operated on immediately. Mr. Milam has never had surgery before or any injury, so this experience was new for him.

Mr. Milam heard that Trevecca Center had one of the best rehabilitation programs in Middle Tennessee, he shared that he trusted that our community would get him where he needed to be. Upon his arrival to the community, our rehabilitation team immediately began working with Mr. Milam. The goal was for the patient to be able to stand independently and walk without a walker once he was discharged home. Mr. Milam still had some generalized weakness after his procedure, so he required maximum assistance with his transfers and his toileting tasks and minimal assistance with bathing.

Each week, Mr. Milam was making strides and success toward his recovery Mr. Milam shared with Concierge services that he did not want to go home until he could get around independently and that he was determined to take full advantage of our rehab department. Since Mr. Milam is from West Tennessee, his wife spent most nights with him in the community to provide comfort and support during his time of healing. Mrs. Milam believed that it was important for her to be hands-on with Mr. Milam’s journey toward recovery to provide him with the assistance and care he needed once he returned home.

Mr. Milam’s Physician said he would need at least 3 months of therapy before returning home. Mr. Milam successfully completed his program with us at Trevecca within 8 weeks! Mr. Milam stated, “I must say that I have been blessed enough not to experience much pain during this process, just soreness from time to time.” During his last couple weeks of therapy, Mr. Milam could walk over 50 feet!

Mr. Milam is involved with his local community and tends to his farm, which is what he most looks forward to upon returning home. He shared that he plans on taking it day by day as he resumes his hobbies and duties on the farm. Mr. Milam wanted to give a special shout-out and thanks to his Therapists, Allie and Jessica, and our Transportation Director, Shell, for always being supportive and attentive to his needs. The Trevecca team is thankful and honored that we played such an important role in Mr. Milam’s journey.

In conclusion, Mr. Milam wanted to encourage anyone with a similar experience: “Work hard, and push yourself as much as YOU can.”

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Case Study: Trevecca Center for Rehabilitation & Healing (Q4 2022)

Concierge Director: Meleah Haley

Patient: Reginald Brown

Patient’s Age: 60

Date of Admission: 11/06/2021

Admitted From: St. Thomas Midtown

Length of stay: 417 days

Discharge Date: TBD

Discharge To: Home

Reason for stay: Generalized muscle weakness, unspecified atrial fibrillation

How did this patient hear about Trevecca? Case manager referral


Details of Experience:

Mr. Reginald Brown was admitted to Trevecca Center for Rehabilitation and Healing on November 6th, 2021, from St. Thomas midtown in Nashville, Tennessee. Mr. Brown was initially admitted to the hospital due to losing his balance at home and experiencing numbness in his left leg. Once he was admitted to St. Thomas, it was discovered that Mr. Brown had a significant amount of fluid in his lungs. It was at that point that the clinical team thought it would be best for the patient to receive a level of rehabilitation before returning to his home.

Mr. Brown had the option to choose several rehabilitation programs, and he chose Trevecca. He stated that our team would get him where he wanted and needed to be. Upon his arrival to the community, our rehabilitation team began working with him so that he would be able to gain strength in his legs. Mr. Brown’s Occupational therapy team shared that he had great potential and good safety awareness, but Mr. Brown was still experiencing an extreme level of pain in his left leg. After several evaluations, the clinical team sent him out to the hospital so that they could closely examine his left leg.

After Mr. Brown was sent out to the hospital, his doctor was able to diagnose him and said that his pain was coming from his left knee and that before he was able to qualify for surgery, he would have to lose a total of 50 pounds. This news was discouraging for Mr. Brown; not only did this mean he would have to be away from home longer, but it also meant that his progress and recovery would be determined by changing his lifestyle choices. Once he returned back to Trevecca, the rehabilitation team made sure that his therapy sessions would be aimed toward his weight loss goal for surgery. His meal options were also modified by our Dieticians in order to make sure he was getting what he needed and minimize any options that did not align with his weight loss goal. During this time, Mr. Brown shared that he was experiencing moments of depression. It even got to the point where Mr. Brown wanted to have his left leg amputated.

Mr. Brown stated, “I felt that when I got two steps forward, I would get set 10 steps back.” Although Mr. Brown had moments where he was discouraged, The Rehabilitation team continued to encourage him and work with him toward his goal. Once September 2022 came around, Mr. Brown had officially lost a total of 50 lbs. His appointment for surgery was set for the month. Mr. Brown’s left knee surgery was a success! He was admitted back to Trevecca so that he could focus on his recovery before returning home. It is now December, and Mr. Brown is walking and standing without any extreme pain. Once his therapy course is complete, the plan is for him to safely discharge home, where he will be living with his sister.

After listening to Mr. Brown’s story, I asked him what his personal and professional goals were once he returned home. Mr. Brown shared that he first wants to fix up his car and help his brother with their family business. He also shared that he is ready to resume his dating life and to just get back to living life to the fullest.

In Conclusion, Mr. Brown wanted to say some words of encouragement for anyone who may be going through a similar journey: “Just be strong and believe in the Lord.”

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Case Study: Trevecca Center for Rehabilitation & Healing (Q3 2022)

Concierge Director: Meleah Haley
Patient: Jeffery McLean
Patient’s Age: 46
Date of Admission: 6/15/2022
Admitted From: Summit Medical Center
Length of stay: 100 days
Discharge Date: TBD
Discharge To: Home
Reason for stay: Cerebral infarction, Brain stem stroke syndrome, Generalized muscle weakness.
How did this patient hear about Trevecca? Case manager referral (SMC)


Details of Experience:

Mr. Jeffery McLean arrived at Trevecca Center for Rehabilitation and Healing on June 15th, 2022, from Summit Medical Center in Hermitage, Tennessee. Mr. McLean was admitted to the Hospital after having a stroke caused by a narrow cerebellum. During his hospitalization, Mr. McLean had another stroke that impaired his speech and entire right side for a month. Mr. McLean was treated for hypertension and generalized weakness while he was at SMC.

Upon his arrival to the community, the Rehabilitation team immediately began to work with Mr. McLean. During his first few weeks, he went from being a maximum assistant with feeding himself to becoming a minimal assistant with adaptive equipment during his meals. During his Occupational therapy sessions, Mr. McLean began to only require minimal assistance with hygiene and grooming tasks while sitting in his wheelchair. Each week, Mr. McLean has been making strides to strengthen his right side, and there has been improvement during each therapy session.

Mr. McLean shared with Concierge services that he lived alone and was fully independent before he had his first stroke. He went on to explain how his mental health was impacted during his first month of being hospitalized. The patient stated, “I felt like a prisoner in my own body. I went from doing everything alone to thinking that I may not be able to talk or walk again.”Since then, Mr. McLean is more optimistic due to the speed of his recovery.

Mr. McLean shared that his goals for himself are to walk again, cook, clean, live independently, and use his right hand without any adaptive equipment. During his stay in the community, he has been showered with gifts and packages from his friends and peers from high school, all of which have kept his spirits high during this healing time. The Trevecca team is honored to be on this journey with Mr. McLean and plans on discharging him home once he has restored his strength on his right side.

In conclusion, Mr. Mclean wanted to close by saying, “It is up to you. You have to push yourself every day, and you have to put in the effort.”

 

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Case Study: Trevecca Center for Rehabilitation & Healing (Q2 2022)

Concierge Director: Meleah Haley
Patient’s Age: 57
Date of Admission: 7/15/2021
Admitted From: Ascension St. Thomas
Discharge Date: TBD
Discharge To: Trevecca Towers
Reason for stay: Necrotizing Fasciitis, Complete traumatic amputation of the left lower leg, and Acute Kidney failure
How did the patient hear about Trevecca Center? The Case Manager at St. Thomas referred him


Details of experience:

Mr. Tesfazgi Tsegaye arrived at Trevecca Center for Rehabilitation and Healing on July 15, 2021, from Ascension St. Thomas in Nashville, Tennessee. Mr. Tsegaye had been admitted to the hospital due to a wound infection on his left LLE (Lower Leg Extremity). This caused the patient to become septic with necrotizing fasciitis, resulting in a BKA (Below-knee amputation). Three different surgeons recommended amputating Mr. Tsegaye’s right leg due to his foot wound and decline in functional mobility.

Upon his arrival to the community, the rehabilitation team and wound care clinician immediately began working with him…determined to get him on the road to recovery without having to amputate his right leg. During the first few weeks, therapy focused primarily on his independence with self-care and mobility tasks. It was imperative that Mr. Tsegaye demonstrate the ability to perform tasks (Activities of Daily Living) to therapists and practice safety awareness while transferring. Wound Care’s main goal was to treat the patient’s right foot wound to prevent any further infections and complications.

By October 2021, Mr. Tsegaye began to decline due to refusing treatment from therapy and wound care. He was not participating and was not interested in healing with surgical intervention. From October to December, Mr. Tsegaye continued to refuse any treatment or assistance from staff. On December 17, he was placed in Hospice care, and his family began to plan his funeral arrangements. Due to his strong will and consistent care from the staff members in the community, Mr. Tsegaye was removed from hospice care on December 27.

One late afternoon after his dialysis appointment, something changed. Mr. Tsegaye was smiling and more alert than he was in his previous sessions with Occupational Therapy services. Mr. Tsegaye stated that he had been speaking with his Nurse Manager Nioakah about getting a prosthetic leg for his left LLE. After consulting with his doctor and Rehabilitation services, Mr. Tsegaye received his prosthetic leg victoriously! There was an immediate boost in Mr. Tsegaye’s attitude and trajectory of his overall health. After being introduced to CareRite’s CARP (Comprehensive Amputee Rehabilitation Program) offered through guidance by Paralympic Gold Medalists Todd Schaffhauser and Dennis Oehler, both amputees, Mr. Tsegaye began walking longer distances with his therapist Josh. He even began to use his walker and walked the corridor and the lobby of the community by himself!

Today, Mr. Tsegaye’s foot wound is almost 100% healed. In November 2021, the size of his right foot wound was 6.9 x 7.6 now, it is 2.5 x 2.8. Each day, he is making strides towards the betterment of his health. Mr. Tsegaye is on the waiting list for Trevecca Towers, an independent living community on campus. Mr. Tsegaye is truly a miracle with a success story to marvel at. The Trevecca Team is honored to be able to play such a big role in his healing journey!

Mr. Tsegaye wanted to close by simply saying, “Thank you.”

 

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Case Study: Trevecca Center for Rehabilitation & Healing (May 2021)

Patient’s Age: 58 years old
Admission Date: 3/23/21
Admitted From: Skyline Medical Center, Nashville Tennessee
Discharge Date: 6/1/21
Discharged To: Home
Length of Stay: 70 Days
Reason for Stay: Injury at C3 level of Cervical Spinal Cord, Quadriplegia


Details of experience:
Mr. Clifton Chapman arrived at Trevecca Center for Rehabilitation & Healing on March 23, 2021, after an extensive inpatient stays at Skyline Medical Center in Nashville, Tennessee. Mr. Chapman had been admitted to the hospital due to a spinal cord injury following a fall from his 4-foot porch after an ice storm. The fall resulted in contusions of the cervical and thoracic spinal cord. He had recently undergone spinal fusion surgery however, due to the cervical and spinal contusions, he presented to Trevecca as an incomplete quadriplegic.  

Upon arrival at Trevecca, Mr. Chapman was evaluated by a dedicated medical team that included Sonda McEver, his Physical Therapist, and Sara Garner, the Occupational Therapist. Precautions were taken in establishing short-term goals for his cervical collar, his recent spinal fusion, and the high degree of risk of falling due to the new onset of reduced lower extremity weakness.

Initially, the team focused on providing therapy targeting short-term goals that increased his balance through static sitting exercises at the edge of his bed and increasing his bed mobility. He initially required 100% assistance from the therapist to adjust his position and sit on the edge of the bed.  Gradually his tolerance level increased, and he was able to hold his position for ten minutes.

Mr. Chapman executed transfers from the bed to his power chair using a slide board during the first month of therapy. Still, he quickly transferred into his chair without using a slide board through therapies such as the Omni Cycle and light weights to increase his upper and lower body strength.  Gradually, Mr. Chapman was able to safely perform bed mobility tasks with Modified Independence using side rails and without the necessity for verbal cues for safety measures. Throughout the first month of therapy, Mr. Chapman became power chair independent.

During the second month of therapy, Mr. Chapman experienced a slight setback due to a fall in his room, resulting in lower extremity weakness and buckling in his knees. However, his determination to regain the improvement he had recognized never wavered.  His therapist implemented the Scifit machine to assist him in stepping forward by increasing his leg strength without bearing weight on his feet of any kind.

As the third month of therapy approached, Mr. Chapman was provided an AFO (Ankle Foot Orthosis) to prevent his foot from dropping as he attempted to bear weight and step forward. This additional tool improved his foot clearance with each step and provided stability, allowing him to ambulate further.  

On June 1, 2021, Mr. Chapman was able to discharge from Trevecca and return home.  Upon discharge, he was able to walk with a walker up to 65 feet! Mr. Chapman stated that the key to success with rehabilitation is “to pray up every day, humble yourself to be able to accept whatever the therapist tells you to do, and will your mind to keep pushing and NEVER give up!”

We wish Mr. Chapman the best of health and well-being on his continuing life journey.

 

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Case Study: Trevecca Center for Rehabilitation & Healing (April 2021)

Concierge: Susan Akers
Admission Date: 2/3/21
Admitted From: Saint Thomas West Hospital, Nashville Tennessee
Discharge Date: TBD
Discharged To: TBD
Length of Stay: 87 Days
Reason for Stay: Borderline Diabetes, Spinal Stenosis, Fibromyalgia, Weakness in lower extremities and Wound Care


Details of experience:
Ms. Thaendra Christenson arrived at Trevecca Center for Rehabilitation & Healing on February 3, 2021, following an extensive inpatient stay at St. Thomas West Hospital in Nashville, Tennessee. Ms. Christenson had been admitted to the hospital as a result of repeated falls, complications with weakness in her lower extremities, severe pain due to spinal stenosis, and a wound on her left heel.  Due to the high degree of pain from these conditions and a total loss of functional mobility, Trevecca Rehabilitation was determined to be the best facility to assist her in regaining her strength, healing, mobility, and independence.

Upon arrival at Trevecca, Ms. Christenson was evaluated by a dedicated medical team that included Josh Mitchell, her Physical Therapist, Kinsey Day, her Occupational Therapist, and a wound care nurse to address the wound that was present on her heel. 

The first, second, and third weeks of therapy focused primarily on decreasing her pain through exercises designed to increase her bed mobility. Initially, she required 100% assistance from the therapist to adjust her position and sit on the edge of the bed for ten seconds. Gradually her tolerance levels increased allowing her to hold a sitting position on the edge of the bed for extended periods of time. The wound care nurse cleaned and applied fresh dressings to the wound on her heel daily for the first 15 days of her care.

During Ms. Christenson’s fourth, fifth, and sixth weeks of therapy, her bed mobility had improved, but transfers from the bed to her wheelchair required the use of a Hoyer lift, as her level of pain and lower extremity weakness were still too severe to tolerate bearing weight. 

The sixth, seventh, and eighth weeks of therapy involved adaptive equipment, such as a reaching tool and a sock aid to improve her balance using “static sitting” exercises that require movement and stretching. Additionally, Kinsey, the Occupational Therapist, implemented ADL’s (Activities of Daily Living) tasks, such as: bathing and dressing of her upper and lower body and stretching exercises to improve her core strength, which is extremely important in the goal of advancing her mobility. The therapist introduced stretching exercises utilizing a theraband to increase functional reaching and improve her balance.

Additionally, she experienced Trevecca’s first-class therapy gym, where she gradually began to bear weight by standing, utilizing the parallel bars with assistance from her therapist! 

Each day has brought greater mobility, as she has been able to rise from a sitting position with minimal assistance from therapy and gradually walking utilizing a walker up to 25 feet!

Ms. Christenson stated that “a great deal of physical recovery is mentally realizing what you are capable of doing, even through discomfort, and trusting the therapy team to guide you there!” 

We wish Ms. Christenson continued improvement and the best of health and well-being on her journey.

 

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Case Study: Trevecca Center for Rehabilitation & Healing (March 2021)

Unilateral Below The Knee Amputee Rehabilitation and Peripheral Vascular Disease

Patient’s Age: 62
Admission Date: 9/22/20
Admitted From: Vanderbilt University Medical Center, Nashville Tennessee
Discharge Date: N/A
Discharged To: N/A
Length of Stay: 221 Days
Reason for Stay: Peripheral Vascular Disease and BKA (Below Knee Amputation)


Details of experience:
Mr. R. Hall arrived at Trevecca Center for Rehabilitation & Healing on September 22nd, 2020, following an inpatient stay at Vanderbilt University Medical Center in Nashville, Tennessee. Mr. Hall had a history of Arterial Occlusion, which prevents blood flow to the artery. He was admitted to Vanderbilt after presenting with a cold and pale left leg. He underwent a procedure known as revascularization for re-routing and restoring blood flow to the affected area. Following the procedure, Mr. Hall lost a pulse in his right leg. Following multiple procedures and attempts to save his limb, Mr. Hall underwent a BKA (Below Knee Amputation) of his right leg on September 11th, 2020. Trevecca Center for Rehabilitation & Healing was determined to be the best facility to assist him in regaining his strength and independence through a skilled therapy program.

Upon arrival to Trevecca, Mr. Hall was greeted by a dedicated medical team. Initially, he reported that a surgical center had concluded he was not an appropriate candidate for a prosthetic; therefore, skilled nursing and therapy professionals attended to his most pressing clinical needs. Following discussion with the Trevecca Concierge regarding his desire to receive a prosthetic, Mr. Hall was provided an assessment by the excellent and highly skilled rehabilitation team to determine the possibility of a successful outcome with a prosthetic. Mr. Hall was given an additional evaluation with the Hanger Clinic, a prosthetic company that works closely with Trevecca. The Hanger representative determined that Mr. Hall was an excellent candidate for a prosthetic. The assessment was initiated immediately for measurements, casting of the prosthesis, and providing Mr. Hall with a new means of mobility!

The Trevecca Concierge reached out to the CareRite Amputee Training and Rehabilitation Program. CareRite has partnered with Todd Schaffhauser and Dennis Oehler, paralympic gold medalists who have helped over 20,000 amputees worldwide. Dennis and Todd conducted an initial Facetime conference call with Mr. Hall and will continue to mentor him through this life-changing process.

In the weeks following his initial assessment, Trevecca Physical Therapist/ Amputee Specialist Sonda McEver, and Physical Therapist Katie Sheppard began working on gait training exercises utilizing a variety of modalities, including moving and balance activities, strengthening exercises for his upper and lower extremities, hip extensions with stretch bands, wheelchair pushups, bicep curls with weights and resisted triceps extensions. To enhance his gait and balance, Mr. Hall has executed static standing and reaching exercises to challenge him outside of his base of support, hopping skills while advancing with his walker, hopping over low lying objects, and safe transfer from sitting to standing.

During his initial evaluation, Mr. Hall could hop utilizing his walker a very minimal distance of a few feet; however, presently, he is walking over 100 feet! Mr. Hall stated that the therapy team is incredible and has taught him skills he hadn’t thought were possible. He is grateful to have the team of Dennis and Todd to consult with through this process. Mr. Hall is scheduled to receive his new prosthetic leg in approximately two weeks.

The Trevecca family is honored to be a part of this process and looks forward to his continued success!

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Case Study: Trevecca Center for Rehabilitation & Healing (February 2021)

Patient’s Age: 69-years-old
Date of Admission: 01/06/21
Admitted From: Centennial Medical Center
Discharge Date: 03/01/21
Discharged To: Home
Length of Stay: 55 days
Reason for stay: Rehabilitation following Above Knee Amputation


Details of experience:
Mr. Lucas arrived at Trevecca Center for Rehabilitation & Healing on January 6, 2021, following an inpatient stay at Centennial Medical Center in Nashville Tennessee. Mr. Lucas had initially been admitted to the hospital for a TKA (Total Knee Arthroplasty), following a gunshot wound to his left knee. Mr. Lucas developed a severe infection in the surrounding tissue, which precipitated the need for an AKA (Above Knee Amputation). Due to severe pain and loss of functional mobility, Trevecca Center Rehabilitation was determined to be the best community to assist him in regaining his strength, healing, functional mobility, and independence.

Mr. Lucas was evaluated by a dedicated medical team that included Jessica Meurer, his Physical Therapist, and Sara Garner, his Occupational Therapist. His first and second week of therapy focused primarily on decreasing his pain, due to the staples that were still in place following the surgery. Additionally, exercises were implemented to increase his sense of balance when Mr. Lucas would rise to a standing position from sitting on the edge of his bed.

Following the removal of his staples, Mr. Lucas saw remarkable improvement in his mobility, balance and the execution of essential activities in daily living. Initially, Mr. Lucas required full contact assistance when toileting, bathing, lower extremity dressing and transfers from the bed to his wheelchair. Mr. Lucas recognized tremendous success in all areas of daily living by mid-February. He advanced to executing tasks in Trevecca’s first-class therapy gym, where he practiced higher level balancing activities, such as changing bed linens, placing items in lower level compartments, meal preparation, proper techniques when entering and exiting the bathtub, fall recovery skills, dressing his lower extremity with a theraband, and balance skills allowing him to observe any skin breakdown on the residual portion of his limb prior to applying his shrinker and prosthetic.

On March 1, 2021 Mr. Lucas was able to discharge from Trevecca and return home. He will receive in-home fitting for his personal prosthesis and continue therapy to gain full stability. Mr. Lucas shared that the team at Trevecca were “really amazing and taught me how to do skills following my amputation that I could never accomplish on my own”. He further stated that “if you will do as the therapist advised and come with a determined spirit, you will be successful!”

The team wishes Mr. Lucas the very best of health and well-being on his continuing life journey.

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