78-year-old female had a fall that resulted in surgery for a fracture to the right hip and dislocation of right arm on 2/26/2021. Pt was doing well in rehab and able to walk some and stand 8 minutes. Pt will still not able to do much with right arm and was sent to hospital for x-ray of right arm. The arm was fracture in fall and was never fix or did not heal correctly. Pt had surgery on arm and was release from Baylor Grapevine to a SNF. She did not get the care she needed and after running out of days was released home where she was recliner bound for a month and a half. After follow up with PCP that is when it was decided that she return back to Encompass referred to Encompass Rehab Hospital by her PCP on 6/29/2021 due to immobility since her last rehab stay at Encompass. She was admitted on 6/30/2021 due to immobility and wants to walk down the aisle at her wedding. Last vital signs were Temp. 97.5, BP 150/79, HR 78, RR 16, 02 Stat 98% on room, fall risk is 80 on the fall risk scale and pain scale was 4/10 when ambulating. Edema is present in right arm and right leg. Pt seems to be Alert and Oriented x 4 but keeps talking about her fiancé that is a famous preacher on YouTube and cannot release his name and no one knows that they are getting married. Patient has refused to do most PT and OT and will not participate in group therapy. Patient was evicted from her home prior to her admission. She claims that she is marring a famous YouTube preacher when she gets out of rehab. The patient has a son in Detroit, a son and daughter in the area and a daughter that lives overseas. Discharge is planned for 7/10/2012 but it is unclear where the patient will be discharged at this time.