Case Study: The Hamlet Rehabilitation and Healthcare Center at Nesconset (May 2019)

Patient’s Age: 92-years-old
Admission Date: 4/24/19
Admitted From: Brookhaven Hospital
Discharge Date: 5/20/19
Discharged To: Home
Length of Stay: 28 days
Reason for Stay: Multiple falls, need for assistance with personal care and inability to ambulate.

Details of Experience:
Ms. Leggiero is a 92-year-old female who arrived at The Hamlet Rehabilitation and Healthcare Center at Nesconset on April 24th, 2019 after her second stay at Brookhaven Hospital as a result of several falls on her left knee, and she was unable to ambulate.

Within one hour of her admission, Ms. Leggiero was seen by her nurse, CNA (Certified Nursing Assistant), and the concierge who welcomed her. Within the first 12 hours, Ms. Leggiero was evaluated by occupational and physical therapy. Over the next few days, Ms. Leggiero met with managers in dietary, activities and therapy to discuss daily activities, the menu and treatment plans for recovery.

Ms. Leggiero’s main goal for discharge was to increase lower extremity strength, increase functional activity tolerance, enhance fall recovery abilities, improve transfers, dynamic balance, ambulation, and quality of gate in order to return to her prior level of functional abilities. At the time of her admission, Ms. Leggiero was able to walk 75 feet and perform functional transfers with contact guard assistance.

During her physical therapy sessions, Ms. Leggiero worked on activities and exercises centering on ambulation, transfers, and balance to increase mobility and functionality, while decreasing required assistance. After three weeks, she was able to walk 100 feet and safely perform bed mobility tasks with independence as well as maintaining a standing balance of one-two minutes without loss of balance.

After continuous progress nearing her discharge date home, Ms. Leggiero was able to meet her goal of safely ambulating 110 feet on level surfaces but was unable to ambulate any further than that distance secondary to left knee pain and chronic arthritis.

Through the teamwork and cooperation given by the entire Hamlet team, Ms. Leggiero was able to enjoy a pleasant stay at The Hamlet Rehabilitation and Healthcare Center at Nesconset.

We wish Ms. Leggiero a safe, healthy discharge where she will be reunited with her husband.