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

Patient’s Age: 60-years-old
Admission Date: January 14, 2019
Admitted From: Stony Brook University Hospital
Discharge Date: February 14, 2019
Discharged To: Home
Length of Stay: 32 days
Reason for Stay: Aortic valve replacement and mitral valve ring repair, acute respiratory distress and spinal stenosis


Details of Experience:

Ms. Ryan is a 60-year-old female who was admitted to The Hamlet Rehabilitation and Healthcare Center at Nesconset on January 14th, 2019 after her stay at Stony Brook University Hospital where she was admitted for aortic valve replacement and mitral valve ring repair, acute respiratory distress and spinal stenosis.

Within the first 12 hours of entering our community, The Hamlet Rehabilitation, and Healthcare Center at Nesconset, Ms. Ryan was evaluated by our occupational and physical therapy teams and was seen by clinicians, administrative staff and other valued members of the team.

She was scheduled for therapy six times a week for four weeks. Ms. Ryan worked on ambulation, transfers, balance, strengthening and endurance training to improve her activity tolerance, functionality, and mobility while decreasing need for assistance with her activities of daily living.

When Ms. Ryan first came in, she presented significant functional decline with generalized weakness, deficit in strength, balance, endurance, and activity tolerance. Ms. Ryan required moderate assistance in safely performing bed mobility tasks. She was able to safely ambulate 5 feet and was unable to ascend/descend any steps with independence.

Within three weeks, Ms. Ryan was able to safely ambulate on level surfaces 100 feet and one week later was able to walk 175 feet. In addition, Ms. Ryan had some difficulty ascending and descending steps; however, after working hard for two to three weeks, Ms. Ryan was able to ascend and descend the necessary amount of steps for her to have a safe discharge home.

With all of the teamwork and cooperation of the team at The Hamlet, Ms. Ryan was in-serviced on safety, sequencing, and energy conservation techniques. Her therapist came up with a few techniques to use for safety upon her return home, and on February 14th, after successfully achieving all of her goals, Ms. Ryan was discharged home.

We wish Ms. Ryan the best of luck in the future.