Case Study: The Hamlet Rehabilitation and Healthcare Center at Nesconset (February 2020)

Patient’s Age: 60-years-old
Admission Date: January 22, 2020
Admitted From: St. Charles Hospital
Discharge Date: February 25, 2020
Discharged To: Home
Length of Stay: 35 days
Reason for Stay: Cerebrovascular accident with right side weakness and intraparenchymal hemorrhage of brain


Details of Experience:
Robert, a manager at a local gas station, went to work early in the morning and wasn’t feeling well. A patron at the station noticed his facial droop and slurred speech and told his co-worker to call 911. He was taken to St. Charles Hospital and admitted for cerebrovascular accident and hemorrhage of the brain. He entered The Hamlet Rehabilitation and Healthcare Center at Nesconset on January 22, 2020.

He was greeted by our highly trained therapists, Nivia and Elena. During their initial assessment, it was determined Robert required maximum assistance with all Activities of Daily Living (ADL). He was not able to climb any steps and could only walk 50 feet with minimal assistance. The team set goals of safely ambulating unlimited distances while maintaining good balance and safely ascend/descend 12 steps independently without handrails. He participated in therapy six days a week, consistently practicing functional activity tolerance, enhancing fall recovery abilities and improving bed mobility, transfers and dynamic balance. He also worked with his therapists to improve ambulation and gait training.

Robert made great progress toward his short term and long term goals. After two weeks, Robert was able to walk 75 feet and ascend/descend 4 steps. In less than a month, he was able to walk 250 feet with supervision and 15 steps and perform all activities of daily living.

The Therapeutic team and Director of Concierge Services supported Robert’s psycho-social well being. He had retired from the banking business and worked part time at the gas station, wanting to always stay busy. The team supported Robert by offering him the ability to watch spectator sports in a group or on his own, playing Sudoku, completing crosswords and watching history documentaries.

Nearing discharge, Robert met with our Director of Concierge Services to see how his overall stay was at The Hamlet. He shared he was so pleased with his therapists because they pushed him hard. He stated, “I have come so far here which I didn’t think was possible after I left the hospital. I have made great, great strides thanks to the outstanding staff. Nivea asked if I felt like getting some air, and I walked down two flights of steps. It was an amazing feeling.” Team Hamlet was inspired by how hard Robert worked and his constant motivation to return to his prior level of function. We wish him the best of luck.