Case Study: The Hamlet Rehabilitation and Healthcare Center at Nesconset (November 2018)

Patient’s Age: 86-years-old
Admission Date: October 19, 2018
Admitted From: Brookhaven Memorial Hospital
Discharge Date: November 14, 2018
Discharged To: The Arbors Assisted Living Facility
Length of Stay: 27 Days
Reason for Stay: Urinary Tract Infection, Chronic Obstructive Pulmonary Disease, Congestive Heart Failure and Difficulty in Walking

Details of Experience:

Mrs. Belonzi is an 86-year-old female who was admitted to The Hamlet Center at Nesconset on September 13th after her stay in Brookhaven Memorial Hospital for chronic obstructive pulmonary disease, urinary tract infection, difficulty in walking, and congestive heart failure.

After her hospitalization, Mrs. Belonzi needed extensive inpatient rehabilitation to safely perform functional transfers with minimum assistance, push up from arms of chair, and for safety while turning while maintaining oxygen saturation of more than 90% and use activity pacing. In addition, she needed to safely perform toileting tasks using standard commode with minimum assistance for safety awareness, for use of energy conservation techniques, for proper sequencing and for safety while turning with reduced risk of falls.

Within the first 12 hours of her admission to The Hamlet, Mrs. Belonzi was evaluated by the team from occupational and physical therapy, as well as other valued members of the team who welcomed her and answered any questions she had. Her main goal for discharge was to be able to perform functional transfers, and to safely ambulate on level surfaces of 200 feet with safety during turning 100% of the time. This was a tall order as the goal of the therapy team was to also maintain oxygen saturation of more than 90% and perform functional mobility during activities of daily living for use of energy conservation. The clinical team also worked on building a plan that would support breathing techniques in order to return her to her prior living and supervision levels.

The team had many goals, but a lot of ambition and excitement to support Mrs. Belonzi’s recovery and hopeful anticipated home!

The occupational and physical therapists focused on positioning/ pressure relieving techniques, proper body mechanics, safety sequencing techniques, safe transfer techniques, safety precautions and use of an assistive device in order to increase safety and decrease her need for assistance! The goals and status were becoming more and more of a success!

With all of the teamwork and cooperation provided by our team and constant encouragement during each therapy session, Mrs. Belonzi was provided with a pleasant experience as opposed to simply a hospitalization.

We wish Mrs. Belonzi a safe return back to The Arbors Assisted Living Facility!