Case Study: The Hamlet Rehabilitation and Healthcare Center at Nesconset – Q1 2025
Concierge: Samantha Holman
Patient name: David R
Patient age: 49
Admission Date: 10/29/2024
Admitted From: Stony Brook University Hospital
Discharge Date: 1/7/2025
Discharged to: Home
Length of Stay: 70 days
Reason for Stay: Cerebral infarction due to thrombosis of an unspecified cerebral artery
Details of Experience:
On 10/29/2024, David was admitted to our community from Stony Brook University Hospital with an admitting diagnosis of cerebral infarction due to thrombosis of an unspecified cerebral artery. This resulted in the placement of a tracheostomy procedure, chronic respiratory failure, muscle weakness, lack of coordination, and the need for assistance with personal care. David was sent to The Hamlet to receive further care and rehabilitation after being at Stony Brook University Hospital for two and a half months. The goal was to send David home, where he lives with his family.
Upon his arrival, David was graciously welcomed by our interdisciplinary team, which included Nursing, Rehabilitation, Respiratory Therapy, Recreation, Social Work, and Concierge, all dedicated to ensuring his comfort and care. He was evaluated by Physical Therapist John Nash, Occupational Therapist Kristen Gualbert, and Speech Therapist Sheila Sealy. He required these rehabilitation services to increase balance, trunk control, mobility, and motor coordination, and to maximize nutrition/hydration with oral motor facilitation in order to safely consume the highest level of oral intake and minimize aspiration. He also required services to improve language function and communication skills.
After about a month of dedicated care at The Hamlet, David successfully had his tracheostomy tube removed, which was a big milestone in his recovery journey. He began to give sporadic thumbs-ups to assure his loved ones and the staff that he was doing well. He went from grasping and releasing with bilateral hands with maximum assistance to minimum assistance.
After over two months, David exhibited the ability to participate in tasks of increased complexity to enhance functional independence. His eye contact increased with less cuing required, and he increased his gesture use to indicate needs. He improved his core strength and exhibited improvement in trunk control, stabilit,y and strength. His spinal mobility improved, his range of motion became smoother when performing exercises, and he became able to stand at parallel bars for support and able to tolerate two minutes.
Through determination and support, David made remarkable progress during his stay at The Hamlet. After receiving care from our dedicated team of professionals, David was able to return home safely to his family. His journey was filled with milestones and the joy of reuniting with loved ones, and he is truly an inspiration. We wish David a healthy and happy journey while his loved ones surround him at home.