Concierge: Samantha Holman
Patient Name: John
Patient Age: 89
Admission Date: 4/25/2025
Admitted From: Stony Brook University Hospital
Discharge Date: TBD
Length of Stay: 8 months
Reason for Stay: Traumatic subarachnoid hemorrhage without loss of consciousness, subsequent encounter
Details of Experience:
On 4/25/2025, John was admitted to our community from Stony Brook University Hospital with an admitting diagnosis of traumatic subarachnoid hemorrhage, which resulted from a fall while he was working in his garage. During his stay in the hospital, John was treated but required further healing and rehabilitation and was admitted to The Hamlet.
Upon admission, John was kindly welcomed by the interdisciplinary team including Nursing, Therapy Services, Recreation, Social Work, Dietary, and Concierge Services, all dedicated to supporting and guiding him throughout his recovery. John required Physical Therapy (PT), Occupational Therapy (OT), and Speech Therapy (ST) to regain strength and live in an environment with least amount of supervision and assistance.
John was evaluated by Physical Therapist Mary Bova, Occupational Therapist Alexander Stein, and Speech Therapist Casey Mazzella, who created specific goals for him to gain independence back. John required PT to improve bed mobility, transferring, ambulation, and safety awareness. He required OT to improve balance, mobility and strength, as well as self-care and functional tasks to become independent in Activities of Daily Living (ADL’S). He required ST to improve cognitive skills such as executive function, problem solving and memory. ST was also required for dysphagia to analyze oral function and pharyngeal function so he could safely consume the highest level of oral intake.
He worked with PT on the NuStep to improve reciprocal motion and activity tolerance in order to facilitate gait, seated hip flexion and knee extension using weights, ball squeeze and bands to improve bilateral strength. In OT, John was educated on safely propelling the wheelchair forward and back and around obstacles with proper hand placement on the wheelchair. He was educated in self-care and performed dumbbell exercises while seated to improve upper body strength and mobility. He worked with the Speech Therapist to increase comprehension through one step directions, consistent words, and direct communication which required eye contact.
After eight months of continued care from the team at The Hamlet, along with support from his family, John achieved the highest practical level of independence and continues to thrive as a resident within the community. His bed mobility and sit to stand improved from needing maximum assistance to minimum assistance, and he can now ambulate 150 feet using a rolling walker from being unable to ambulate at all. John also demonstrated improvement in wheelchair safety awareness and can get where he needs to with no assistance and can maintain balance while sitting in his wheelchair for up to 8 hours, with no complaints of discomfort. He can maintain self-care tasks and transfers safely with partial assistance. John also increased the ability to allow for increased socialization through cognitive skills, and he upgraded to a regular, thin liquids diet from soft foods and mildly thick liquids.
To optimize his health, wellness and function, John required support from a professional team of therapists, nursing, social work, recreation and concierge to get where he is today. He continues to be supported by our dedicated staff and the unwavering encouragement from his family. John enjoys attending our recreation programs and socializing with anyone he passes by. His positive spirit is evident as he smiles while moving through the hallways each day, reflecting the progress he has made and the strength he continues to show.
We wish John continued success, comfort, and the very best on his ongoing journey!