Case Study: The Hamlet Rehabilitation and Healthcare Center at Nesconset (September 2021)

Concierge: Dimitry Schwartz
Patient’s Age:
Initial Admission Date:
Admitted From:
Stony Brook Hospital
Therapy Discharge Date:
Reason for Stay:
Metabolic encephalopathy secondary to urinary tract infection.

Details of Experience:

Gulzer Begum was brought to the ER by her family for weakness and inability to stand from a sitting position. The medical team at Stony Brook hospital ran a number of tests and diagnosed that Gulzer was experiencing metabolic encephalopathy, a chemical imbalance in the brain. The culprit of this illness was a urinary tract infection, which was treated. After Gulzer was stabilized in the hospital, she was left with weakness, inability to ambulate or perform activities of daily living. The case management team recommended that Gulzer participates in short-term rehab. The Begum family did some research and decided to come to the Hamlet Rehabilitation and Healthcare Center for therapy.

Gulzar was to receive physical and occupational therapy six times per week as part of the intense therapy to get her back to optimal health. Upon arrival at the rehab center, Mrs. Begum was greeted by reception, the nursing department, and admissions. She was escorted to her lovely room, and her family (son and husband) was provided with extensive information about their mom’s treatment plan. Upon admission, Mrs. Begum was very limited in mobility; she required total assistance moving around in bed, moving from sitting to standing, inability to ambulate, total dependence for transferring herself in and out of a car. She required moderate assistance setting up her meals, maximum assistance with performing self-grooming and hygiene tasks, and self-dressing, total dependence for bathing, toileting. Overall it can be said that she had a lot of rehabs to do and improve.

During Mrs. Begum’s stay, she was often visited by her family to receive encouragement during therapy. This was most beneficial and encouraged by the Hamlet interdisciplinary team to optimize results. After a month of treatment, Gulzer progressed nicely before her discharge.

Her therapy results include improved mobility getting in and out of bed, minimum assistance needed getting up out of bed – a big improvement from total dependence prior—the ability to ambulate independently up to 30 feet, an improvement from zero when she first was admitted. Gulzer also drastically improved activities of daily living; she was too self-grooming, bathing, and feeding independently. Toileting still required minimum assistance, but still an improvement from total dependence on help. The Begum family was pleased with her results and planned to continue even further progress at home.

The Hamlet team is thrilled to be a part of your recovery journey Gulzer; we wish you all the best!