December 2022 Case Study   

Patient Name: McNeil, Kevin

Patient Age: 59

Admissions Date: 10/20/2022  

Admitted from: Stony Brook University Hospital

Discharge Date: 12/29/2022 

Length of Stay: 70 Days   

Reason for Stay: Encounter for Orthopedic aftercare following Surgical Amputation

How did this patient hear about The Hamlet Rehabilitation and Healthcare Center?    Social Worker at Stony Brook University Hospital because of our early ambulation program. 

Details of experience:   

On 10/10/2022, Kevin was admitted to Stony Brook University Hospital with an admitting diagnosis of Encounter for Orthopedic Aftercare Following Surgical Amputation. This is the treatment to begin the healing process and rehabilitation of a left below-knee amputation (BKA), resulting in an overall decline in function. He came to our community for rehabilitation to increase lower extremity (LE) strength, increasing functional activity tolerance, and become independent with all functional mobility to enhance his quality of life by improving his ability to return to a prior level of functional abilities.  

Upon arrival, Kevin was greeted by Hamlet’s interdisciplinary team, which includes Nursing, Concierge, Social Work, Recreation, and Rehabilitation. Kevin was evaluated by Allan Raymundo, Physical Therapist, along with Melissa Pelaez, Occupational Therapist. Shortly after his arrival, Kevin met Todd Schaffhauser and Dennis Oehler, Paralympic Gold Medalists who have mentored over 20,000 amputees worldwide and are devotees of the CareRite Amputation Rehabilitation Program.   

He required rehabilitation services to strengthen and increase functional activity tolerance, functional transfer/mobility, and improve dynamic balance. Upon evaluation, Kevin was totally dependent for all Activities of Daily Living (ADLs). Kevin worked extremely hard not only with our rehabilitation team but in the Amputee Walking School program, which is an in-house program that builds off everything that the amputee learns going through their rehabilitation in our CareRite communities. His baseline goals were met after 2 months, where he progressed from total dependence to moderate assist (MOD (A)). He was able to safely ambulate on level surface 125 feet using Bariatric Rolling Walker with MOD (A) and with a left (L) prosthesis. 

Kevin achieved his goals after two months of rehabilitation services and working hard in the Amputee Walking School program. He focused past the struggles he came across, from the healing process of his BKA to then using our early ambulation device, which took him to the next level of his life skill goals. The ambulation device helped Kevin meet his goals while he waited for his prosthesis to be made. He was discharged with a distance level of 125 feet with a prosthesis using a Rolling Walker and safely performed bed mobility tasks and functional transfers with MOD (A). He was to perform upper body dressing, bathing, and personal hygiene. 

Social Work assisted with Kevin’s discharge back home with friends. Kevin was extremely grateful to the entire team at The Hamlet. The team at The Hamlet wishes Kevin much success in his continued healthcare journey.

Director Concierge: Tiffany Colon
Patient Name: Alice Z.
Patient Age: 80
Admissions Date: 6/9/2022
Admitted from: St. Catherine’s Hospital
Discharge Date: 9/15/2022
Length of Stay: 98 Days
Reason for Stay: Acute Respiratory Failure with Hypoxia
How did this patient hear about The Hamlet Rehabilitation and Healthcare Center? 
Social Worker at St Catherine’s Hospital

Details of Experience:

On June 9th, 2022, Alyce was admitted to St Catherine’s Hospital with an admitting diagnosis of acute respiratory failure with hypoxia. Acute respiratory failure results from acute or chronic impairment of gas exchange between the lungs and the blood, causing hypoxia. This left Alyce needing to be on O2 (oxygen), unable to stand and ambulate. She came to our community for rehabilitation to restore her strength and function and be as independent as possible to be able to return home.

Upon arrival, Alyce was greeted by the Hamlet’s interdisciplinary team, which includes Nursing, Concierge, Social Work, Recreation, and Rehabilitation. Alyce was evaluated by Monica Morales, Physical Therapist, and Rebecca Standoff, Occupational Therapist.

She required rehabilitation services to strengthen and increase functional activity tolerance, functional transfer/mobility, and improve dynamic balance. Upon evaluation, Alyce was totally dependent on all Activities of Daily Living (ADLs).

Alyce worked extremely hard with our rehabilitation team. Her baseline goals were met after three months, where she progressed from total dependence to set-up with rollator. She was able to exhibit improved fine motor coordination skills to facilitate her ability to manage fastenings while dressing, with stand-by assistance to perform ADLs with increased independence and safety with Occupational Therapy. With perseverance, she increased her ability to safely ambulate on distance-level surfaces using a rollator from 0 feet to 75 feet. Her long-term goals included an ambulation distance of 75 feet and set-up assist.

Alyce achieved her goals after three months of rehabilitation services. She was discharged with a distance level of 75 feet using a rollator and safely performed bed mobility tasks and functional transfers with modified independence. She performed upper-body and lower-body dressing, bathing, and personal hygiene.  Social Worker assisted with Alyce’s discharge back home with her daughter. Alyce was extremely grateful to the entire team at The Hamlet.

The team at The Hamlet wishes Alyce much success in her continued healthcare journey. 

Director Concierge: Tiffany Colon
Patient Age: 74
Admissions Date: 4/22/2022
Admitted from: St. Charles Hospital
Discharge Date: 5/19/2022
Length of Stay: 27 Days Reason for Stay: Cervical Spine Stenosis
How did this patient hear about The Hamlet? Social Worker at St Charles Hospital

Details of Experience:

On 4/8/2022, Ira was admitted to St Charles Hospital with admitting diagnosis of Cervical Spine Stenosis. Cervical Spine Stenosis is narrowing the spinal canal and/or the spinal nerve root passages in your neck. This left Ira with muscle weakness, difficulty walking, and needing assistance with personal care. He came to our community for rehabilitation to get stronger and as independent as possible to be able to return home.

Upon arrival, Ira was greeted by Hamlet’s interdisciplinary team, including Nursing, Concierge, Social Work, Recreation, and Rehabilitation. Ira was evaluated by Lindsay, Physical Therapist, along with Rebecca, Occupational Therapist. He required rehabilitation services to strengthen and increase functional activity tolerance, transfer/mobility, and dynamic balance. Upon evaluation, Ira was determined to require minimal assistance with all Activities of Daily Living (ADLs).

Ira worked extremely hard with our rehabilitation team. His baseline goals were met after four weeks, where he progressed from total dependence to modified independence with a walker. He exhibited improved fine motor coordination skills to facilitate his ability to manage fastenings while dressing with stand-by assistance to perform ADLs with increased independence and safety with Occupational Therapy. With perseverance, he increased his ability to safely ambulate on distance-level surfaces using a rolling walker from 100 feet to 300 feet. His long-term goals were set, including an ambulation distance of 350 feet and a set-up assist.

Ira achieved his goals after four weeks of rehabilitation services. He was discharged with a distance level of 350 feet using a rolling walker, safely performing bed mobility tasks and functional transfers with modified independence. He performed upper body and lower body dressing, bathing, and personal hygiene. Social Worker assisted with Ira’s discharge back home with his wife. Ira was extremely grateful to the entire team at The Hamlet, with the limitations due to Covid, he felt like the rehabilitation team used all the technics and never stopped trying to help him reach his goals.

The team at The Hamlet wishes Lawrence much success in his continued health care journey.

Concierge: Tiffany Colon
Patient Name: Monks, Lawrence
Patient Age: 74
Admissions Date: 1/10/2022
Admitted from: Stony Brook Hospital
Discharge Date: 3/3/2022
Length of Stay: 52 Days
Reason for Stay: Cerebral Infarction
How did this patient hear about The Hamlet? Social Worker at Stony Brook Hospital

Details of Experience:

On 1/10/2022, Lawrence was admitted to Stony Brook Hospital with an admitting diagnosis of Cerebral Infarction following Hemiplegia and Hemiparesis, affecting the dominant right side, which has caused weakness. This left Lawrence with difficulty walking. He came to our community for rehabilitation to gain strength to get back home with his loving wife. The social worker at Stony Brook Hospital recommended our community, and his daughter and wife heard good things.

Upon arrival, Lawrence was greeted by Hamlet’s interdisciplinary team, including Nursing, Concierge, Social Work, Recreation, and Rehabilitation. Lawrence was evaluated by Monica, Physical Therapist, and Melissa, Occupational Therapist. He required rehabilitation services to increase functional activity tolerance, functional transfer/mobility, improve dynamic balance, and increase coordination. Upon evaluation, Lawrence was total dependence on all Activities of Daily Living (ADLs).

Lawrence worked extremely hard with our rehabilitation team. His baseline goals were met after six weeks, where he progressed from total dependence to moderate assistance. He performed self-feeding tasks, completed personal hygiene and grooming tasks while sitting in front of a mirror, executed upper body dressing, and increased his ability to propel himself in a wheelchair with Occupational Therapy safely. He increased his ambulation distance from 5 feet to 75 feet with perseverance. His long-term goals were set, including an ambulation distance of 100 feet and contact guard assist.

Lawrence achieved his goals after six weeks of rehabilitation services. He was discharged with a distance level of 100 feet, self-propelled in a wheelchair 150 feet supervised, performed self-feeding tasks independently, upper body dressing independently with set-up, and personal hygiene. Our Social Worker assisted with Lawrence discharging back home with his wife. Lawrence was extremely grateful to the entire team at The Hamlet for creating a supportive and uplifting environment for him.

The team at The Hamlet wishes Lawrence much success in his continued health care journey.

Concierge: Dimitry Schwartz
Patient’s Age: 75 years old
Initial Admission Date: 9/25/2021
Admitted From: St. Catherine Medical Center
Therapy Discharge Date: 10/29/21
Reason for Stay: Abscess at the L3-L4 location of the spine, which caused lower extremity weakness and difficulty ambulating, chronic kidney disease, diabetes, hypertension.

Details of Experience:

Mr. Davis experienced weakness in his lower extremities and consequently had difficulty walking. He then went to the hospital to get help with his condition. It was discovered that he developed a cyst or abscess on his spine, which required surgery. A laminectomy was performed. After the surgery, it was recommended that Mr. Davis continue his rehabilitation process at a sub-acute center. Mr. Davis and the hospital discharge team chose to transfer to the Hamlet for his short-term rehabilitation.

When Mr. Davis arrived at The Hamlet, he was welcomed by the wonderful interdisciplinary team of nurses, therapists, social workers, and others. He began his therapy with urgency to get better and improve. Upon admission, Mr. Davis was fully dependent on many therapy activities, including rolling from bedside to side, getting up out of bed, and toileting. He required much assistance with standing up, performing self-grooming tasks, and hygiene. Mr. Davis also required assistance with transferring into a car and ambulation. His ability to walk was limited to five feet or less.

Mr. Davis mentioned that he enjoyed working with our wonderful therapy staff and mentioned a few people in particular who took good care of him. In his review on google, he commented that “physical therapy was consistently good at balancing encouragement with urgency to continue to work hard.” At the end of Mr. Davis’s stay, he progressed well enough to no longer be dependent on assistance with walking, grooming, activities of daily living, and he was able to ambulate unlimited distances compared to just five feet when he first started rehab.

One never knows where life will take them…sometimes, you develop an issue with your spine, need surgery, and then need help to recover. We are extremely honored that Mr. Davis chose The Hamlet to recover and regain his strength.

Thank you for choosing us on your recovery path.

Concierge: Dimitry Schwartz
Patient’s Age: 68-years-old
Initial Admission Date: 8/2/2021
Admitted From: Stony Brook Hospital
Therapy Discharge Date: 9/3/2021
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!

Concierge: Dimitry Schwartz
Patient’s Age: 40-years-old
Initial Admission Date: 4/23/2021
Admitted From: Stony Brook Hospital
Therapy Discharge Date: 9/06/2021
Reason for Stay: Chronic Respiratory Failure, Severe Morbid Obesity, Hypertension, Diabetes. 

Details of Experience:
Derry was living with his brother before being hospitalized. He began to experience continuous shortness of breath at home and decided to check himself into Stony Brook ER. He was quickly assessed, and it was determined that his situation was rather difficult. Derry was placed into an induced coma for a month and required over three months of acute care. When Derry was ready to be discharged from the hospital, he needed additional subacute care. He discussed his options with case management and decided on the Hamlet Rehabilitation and Healthcare Center.

Derry was greeted on arrival by Hamlet’s amazing interdisciplinary team, including the nursing team, social work, reception, and others. Derry’s positive attitude was infectious. Derry was determined to improve. He arrived with a lot of medical complexities, including a tracheostomy collar (a mechanism to provide optimal oxygen airflow). He also had left-side weakness and an inability to walk. Derry’s medical case was also compounded by his weight status, as he was morbidly obese. Needless to say, Derry and Hamlet had work to do.

The dietary, nursing, and rehab team got to work at a fast pace on Derry’s medical, nutritional and rehabilitative therapy. Hamlet’s dietitian began to work with Derry on weight management strategies and personalized therapeutic diets that would promote weight loss. Derry was provided nutrition education and guidance on how to keep his weight down when he left the community. The rehab focused on many aspects of improvement for Derry, including improved bed mobility, transferring out of various places, including beds, cars, etc., all while maintaining optimal oxygen levels. Ambulation on uneven and even surfaces. Something to note of significant improvement in ambulation. Derry’s ability to ambulate on admission was 0 feet. After the conclusion of rehab therapy, Derry was able to ambulate over 200 feet independently. That is amazing!

Derry’s progress and improvements were his daily drivers. His round-the-clock positive attitude contributed greatly to his improvement. Derry is stronger, lighter, and has had a few new friends since he came to the Hamlet. He is excited about his future and is looking forward to resuming his life of independence and better health. 

The Hamlet team is thrilled with all of your success Derry, and I hope you only continue to grow, improve and be healthy!