Case Study: The Hamlet Q4 2024
Concierge: Samantha Holman
Patient Name: Jeffery
Patient’s Age: 57
Admitted from: Stony Brook University Hospital
Discharge Date: 10/24/2024
Length of Stay: 2 months
Reason for Stay: Unspecified displaced fracture of third cervical vertebra
How did this patient hear about The Hamlet? Online research

Details of Experience:

On August 20, 2024, Jeffery was admitted to our community from Stony Brook University Hospital with an admitting diagnosis of unspecified displaced fracture of the third cervical vertebra. Jeffery was involved in a severe car accident resulting in multiple fractures. After receiving initial treatment at Stony Brook University Hospital, he was transferred to The Hamlet for further care and rehabilitation.

Upon his arrival at The Hamlet, Jeffery was warmly welcomed by each department, who ensured a comprehensive approach to his recovery. Nursing, Rehabilitation, Recreation, Social Work, and Concierge services each completed evaluations to understand the care Jeffery needed.

Physical Therapist Allan Raymundo and Occupational Therapist Kristen Gualbert evaluated Jeffery. He required PT (physical therapy) and OT (occupational therapy) services to gain strength and ROM (range of motion), increase bed mobility and transfers, and improve balance while standing and walking. Upon evaluation, Jeffery was walking 0 feet and needed maximal assistance for certain tasks such as sitting to lying down and lying to sitting. He required OT services to maximize independence with ADLs (activities of daily living), and to develop adaptation techniques to ensure a safe discharge home.

After two months of dedication to rehabilitation services, Jeffery achieved the highest practical level to discharge home. He became independent in most of his activities of daily living (ADLs) and could perform tasks he thought he could never do. Shortly after his discharge, Jeffery could walk his daughter down the aisle at her wedding in November 2024, which was his primary goal.

Through consistent therapy, determination, and unwavering support from professionals at The Hamlet, Jeffery worked hard to regain his independence. The team’s expertise, combined with Jeffery’s resilience, allowed him to overcome his challenges and reclaim control over his life.

We wish Jeffrey continued good health and rehabilitation in 2025.

Concierge: Samantha Holman

Patient Name: Matthew

Patient Age: 40 years old

Admissions Date: 02/22/2024

Admitted from: Stony Brook University Hospital

Discharge Date: TBD

Length of Stay: 4 months

Reason for Stay: Mitochondrial Neuromuscular Disease

How did this patient hear about The Hamlet? Social Worker at Stony Brook University Hospital

Details of experience:

On 02/22/2024, Matthew was admitted to our community from Stony Brook University Hospital with an admitting diagnosis of Mitochondrial Neuromuscular Disease. Matthew was diagnosed with this disease at the age of 19, but one morning, he had an episode in which he was lethargic and could not get out of bed. Matthew was admitted to Stony Brook University Hospital, and the social worker there recommended he receive further care at The Hamlet for Rehabilitation.

When Matthew arrived at The Hamlet, he was welcomed by the amazing team, including Nursing, Social Work, Recreation, Rehabilitation, and Concierge services. Upon arrival, Matthew was evaluated by each team so they could apply their skills to give him the best care possible. Matthew was evaluated by Physical Therapist; Monica Morales, Occupational Therapist; Christopher Depasquale, and Speech Therapist; Maisa Chowdhury. He required PT (physical therapy) and OT (occupational therapy) services to strengthen and increase
functional activity tolerance, functional transfer/bed mobility, and improve overall balance, strength, coordination, and mobility. He required speech therapy to improve oral intake, oral function, and pharyngeal function. Upon evaluation, Matthew depended on support for most of his ADL (Activities of Daily Living).

Matthew committed to gaining his strength back and recovering with the rehabilitation team. After two and a half months of rehabilitation, Matthew made considerable progress over the course of skilled PT, demonstrating increased independence with all aspects of functional mobility, decreased fall risk, and maximum potential with skilled services and a regular diet.

After two months of rehabilitation, Matthew achieved his goals and was discharged home safely. Unfortunately, after returning home for ten days, he had a minor setback and experienced another episode of lethargy. Matthew was readmitted to The Hamlet to receive further rehabilitation.

Matthew has been readmitted for two months and is thriving in all aspects. He is on a regular diet, walking about 75 feet with help from a walker and improving upper and lower body dressing tasks and other ADLs. He is a long-term resident in our community and continues to achieve more goals every day.

Matthew has become a part of The Hamlet family, with each department supporting his needs. His family continues to support him throughout his life, and his positive attitude is admirable. The goal in our community is to spread love and encouragement to each resident, and Matthew is a perfect example of someone who thrives from this type of support

Concierge: Tiffany Colon

Patient Name: Judith Applebaum

Patient Age: 78 years old

Admissions Date: 12/22/2022

Admitted from: St. Catherine of Sienna Hospital

Discharge Date: TBD

Length of Stay: A little over two years

Reason for Stay: Fall that later led to above knee amputation

How did this patient hear about The Hamlet? Social Worker at St. Catherine of Sienna Hospital

Details of experience:

On 12/22/2022, Judith was admitted to our community from St. Catherine of Sienna Hospital with an admitting diagnosis of a fall. This fall set Judith back with a lot of her ADL (activities of daily living), which left her not getting out of bed most days. This led her to need a right AKA (above knee amputation) in October 2023. Judith came to our community for rehabilitation to recover from her fall, and then after her AKA, she was a part of our unique Comprehensive Amputee Rehabilitation Program.

Upon arrival, Judith was greeted by Hamlet’s interdisciplinary team, which includes Nursing, Concierge, Social Work, Recreation, and Rehabilitation. Patrice Thomas, Physical Therapist, evaluated Judith along with Kristen Gualbert, Occupational Therapist. Judith had become part of The Hamlet family, so when returning to our community after her AKA, we all strived to keep her in the best spirits and help her get through this transition. Todd Schaffhauser and Dennis Oehler, both Gold Medal winners at the Paralympics and the driving force behind our Comprehensive Amputee Rehabilitation Program, came to visit Judith after her AKA and followed her throughout her healing of the surgery to get her to use the early ambulation device.

She required rehabilitation services to strengthen and increase functional activity tolerance, functional transfer/ bed mobility, and improve dynamic balance. Upon evaluation, Judith was dependent on all ADLs. She worked extremely hard with our rehabilitation team to regain her strength. Judith had a long road to recovery, but after 5 months, she went from being dependent on most ADLs to independent. She is instructed in sliding board transfer training with contact guard assistance (CGA) for safety, hand placement at times, and weight shifting. Judith is currently walking 10-12 feet with a max assist of one person. During this challenging time of recovery, Judith had 1:1 sessions of Integrative Therapy Session to help with her anxiety.

Judith achieved every goal handed to her in these last 5 months of rehabilitation services but still has a long road ahead of her to be able to walk with her new prosthetic leg. She is working extremely hard to work past the struggles she may come across. Judith is a long-term resident in our community, but since her amputation and being able to start walking again, she has made it known that she would love to be able to be on her own again one day. She is extremely grateful to the entire team at The Hamlet for being by her side every step of the way through her healing journey.

The team at The Hamlet will continue to be Judith’s biggest cheerleaders on her healthcare journey.

Concierge: Tiffany Colon

Patient Name: Anthony

Patient Age: 70

Admissions Date: 9/26/2023

Admitted from: Mather Hospital

Discharge Date: 12/23/2023

Length of Stay: 3 months

Reason for Stay: Infection and Inflammatory Reaction due to other urinary catheter

How did this patient hear about The Hamlet? Social Worker at Mather Hospital

Details of experience:   

On 9/26/2023 Anthony was admitted to our community, The Hamlet from Mather Hospital with an admitting diagnosis of Infection and Inflammatory Reaction due to urinary catheter. Infection and Inflammatory Reaction due to other urinary catheter caused him to have a Urinary Tract Infection (UTI). After being diagnosed with UTI, Anthony had to be observed lying in an elevated position. He became very weak, and developed acute respiratory distress. He came to our community for Rehabilitation to recover from this episode.

Upon arrival, Anthony was greeted by Hamlet’s interdisciplinary team, which includes Nursing, Concierge, Social Work, Recreation, and Rehabilitation. Anthony was evaluated by Donna Cifuni, Physical Therapist along with Melissa Pelaez, Occupational Therapist.

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

He worked extremely hard with our rehabilitation team to recover and get his strength back. Anthony had a long road to recovery but after three months he went from being total dependent on all ADLs to supervision or touching assistance and independent. Anthony is currently walking 175 feet. During this tough time of recovery Anthony had 1:1 sessions of Integrative Therapy Session to help with his anxiety.

Anthony has achieved every goal that was handed to him in these last three months of rehabilitation services. He worked extremely hard to work past the struggles he came across. Anthony has worked with our social work and his wife about his discharge and transition to back home with his family.

Anthony was extremely grateful to the entire team at The Hamlet. The team at The Hamlet wishes Anthony much success in his continued health care journey.

Concierge: Tiffany Colon

Patient Name: Joan

Patient Age: 88

Admissions Date: 7/10/2023

Admitted from: St. Catherine of Siena Medical Center

Discharge Date: 10/03/2023

Length of Stay: 3 months

Reason for Stay: Pneumonitis

How did this patient hear about The Hamlet? Social Worker at St. Catherine of Siena Medical Center

Details of experience:   

On 6/30/2023, Joan was admitted to St. Catherine of Siena Medical Center with an admitting diagnosis of Pneumonitis. Pneumonitis is general lung inflammation that can affect how well you breathe and cause other bodily symptoms. After being diagnosed with pneumonitis and shortness of breath, Joan had to be observed lying in an elevated position. She became very weak and suffered from acute respiratory distress. She came to our community for Rehabilitation to recover from this episode.

Upon arrival, Joan was greeted by Hamlet’s interdisciplinary team, which includes Nursing, Concierge, Social Work, Recreation, and Rehabilitation. Donna Cifuni, Physical Therapist, and David Belli, Occupational Therapist, evaluated Joan.   She required rehabilitation services to strengthen and increase functional activity tolerance, functional transfer/ bed mobility, and dynamic balance. Upon evaluation, Joan was totally dependent on all Activities of Daily Living (ADLs).

Joan worked extremely hard with our rehabilitation team to recover and get her strength back. Joan had a long road to recovery, but after three months she went from being totally dependent on all ADLs to Moderate Assist (MOD (A)) and Minimal Assist (MIN (A)). Joan is currently walking 20 feet, and she is still focused on becoming more independent. During this tough time of recovery, Joan had 1:1 sessions of Integrative Therapy Session to help with her anxiety.

Joan has achieved every goal handed to her in these last three months of rehabilitation services. She worked extremely hard to work past the struggles she came across. Joan has worked with our social worker and her sister about her discharge and transition to Whisper Woods Assisted Living.

Joan was extremely grateful to the entire team at The Hamlet. The team at The Hamlet wishes Joan much success in her continued healthcare journey.

Concierge: Tiffany Colon

Patient Name: Leahy, Thomas

Patient Age: 73

Admissions Date: 4/5/2023

Admitted from: Plainview Hospital Northwell Health

Discharge Date: 6/5/2023

Length of Stay: 2 months

Reason for Stay: Encounter for orthopedic aftercare following surgical amputation

How did this patient hear about The Hamlet? Social Worker at Plainview Hospital Northwell Health

Details of experience:   

On April 5th, 2023, Thomas was admitted to Plainview Hospital Northwell Health with an admitting diagnosis of below-the-knee amputation (BKA). A below-the-knee amputation is surgery to remove your leg below the knee. Thomas was in the emergency room for right plantar diabetic foot ulcer down to skins, subcutaneous tissue fat, bone with underlying calcaneal osteomyelitis. This later led to Thomas needing to have a below-the-knee amputation by Lorena DeMarco-Garica, Chief of Vascular Surgery. He came to our community for the Rehabilitation Center to recover in our Comprehensive Amputee Rehabilitation Program with Todd Schaffhauser and Dennis Oehler, Paralympic Gold Medalists who have mentored over 20,000 amputees worldwide.

Upon arrival, Thomas was greeted by Hamlet’s interdisciplinary team, which includes Nursing, Concierge, Social Work, Recreation, and Rehabilitation. Thomas was evaluated by Allan Raymundo, Physical Therapist along with Melissa Pelaez, Occupational Therapist. He required rehabilitation services to increase his LE strength, increase functional activities tolerance, enhance fall recovery abilities, improve bed mobility, improve transfers, improve dynamic balance, improve ambulation and quality of gait. This is in order to facilitate and restore his independence with all functional mobility, enhance his quality of life and safely return to a prior level of functional abilities. Upon evaluation, Thomas was a moderate assistance (MOD(A)) on all Activities of Daily Living ( ADLs).

Thomas worked extremely hard not only with our rehabilitation team but in the Amputee Walking School program. This program is an in-house program that builds off everything that the amputee learns going through their rehabilitation in our CareRite communities.

Thomas had a long road to recovery; his baseline goals were met after 2 months, where he progressed from MOD (A) to supervision. He was able to safely ambulate on a level surface 250 feet using a rolling walker (RW) and right BK prosthesis. He was able to perform car transfers with stand by assist (SBA) and was able to negotiate 4 stairs using bilateral handrails with comprehensive geriatric assessment (CGA).

Thomas has achieved every goal that was handed to him in these last two months of rehabilitation services. His daughter came in everyday to support him and brought his granddaughter to brighten his days. He worked extremely hard to work past the struggles he came across from the healing process of his BKA surgery. Thomas had ongoing support from Todd, Dennis, Tiffany (Director of Concierge), and his daughter. In the beginning of his journey his daughter didn’t think returning home would be an option for him. At the time not knowing what the Comprehensive Amputee Rehabilitation Program (CARP) would do for him in being able to go back to his ADLs prior to his amputation. Thomas sat with our Rehab and Social Work team to make sure he had all the equipment necessary to get him back home walking with his prosthesis.

Thomas was extremely grateful to the entire team at The Hamlet. Team Hamlet wishes Thomas much success in his continued health care journey.

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.