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

Director Concierge/Assistant Administrator: Dimitry Schwartz
Patient’s Age: 45-years-old
Initial Admission Date: 4/9/21
Admitted From: St. Francis Hospital
Discharge Date: 5/14/2021
Reason for Stay: Cervicalgia, history of spinal disc herniations, generalized weakness, falls at home


Details of Experience:
George’s issues began when he was playing college basketball. He had experienced a lumbar disc herniation, which required surgical intervention. Shortly after that, the disc below required surgery, as well. Since then, he has had problems with his lower back and experienced more herniations that led to cervical spine surgery.  About three weeks before his hospitalization, he fell while walking down the stairs and fell on his back. Since then, he has had progressive weakness and numbness on this right side. That is when he decided to check himself into St. Francis Hospital. The medical team at the hospital recommended that George would benefit from short-term rehabilitation. On April 9, George came to the Hamlet for physical and occupational therapeutic rehabilitation.  

Upon arrival, he was greeted by Hamlet’s fantastic interdisciplinary team, including social work, nursing, and reception.  George has shared that he had years of back problems, including spinal fusion surgeries and spinal disc herniations that caused lower body weakness. He had been troubled by these issues for over 20 years.  The Hamlet rehab team wasted no time and got to work with George.  Occupational therapy set goals to improve upper and lower body mobility when bathing, improve mobility when providing self-hygiene and grooming, improve lower body dressing, improve toilet transfers.  All of these functions were significantly improved from the need for moderate assistance to standby assistance.  Physical therapy had also set very exciting goals.  They improved Mr. Cahill’s ambulation abilities, bed mobility, functional transfers, stabilized gait patterns.  Overall, George improved significantly and was excited to return home with improved independence. During his leisure time, when he was not doing rehab, he enjoyed chatting with the staff, watching TV, sports betting on his phone, and watching his favorite shows. 

Hamlet would like to thank George for choosing the rehabilitation journey with us.  We wish you health and happiness.

Posted in Case Studies | Comments Off on Case Study: The Hamlet Rehabilitation and Healthcare Center at Nesconset (May 2021)
Case Study: The Hamlet Rehabilitation and Healthcare Center at Nesconset (March 2021)

Orthopedic Rehabilitation Following Blood Flow to Legs

Director Concierge/Assistant Administrator: Dimitry Schwartz
Case Study: Jesse Giambrone
Patient’s Age: 73-years-old
Initial Admission Date: 2/26/21
Admitted From: St Catherine of Siena Medical Center
Discharge Date: 3/22/2021
Reason for Stay: Limb Ischemia, Left-Mid Posterior Tibial Artery Bypass


Details of Experience:
On February 22nd, 2021, Jesse was experiencing numbness and cramps in his left leg, which caused difficulty walking. Jesse went to the hospital to figure out what was causing these issues. After a medical assessment, the doctor determined that the weakness was likely related to poor blood circulation and recommended an operation to improve blood flow in the left leg area. After the successful surgery, the medical team at the hospital suggested that Jesse follows up with short-term rehab to maximize recovery. With the assistance of the hospital social worker and his family, Jesse chose to come to The Hamlet.

Upon admission to Hamlet Rehabilitation and Healthcare Center, Jesse was welcomed by our fantastic receptionist and nursing team. Shortly after, the rest of the interdisciplinary team was acquainted with Jesse. The day following his admission, Jesse was evaluated by physical therapy. During the initial assessment, Jesse presented with weakness in his leg and decreased mobility. He required moderate assistance to roll side to side in his bed when needing to move around. He also required considerable assistance to roll over from prone position to supine, sitting up from laying down, and standing up. While standing, he needed total assistance with pivoting and car transfers. He was not able to ambulate. During his stay, the rehab team worked diligently with Jesse using graded therapeutic exercises, open and closed chain kinetics, hip abduction exercises with graded resistance.

After nearly a month of therapy, Jesse progressed nicely. He no longer required assistance to roll from front to back while in bed. He could get up and lay down in bed independently, do car transfers with just contact guard assistance, ambulate 20 feet, and go up and down two stairs (and increase from 0). Overall, Jesse regained considerable strength back in his legs and returned to a similar independence level before his hospitalization.

While Jesse was not in therapy, he would enjoy leisure activities like watching TV and using his phone. Jesse said that he enjoyed his rehab process very much and was thankful for the Hamlet team for getting him back on his feet.

Thank you for choosing The Hamlet!

Posted in Case Studies | Comments Off on Case Study: The Hamlet Rehabilitation and Healthcare Center at Nesconset (March 2021)
Case Study: The Hamlet Rehabilitation and Healthcare Center at Nesconset (June 2020)

Patient’s Name: Victoria
Patient’s Age: 61-years-old
Admission Date: 05/19/2020
Admitted From: St. Catherine’s of Sienna Hospital
Discharge Date: 06/23/2020
Discharged To: Home
Length of Stay: 37 days
Reason for Stay: COVID-19, viral pneumonia, asthma, chronic pulmonary embolism and acute respiratory failure


Details of Experience:
Victoria was admitted to St. Catherine’s of Sienna Hospital with a diagnosis of COVID-19, viral pneumonia, asthma, chronic pulmonary embolism, and acute respiratory failure on March 29. On April 1st, she was placed on a ventilator and was put into an induced coma for 28 days.

Her husband shared, “The hardest part for me was not being able to be there for my wife.” He said he was worried that she wasn’t going to come home.

After being hospitalized for 52 days, Victoria arrived at The Hamlet Rehabilitation and Healthcare Center at Nesconset, where her therapists, Jerry and Karen, worked with her six times a week for 45 minutes sessions. Victoria was totally dependent for bed rolling, side to side transfers, and total care. After two weeks, she was walking 50 feet with the assistance of one person and transferring assistance with one person. At discharge, she was totally independent in bed mobility, supervision for transfers with no physical help, ambulation of 200 feet with no physical help with the Rollator walker, and no rest breaks. She walked up and down four steps with minimal assistance.

Our Director of Concierge Services met with Victoria nearing her discharge to see how her overall stay was at The Hamlet. She shared that the therapy was great and she liked that her therapists challenged her. She stated that the nurses were just wonderful, and the aides were always friendly and helpful.

Victoria shared, “I have been away from my family for so long, I can’t believe I am finally going home.” Victoria has inspired the staff at The Hamlet to never give up, even when the odds are stacked against you.

Posted in Case Studies | Comments Off on Case Study: The Hamlet Rehabilitation and Healthcare Center at Nesconset (June 2020)
Case Study: The Hamlet Rehabilitation and Healthcare Center at Nesconset (March 2020)

Patient’s Name: Patricia
Patient’s Age: 83-years-old
Admission Date: February 14, 2020
Admitted From: Stony Brook University Hospital
Discharge Date: March 20, 2020
Discharged To: Her home
Length of Stay: 36 days
Reason for Stay: Multiple Fractures of her Pelvis and Pubis, Urinary Tract Infection, Hypertension, Muscle Weakness, and Difficulty Walking


Details of Experience:
On a cold February afternoon, Patricia was bringing laundry up from the basement when she lost her balance and fell down her stairs. She was immediately taken to Stony Brook University Hospital where she was evaluated. It was determined that she had broken her pelvis in three places, fractured her right pubis and had a urinary tract infection. After her hospital stay, she entered The Hamlet Rehabilitation and Healthcare Center at Nesconset on February 14, 2020.

Patricia, a loyal Mets fan, has always been independent. She calls her dog her constant companion, enjoys politics and the news and keeps her mind active by doing word searches. Her goal entering The Hamlet Rehabilitation and Healthcare Center at Nesconset was to build up her strength and be healthy again so she and her husband could resume their daily routine.

Patricia entered our community and was greeted by our nurses, aides, and highly trained physical and occupational therapists. During her initial assessment, it was determined that Patricia would require maximum assistance with all activities of daily living. Patricia was only able to ambulate 10 feet and unable to climb any stairs. Patricia participated in therapy six days a week consistently practicing proper body mechanics, safety sequencing, education on energy conservation techniques and increasing functional mobility skills. After four weeks Patricia had made real progress toward her short and long term goals. She is now able to walk 100 feet with the FW Walker and able to ascend/descend 8 steps.

Our director of concierge services met with Patricia prior to discharge to see how her overall stay was at The Hamlet. Patricia stated, “My therapists, Al and Jessica, had a lot of patience and were always kind and informative. The staff on the unit were cheerful and always tried to keep peoples’ spirits up. I was very pleased with my stay at The Hamlet, but I am looking forward to seeing my husband and going home.” Team Hamlet wishes only the best for Patricia and her family.

Posted in Case Studies | Comments Off on Case Study: The Hamlet Rehabilitation and Healthcare Center at Nesconset (March 2020)
Case Study: The Hamlet Rehabilitation and Healthcare Center at Nesconset (February 2020)

Patient’s Age: 60-years-old
Admission Date: January 22, 2020
Admitted From: St. Charles Hospital
Discharge Date: February 25, 2020
Discharged To: Home
Length of Stay: 35 days
Reason for Stay: Cerebrovascular accident with right side weakness and intraparenchymal hemorrhage of brain


Details of Experience:
Robert, a manager at a local gas station, went to work early in the morning and wasn’t feeling well. A patron at the station noticed his facial droop and slurred speech and told his co-worker to call 911. He was taken to St. Charles Hospital and admitted for cerebrovascular accident and hemorrhage of the brain. He entered The Hamlet Rehabilitation and Healthcare Center at Nesconset on January 22, 2020.

He was greeted by our highly trained therapists, Nivia and Elena. During their initial assessment, it was determined Robert required maximum assistance with all Activities of Daily Living (ADL). He was not able to climb any steps and could only walk 50 feet with minimal assistance. The team set goals of safely ambulating unlimited distances while maintaining good balance and safely ascend/descend 12 steps independently without handrails. He participated in therapy six days a week, consistently practicing functional activity tolerance, enhancing fall recovery abilities and improving bed mobility, transfers and dynamic balance. He also worked with his therapists to improve ambulation and gait training.

Robert made great progress toward his short term and long term goals. After two weeks, Robert was able to walk 75 feet and ascend/descend 4 steps. In less than a month, he was able to walk 250 feet with supervision and 15 steps and perform all activities of daily living.

The Therapeutic team and Director of Concierge Services supported Robert’s psycho-social well being. He had retired from the banking business and worked part time at the gas station, wanting to always stay busy. The team supported Robert by offering him the ability to watch spectator sports in a group or on his own, playing Sudoku, completing crosswords and watching history documentaries.

Nearing discharge, Robert met with our Director of Concierge Services to see how his overall stay was at The Hamlet. He shared he was so pleased with his therapists because they pushed him hard. He stated, “I have come so far here which I didn’t think was possible after I left the hospital. I have made great, great strides thanks to the outstanding staff. Nivea asked if I felt like getting some air, and I walked down two flights of steps. It was an amazing feeling.” Team Hamlet was inspired by how hard Robert worked and his constant motivation to return to his prior level of function. We wish him the best of luck.

Posted in Case Studies | Comments Off on Case Study: The Hamlet Rehabilitation and Healthcare Center at Nesconset (February 2020)
“I’m 99 and I crushed COVID-19!”

99 years young patient at The Hamlet Rehabilitation and Healthcare Center at Nesconset, ‪Anne Giardino, kicked COVID-19 to the curb, celebrating this victory with the community’s staff.

As COVID-19 continues to rear its ugly head throughout the nation, these moments are large victories; for the staff at The Hamlet, these are the best, most defining moments throughout the pandemic.

Anne Giardino was admitted to The Hamlet after a hospitalization in early April, testing positive for COVID-19 while a resident at Amber Court Assisted Living in Smithtown. Giardino was admitted needing supervision with walking, eating, and physical therapy, and a few weeks later, walked out of The Hamlet on her own, free of COVID-19.

This momentous moment couldn’t have been achieved without the tenacity and strength of the team members at The Hamlet, along with the strength and determination of Anne Giardino.

“We are so grateful for this wonderful moment,” shared Avi Goldstein, Administrator of The Hamlet. “I am beyond proud of Anne and the amazing team we have here.”

Click here to see this story covered by People Magazine!

Click here or here to see this story covered by the Today Show!

Click here to read more on Yahoo!

See this story featured on News12!

For Twitter, click here!

For News12LI’s Instagram, click here!

For News12’s Instagram, click here!

 

Case Study: The Hamlet Rehabilitation and Healthcare Center at Nesconset (January 2020)

Patient’s Age: 94-years-old
Admission Date: 12/06/2019
Admitted From: Stony Brook University Hospital
Discharge Date: 01/16/2020
Discharged To: Home
Length of Stay: 42 Days
Reason for Stay: Sepsis, fracture of left femur, urinary tract infection, gastrointestinal hemorrhage and difficulty in walking.


Details of Experience:
Ann is a 94-year-old female who had sepsis and a urinary tract infection and fell out of her wheelchair at home. She was taken to Stony Brook University Hospital for a fracture of her left femur, sepsis, urinary tract infection, gastrointestinal hemorrhage and difficulty in walking.

Ann was welcomed to The Hamlet Rehabilitation and Healthcare Center at Nesconset, and shortly after admission was greeted by her nurses, aides and highly-trained occupational and physical therapists who evaluated her. At that time it was determined that Ann would need to work on compensatory strategies, positioning maneuvers, proper body mechanics, safety sequencing and safe transfer techniques to decrease fall risks. Ann was unable to ambulate or climb any steps and would need maximum assistance with all activities of daily living.

Ann required skilled physical and occupational therapy services in order to return to her prior level of function. She participated in therapy six days a week consistently practicing self-care training, functional activities, and education on energy conservation techniques. Ann made great progress toward her short and long term goals. After less than four weeks, Ann was able to ambulate 50 feet and ascend/descend 4 steps.

A therapist at The Hamlet, who knew Ann from another rehabilitation center where she was a patient for approximately four months, told his co-workers she never walked while she was there. At The Hamlet Rehabilitation and Healthcare Center, Ann had really made amazing progress and was elated to finally walk again.

Our Director of Concierge Services met with Ann nearing her discharge to see how her overall stay was at The Hamlet. She shared, “I would recommend this place to anybody. I am walking and standing after several years of being in my wheelchair. I hate to go home, but I am happy to go home. I have no complaints. I am very satisfied. Don’t change a thing.”

Team Hamlet was inspired by Ann’s positive outlook and her will to walk again. Congratulations to getting back home with your son and resuming your regular routine.

Posted in Case Studies | Comments Off on Case Study: The Hamlet Rehabilitation and Healthcare Center at Nesconset (January 2020)
Case Study: The Hamlet Rehabilitation and Healthcare Center at Nesconset (December 2019)

Patient’s Age: 79-years-old
Admission Date: 11/15/19
Admitted From: St. Catherine’s Hospital
Discharge Date: 12/16/19
Discharged To: Assisted Living Facility
Length of Stay: 32 Days
Reason for Stay: Difficulty walking related to cellulitis pain radiculopathy, traumatic spondylopathy and polyneuropathy, multiple chronic vertebral compression fractures and severe kyphosis.


Details of Experience:
R.M. is a 79-year-old female who had fallen at the assisted living facility and was taken to St. Catherine’s Hospital for difficulty walking related to cellulitis pain, radiculopathy, traumatic spondylopathy and polyneuropathy, multiple chronic vertebral compression fractures and severe kyphosis.

R.M. likes to listen to all kinds of music and enjoys singing. She attends the music programs regularly at her assisted living. R.M. also likes knitting and watching police stories. Her goal entering The Hamlet Rehabilitation and Healthcare Center at Nesconset was to be able to walk again and decrease some of her medications.

R.M. was welcomed to The Hamlet and was greeted by her nurses, aides, and highly trained therapists. Upon admission, it was determined that R.M. increase functional activity tolerance, enhance fall recovery abilities, improve bed mobility, improve transfers and dynamic balance, improve ambulation and quality of gait and required maximum assistance with all activities of daily living. Upon R.M.’s admission, she was only able to ambulate 20 feet.

R.M. required skilled physical and occupational therapy services to return to her prior level of function. She participated in therapy six days a week, consistently practicing dynamic functional activities, self-care training, and education on energy conservation techniques. Although it wasn’t easy, R.M. made consistent progress toward her short term and long term goals. She is now able to ambulate 150 feet and able to perform her activities of daily living on her own.

At discharge, R.M. met with the Director of Concierge Services to find out how her overall stay at The Hamlet had been. R.M. stated, “I would rate my stay as a 10. If I needed to come back, this is where I would want to come. At The Hamlet, the staff engaged the patients, and people were very down to earth.”

Team Hamlet wishes R.M. the best of luck in returning to her assisted living facility and being back with her friends.

Posted in Case Studies | Comments Off on Case Study: The Hamlet Rehabilitation and Healthcare Center at Nesconset (December 2019)