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.

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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.

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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.

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“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.”

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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.

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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.

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Case Study: The Hamlet Rehabilitation and Healthcare Center at Nesconset (November 2019)

Patient’s Age: 88-years-old
Admission Date: 09/30/19
Admitted From: St. Catherine of Sienna Medical Center
Discharge Date: 10/18/19
Discharged To: Home
Length of Stay: 50 Days
Reason for Stay: Displaced fracture of lesser trochanter of right femur, unspecified atrial fibrillation, anemia, and difficulty in walking.


Details of Experience:
On September 25th, while Richie was walking in his home, he unexpectedly turned the wrong way, lost his balance and fell fracturing his right femur. He was taken to St. Catherine of Sienna Medical Center where he spent five days before coming to The Hamlet Rehabilitation and Healthcare Center at Nesconset for rehabilitation.

As the oldest of seven children, Richie and his siblings were placed in an orphanage at a very young age. As a result of his upbringing, Richie has always been independent. He enjoys going on his boat and fishing. He loves to paint, draw and sculpt and played the bagpipes and marched in many parades. He enjoys visiting with his family and is very much involved with the police department, where he retired as a detective.

Richie came to The Hamlet Rehabilitation and Healthcare Center at Nesconset on September 30, 2019. Upon admission, Richie’s goal was to walk on his own without pain and get back on his feet. Richie was greeted by our highly trained therapists, Al and Nivea. During his initial assessment, Richie required maximum assistance with all activities of daily living. He was unable to climb any steps and was only able to ambulate 10 feet with maximum assistance.

In order for Richie to return to his prior level of function, he required skilled physical and occupational therapy services. He participated in therapy six days a week and worked on dynamic functional activities, safety sequencing techniques, proper body mechanics, self-care training and education on energy conservation techniques. Since Richie experienced constant throbbing pain, the therapists consistently worked on pain management. Richie was making progress towards his short term and long term goals. After only six days, he was already walking 40 feet with a Rollator walker and was able to walk up two stairs. By week 3, Richie was able to walk 75 feet and 4 stars. By the time he was discharged, Richie was walking 275 feet and independently walked up 12 stair steps.

Our Director of Concierge met with the patient nearing his discharge to see how his overall stay was at The Hamlet Rehabilitation and Healthcare Center. Richie stated, “Everybody here was great. The staff was very efficient and helpful and went above and beyond. I can’t think of any way to make it better other than getting a cup of coffee between meals.” Richie enjoyed a special veteran’s luncheon with 6 other veterans and had such a great experience in our community. He shared he enjoyed his stay so much that he was planning to break his other leg.

Team Hamlet was inspired by Richie’s willingness to never give up and to always believe in yourself. We wish him continued success in the future.

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Case Study: The Hamlet Rehabilitation and Healthcare Center at Nesconset (October 2019)

Patient’s Age: 85-years-old
Admission Date: 07/01/19
Admitted From: St. Catherine’s Hospital
Discharge Date: 09/10/19
Discharged To: Her son’s home
Length of Stay: 73 Days
Reason for Stay: Fracture of other parts of the pelvis, muscle weakness and difficulty walking.


Details of Experience:
On June 26th, Ellen had just finished dinner and was getting ready to clear the table. The next thing she knew she tripped and lost her balance. Ellen fell on her left side, was on the floor and unable to get up. She was taken to St. Catherine’s Hospital. Upon evaluation, her doctor discovered that she had a left-sided pubic rami fracture and hematoma of the left internal obturator muscle.

Ellen has always been independent. She enjoys making greeting cards and baking cakes for her friends and family. Ellen enjoys socializing and has a quick sense of humor. Her goal entering The Hamlet Rehabilitation and Healthcare Center at Nesconset was to “walk without pain and not be a burden to her children.”

Upon admission, Ellen was greeted by our highly trained therapists, Melissa and Allan. During her initial assessment, she required maximum assistance with all activities of daily living. She was unable to ambulate on level surfaces and climb steps. She was totally dependent on staff to perform functional transfers and needed maximum assistance to safely perform bed mobility tasks. Ellen’s goal was to increase her left leg extremity strength to facilitate her ability to perform transfers, ambulate and climb stairs.

Ellen required skilled physical and occupational therapy services in order to return to her prior level of function. Ellen participated in therapy six days a week. After two weeks, Ellen was able to walk 25 feet using her Rollator walker. After four weeks, she could walk 75 feet with contact guard assistance and was able to walk up and down 4 steps. Ellen was making constant progress toward her short and long term goals. She is now able to ambulate 100 feet and safely ascend and descend 8 steps. Ellen was able to safely perform functional transfers with modified independence. She was finally able to perform her activities of daily living on her own.

Our Director of Concierge Services met with Ellen nearing her discharge date to find out how her overall stay was at The Hamlet Rehabilitation and Healthcare Center at Nesconset. Ellen stated, “When it came to my therapies, you couldn’t ask for anymore. Not only were Elena and Nivia knowledgeable and professional, but the entire staff there are kind, caring, helpful, considerate and compassionate about what they do every day. I had such a great stay at The Hamlet. Once I am back on my feet, I plan to come in once a week and volunteer. The Hamlet is a cheerful community, and I am glad that I was lucky enough to be a patient there.”

Team Hamlet is inspired by the progress that Ellen has made. She came back recently to say hello and give the Concierge and several therapists homemade window boxes that she created. We wish Ellen the very best of luck and success in the future.

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Case Study: The Hamlet Rehabilitation and Healthcare Center at Nesconset (September 2019)

Patient’s Age: 77-years-old
Admission Date: 08/16/19
Admitted From: Sloan Kettering Memorial Hospital
Discharge Date: 09/12/19
Discharged To: Home with wife
Length of Stay: 28 Days
Reason for Stay: Metastatic prostate cancer, compression fractures, radiation, and kyphoplasty surgery


Details of Experience:
Mr. Murphy is a 77-year-old male who was admitted to The Hamlet Rehabilitation and Healthcare Center at Nesconset on August 16, 2019, after his stay at Sloan Kettering Memorial Hospital for compression fractures where he underwent kyphoplasty (an interventional radiology procedure used to treat compression fractures). After his hospitalization, Mr. Murphy needed inpatient rehabilitation and required maximum assistance with all activities of daily living.

Mr. Murphy has been in and out of hospitals for the past several months and was hopeful that the kyphoplasty would help alleviate some of his tremendous back pain. He shared that he played the guitar and owns a 1957 Gretsch. He and several children from his church performed in nursing homes on Long Island and produced four albums. He is looking forward to again performing with his choir on Christmas.

Mr. Murphy entered our community, The Hamlet Rehabilitation and Healthcare Center at Nesconset, on August 16. Upon admission, Mr. Murphy had a goal to walk on his own without pain. Within the first hour of his admission, Mr. Murphy was seen by valued members of the team who welcomed him. During his initial assessment, Mr. Murphy required maximum assistance with all activities of daily living. He was not able to climb any steps and was only able to ambulate 50 feet with minimal assistance.

In his skilled physical and occupational therapy sessions, Mr. Murphy worked on therapeutic resistance exercises and gait training therapy six times a week, where he practiced dynamic functional activities, standing balance training and challenging balance outside base of support in order to return to his prior level of function. In less than two weeks, Mr. Murphy was already ambulating 150 feet. In addition, Mr. Murphy worked on performing good hygiene, self-feeding tasks, bathing, toileting, and upper and lower body dressing.

After achieving continued progress and nearing his much-anticipated discharge date, Mr. Murphy was able to meet his long and short term goals. At the time of discharge, Mr. Murphy was able to ambulate 300 feet!

Through the teamwork and cooperation given by physical and occupational therapy and the entire Hamlet team, Mr. Murphy was finally able to go back to his home. While at the Hamlet, Mr. Murphy painted a picture of two love birds. He shared that he will be putting that picture up as soon as he is able. We wish Mr. Murphy and his family the best of luck and safe, healthy discharge home.

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