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

Patient’s Age: 87-years-old
Admission Date: 06/06/19
Admitted From: John Mather Hospital
Discharge Date: 09/13/19
Discharged To: Home
Length of Stay: 100 Days
Reason for Stay: Heart Disease, Pneumonia, Hypertension, Anxiety Disorder, Muscle Weakness, Difficulty in Walking and Osteoarthritis.


Details of Experience:
Anna is an 87-year-old female who was admitted to The Hamlet Rehabilitation and Healthcare Center at Nesconset on June 6, 2019, after her stay at John T. Mather Memorial Hospital for atherosclerotic heart disease, pneumonia, osteoarthritis, muscle weakness, essential hypertension, and anxiety disorder.

Anna is an independent lady who enjoys playing Rummy Q with friends, watching game shows on television, listening to ballets and visiting local senior centers. Anna shared that she recently began painting there and was surprised that she possessed such talent. Anna’s goal entering The Hamlet was to increase her strength and balance in order to “get up and walk out of here, the way she came in, with a walker.”

Anna was welcomed to The Hamlet, and within 12 hours was greeted by her nurses, aides, and highly trained therapists. Upon evaluation, it was determined that Anna required skilled physical therapy and occupational therapy six days a week practicing dynamic functional abilities, bed mobility tasks, safely ambulating on level surfaces and ascending/descending 4 steps and required maximum assistance with all activities of daily living. Upon Anna’s admission, she was unable to climb any steps and only able to ambulate 5 feet.

Although it took some time, Anna was making consistent progress towards her short term and long term goals. In less than two weeks, Anna was able to ambulate 40 feet. At the time of her discharge, Anna is now able to ambulate 125 feet with stand by assistance and walk up and down 4 steps with minimum assistance.

Since learning of Anna’s artistic abilities, Anna attended our pizza and paint night. She shared that her daughter would also have to hang her artwork from The Hamlet which she thoroughly enjoyed creating. Team Hamlet is inspired by Anna’s motivation to never give up. We wish her continued success in the future.

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

Patient’s Age: 62-years-old
Admission Date: 07/03/19
Admitted From: Syosset Hospital
Discharge Date: 07/22/19
Discharged To: Home
Length of Stay: 20 Days
Reason for Stay: Bilateral total knee replacement and difficulty walking.


Details of Experience:
Mr. Wiseman is a 62-year-old male who was admitted to The Hamlet Rehabilitation and Healthcare Center at Nesconset on July 3rd after his stay at Syosset Hospital for a bilateral total knee replacement. Within the first 12 hours of admission to The Hamlet Rehab and Healthcare Center at Nesconset, Mr. Wiseman was evaluated by Occupational and Physical Therapy and seen by clinicians, administrative staff and other valued members of the team.

Mr. Wiseman was notified that he would need inpatient rehabilitation to support his range of motion, ability to ambulate and perform activities of daily living. During his Physical Therapy sessions, Mr. Wiseman worked on increasing functional activity tolerance, enhance fall recovery abilities, improve bed mobility and transfers and improve dynamic balance.

Upon admission, he was unable to ambulate, ascend and descend stairs or perform bed mobility tasks. He needed maximum assistance for weight shift over the center of gravity. After the first week, Mr. Wiseman was able to perform functional transfers with contact guard assistance and was able to safely ambulate on level surfaces 100 feet using the rollator walker. By week three, he exhibited normalized gait patterns while safely ambulating 200 feet with independence without an assistive device and maintaining good balance. At discharge, he was able to ascend/descend 12 stairs with independence.

With the teamwork and cooperation of Team Hamlet, on July 22, 2019, Mr. Wiseman was discharged to his home. His ambulation increased from 0 to 200 feet and he was able to transfer independently and safely ascend/descend 12 stairs with independence.

Mr. Wiseman was able to achieve his goals due to his fantastic therapy given by John and Kurt and the rest of the team. He thought the staff was outstanding and that the new rooms were beautiful. He rated his overall stay a 10. We wish Mr. Wiseman the best of luck ahead now that he is home with his wife and children.

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

Patient’s Age: 76-years-old
Admission Date: 05/16/19
Admitted From: Stony Brook University Hospital
Discharge Date: 06/21/19
Discharged To: Home
Length of Stay: 37 days
Reason for Stay: Right pelvic fracture, multiple rib fractures, COPD and anxiety disorder.


Details of Experience:
Ms. Supan is a 76-year-old female who was admitted to The Hamlet Rehabilitation and Healthcare Center at Nesconset on May 16, 2019, after her stay at Stony Brook University Hospital for multiple fractures of her ribs on the left side, right pelvic fracture and COPD after having a loss of balance and tripping on the curb outside her home.

Within the first 45 minutes of her admission, she was seen by valued members of the team who welcomed her. Within the first 12 hours, Ms. Supan was evaluated by Occupational and Physical Therapy. Ms. Supan’s main goal for discharge was to increase lower extremity strength, increase functional activity tolerance, enhance fall recovery abilities, improve transfers and dynamic balance, improve ambulation and quality of gait and facilitate independence with all functional mobility in order to enhance her quality of life by improving her ability to return to her prior level of function.

Upon admission, Ms. Supan was unable to ambulate, needed assistance in performing bed mobility tasks and needed maximum assistance with performing transfers. After only two weeks she was able to ambulate 25 feet on level surfaces with the least restrictive assistive device, and after three weeks could ambulate 75 feet with contact guard assistance. Upon her discharge Ms. Supan had reached her goal of ambulating 100 feet without any assistive device, was able to safely perform functional transfers with independence and safely ascended and descended 1 stair with independence without handrails.

Physical Therapy focused on therapeutic exercises, dynamic balance activities and strengthening activities. Occupational Therapy worked diligently to facilitate independence in self-care tasks, as well as safely performing toileting tasks, efficiently performing upper body dressing and ambulation transfers.

Through the support provided by Physical and Occupational Therapy and the entire nursing team, Ms. Supan enjoyed her stay at The Hamlet and shared that the staff was kind, knowledgeable and caring. She felt the staff was better than any other place she had been in and said she had a lot of hospital stays. From her admission to discharge, she had a very positive experience.

All of us here at The Hamlet Rehabilitation and Healthcare Center at Nesconset were excited to see her return home and wish her the best of luck in the future.

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

Patient’s Age: 92-years-old
Admission Date: 4/24/19
Admitted From: Brookhaven Hospital
Discharge Date: 5/20/19
Discharged To: Home
Length of Stay: 28 days
Reason for Stay: Multiple falls, need for assistance with personal care and inability to ambulate.


Details of Experience:
Ms. Leggiero is a 92-year-old female who arrived at The Hamlet Rehabilitation and Healthcare Center at Nesconset on April 24th, 2019 after her second stay at Brookhaven Hospital as a result of several falls on her left knee, and she was unable to ambulate.

Within one hour of her admission, Ms. Leggiero was seen by her nurse, CNA (Certified Nursing Assistant), and the concierge who welcomed her. Within the first 12 hours, Ms. Leggiero was evaluated by occupational and physical therapy. Over the next few days, Ms. Leggiero met with managers in dietary, activities and therapy to discuss daily activities, the menu and treatment plans for recovery.

Ms. Leggiero’s main goal for discharge was to increase lower extremity strength, increase functional activity tolerance, enhance fall recovery abilities, improve transfers, dynamic balance, ambulation, and quality of gate in order to return to her prior level of functional abilities. At the time of her admission, Ms. Leggiero was able to walk 75 feet and perform functional transfers with contact guard assistance.

During her physical therapy sessions, Ms. Leggiero worked on activities and exercises centering on ambulation, transfers, and balance to increase mobility and functionality, while decreasing required assistance. After three weeks, she was able to walk 100 feet and safely perform bed mobility tasks with independence as well as maintaining a standing balance of one-two minutes without loss of balance.

After continuous progress nearing her discharge date home, Ms. Leggiero was able to meet her goal of safely ambulating 110 feet on level surfaces but was unable to ambulate any further than that distance secondary to left knee pain and chronic arthritis.

Through the teamwork and cooperation given by the entire Hamlet team, Ms. Leggiero was able to enjoy a pleasant stay at The Hamlet Rehabilitation and Healthcare Center at Nesconset.

We wish Ms. Leggiero a safe, healthy discharge where she will be reunited with her husband.

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

Patient’s Age: 75-years-old
Admission Date: 2/18/19
Admitted From: Stony Brook University Hospital
Discharge Date: 3/28/19
Discharged To: Friend’s House
Length of Stay: 39 days
Reason for Stay: Right artificial hip joint replacement, pneumonia and generalized muscle weakness.


Details of Experience:
Ms. McCarthy is a 75-year-old female who was admitted to The Hamlet Rehabilitation and Healthcare Center at Nesconset on February 18, 2019, after her stay at Stony Brook University Hospital for a right artificial hip joint replacement and pneumonia. After her hospitalization, Ms. McCarthy needed inpatient rehabilitation to safely perform functional transfers with minimal assistance, increase the dynamic standing balance to normal in order to facilitate safe functional mobility without loss of balance and to walk 200 feet.

Within the first hour of her admission, Ms. McCarthy was seen by valued members of the team who welcomed her. Within the first 12 hours, Ms. McCarthy was evaluated by Occupational and Physical Therapy. Ms. McCarthy was able to safely ambulate on level surfaces 60 feet using the rolling walker with minimal assistance, as well as perform stand pivot transfers with modified independence.

In her Physical Therapy sessions, Ms. McCarthy worked on activities and exercises centering on ambulation, transfers, and balance to increase mobility and functionality, while decreasing required assistance. After one week, she was ambulating 75 feet using the rolling walker with contact guard assistance. After three weeks, Ms. McCarthy was able to walk 150 feet with supervised assistance and maintain good standing balance without the support against moderate resistance. Through the use of therapeutic resistance exercises, progressive resistance exercises, quad sets, ankle pumps, neuromuscular re-education, and gait training therapy, she was able to perform numerous techniques. These included safety sequencing techniques, proper body mechanics, position maneuvers, safety precautions, and energy conservation techniques in order to facilitate improved functional abilities. In her Occupational Therapy sessions, Ms. McCarthy worked on performing good hygiene and self-feeding tasks, bathing, toileting, and upper and lower body dressing.

After achieving continued progress and nearing her much-anticipated discharge date, Ms. McCarthy was able to meet her goals of feeding, hygiene and upper body dressing independently. She does need minimal assistance with lower body dressing, bathing upper and lower body as well as toilet transfers. At the time of discharge, she was able to ambulate 200 feet.

Through the teamwork and cooperation given by the entire interdisciplinary team, Ms. McCarthy was able to enjoy another pleasant stay at The Hamlet Rehabilitation and Healthcare Center at Nesconset. As Ms. McCarthy was leaving, she shared that she was a little sad to be leaving the people who made her stay so comfortable.

We wish Ms. McCarthy a safe, healthy discharge to her friend’s home and wish her continued success.

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

Patient’s Age: 60-years-old
Admission Date: January 14, 2019
Admitted From: Stony Brook University Hospital
Discharge Date: February 14, 2019
Discharged To: Home
Length of Stay: 32 days
Reason for Stay: Aortic valve replacement and mitral valve ring repair, acute respiratory distress and spinal stenosis


Details of Experience:

Ms. Ryan is a 60-year-old female who was admitted to The Hamlet Rehabilitation and Healthcare Center at Nesconset on January 14th, 2019 after her stay at Stony Brook University Hospital where she was admitted for aortic valve replacement and mitral valve ring repair, acute respiratory distress and spinal stenosis.

Within the first 12 hours of entering our community, The Hamlet Rehabilitation, and Healthcare Center at Nesconset, Ms. Ryan was evaluated by our occupational and physical therapy teams and was seen by clinicians, administrative staff and other valued members of the team.

She was scheduled for therapy six times a week for four weeks. Ms. Ryan worked on ambulation, transfers, balance, strengthening and endurance training to improve her activity tolerance, functionality, and mobility while decreasing need for assistance with her activities of daily living.

When Ms. Ryan first came in, she presented significant functional decline with generalized weakness, deficit in strength, balance, endurance, and activity tolerance. Ms. Ryan required moderate assistance in safely performing bed mobility tasks. She was able to safely ambulate 5 feet and was unable to ascend/descend any steps with independence.

Within three weeks, Ms. Ryan was able to safely ambulate on level surfaces 100 feet and one week later was able to walk 175 feet. In addition, Ms. Ryan had some difficulty ascending and descending steps; however, after working hard for two to three weeks, Ms. Ryan was able to ascend and descend the necessary amount of steps for her to have a safe discharge home.

With all of the teamwork and cooperation of the team at The Hamlet, Ms. Ryan was in-serviced on safety, sequencing, and energy conservation techniques. Her therapist came up with a few techniques to use for safety upon her return home, and on February 14th, after successfully achieving all of her goals, Ms. Ryan was discharged home.

We wish Ms. Ryan the best of luck in the future.

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