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.

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.

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.

Patient’s Age: 70-years-old
Admission Date: November 16, 2018
Admitted From: John Mather Hospital
Discharge Date: December 18, 2018
Discharged To: Daughter’s House
Length of Stay: 33 days
Reason for Stay: Left Humerus Fracture, Pelvic Fracture, Anxiety, Hyponatremia and Leukocylosis

Details of Experience:

Ms. Munoz is a 70-year-old female who arrived to The Hamlet Rehabilitation and Healthcare Center at Nesconset on November 16th after her stay at Mather Hospital for a left humerus fracture and pelvic fracture. Ms. Munoz came to New York from California to attend her granddaughter’s wedding. Unfortunately, she fell down the stairs the night before and never made it to the wedding.

Within the first 25 minutes of her entering our community, she was seen by valued members of the team who welcomed her within the first 12 hours. Ms. Munoz was evaluated by our occupational and physical therapy teams upon admission as well in efforts of creating a personalized, comprehensive care plan. Ms. Munoz’ main goals for discharge was to safely perform functional transfers, achieve and maintain balance, and to ambulate on level surfaces 150 feet using the Hemi walker with set-up assistance.

During her physical therapy sessions, Ms. Munoz worked on activities and exercises centering on ambulation, transfers, and balance to increase mobility and functionality, while decreasing required assistance. Through the use of therapeutic resistance exercises, progressive resistance exercises, quad sets and ankle pumps, Ms. Munoz was able to perform safety sequencing techniques, proper body mechanics, position maneuvers, safety precautions and energy conservation techniques in order to facilitate improved functional abilities. During her occupational therapy sessions, Ms. Munoz worked on completing commode transfers, safely performing toilet tasks, efficiently performing upper body dressing, and performing hygiene and self feeding tasks.

After achieving continued progress and nearing her much anticipated discharge date home, not only was Ms. Munoz able to meet her goal of safely ambulating 150 feet on level surfaces but was able to exceed expectations and ambulate 200 feet on level surfaces with the least restrictive assistive device.

Through the teamwork and cooperation given by physical and occupational therapy and the entire nursing team, Ms. Munoz was able to enjoy a successful and pleasant stay at The Hamlet Rehabilitation and Healthcare Center at Nesconset. We wish Ms. Munoz a safe, healthy discharge to her daughter’s home and hope she can return to her own home in California in the very near future.

Patient’s Age: 86-years-old
Admission Date: October 19, 2018
Admitted From: Brookhaven Memorial Hospital
Discharge Date: November 14, 2018
Discharged To: The Arbors Assisted Living Facility
Length of Stay: 27 Days
Reason for Stay: Urinary Tract Infection, Chronic Obstructive Pulmonary Disease, Congestive Heart Failure and Difficulty in Walking

Details of Experience:

Mrs. Belonzi is an 86-year-old female who was admitted to The Hamlet Center at Nesconset on September 13th after her stay in Brookhaven Memorial Hospital for chronic obstructive pulmonary disease, urinary tract infection, difficulty in walking, and congestive heart failure.

After her hospitalization, Mrs. Belonzi needed extensive inpatient rehabilitation to safely perform functional transfers with minimum assistance, push up from arms of chair, and for safety while turning while maintaining oxygen saturation of more than 90% and use activity pacing. In addition, she needed to safely perform toileting tasks using standard commode with minimum assistance for safety awareness, for use of energy conservation techniques, for proper sequencing and for safety while turning with reduced risk of falls.

Within the first 12 hours of her admission to The Hamlet, Mrs. Belonzi was evaluated by the team from occupational and physical therapy, as well as other valued members of the team who welcomed her and answered any questions she had. Her main goal for discharge was to be able to perform functional transfers, and to safely ambulate on level surfaces of 200 feet with safety during turning 100% of the time. This was a tall order as the goal of the therapy team was to also maintain oxygen saturation of more than 90% and perform functional mobility during activities of daily living for use of energy conservation. The clinical team also worked on building a plan that would support breathing techniques in order to return her to her prior living and supervision levels.

The team had many goals, but a lot of ambition and excitement to support Mrs. Belonzi’s recovery and hopeful anticipated home!

The occupational and physical therapists focused on positioning/ pressure relieving techniques, proper body mechanics, safety sequencing techniques, safe transfer techniques, safety precautions and use of an assistive device in order to increase safety and decrease her need for assistance! The goals and status were becoming more and more of a success!

With all of the teamwork and cooperation provided by our team and constant encouragement during each therapy session, Mrs. Belonzi was provided with a pleasant experience as opposed to simply a hospitalization.

We wish Mrs. Belonzi a safe return back to The Arbors Assisted Living Facility!

Patient Age: 62-years-old
Admission Date: September 13, 2018
Admitted From: Stony Brook Hospital
Discharge Date: October 6, 2018
Discharged To: Home
Length of Stay: 25 days
Reason for Stay: Motorcycle driver injured in traffic accident

Details of Experience:

Mr. Ragone is a 62-year-old male who was admitted to The Hamlet Center at Nesconset after 17 days at Stony Brook Hospital, where he was a patient from August 28th through September 13th. Mr. Ragone was diagnosed with a fracture of the upper right humerus and a fracture of the vertebrae and pubis.

After his hospitalization, Mr. Ragone was notified that he would need extensive inpatient rehabilitation to support his range of motion and ability to ambulate once he was home.

Mr. Ragone’s sister works as a nurse at Stony Brook Hospital, and a co-worker suggested The Hamlet because one of her family members is on the memory care unit, and they were very pleased with the care given.

Mr. Ragone was greeted by multiple professionals of Team Hamlet, whom anticipated his arrival. Within the first 24 hours Mr. Ragone was seen by clinicians, therapists, physicians, administrative staff, and other valued members of the team who welcomed him and answered any questions he or his family had. His physical and occupational therapists began his therapy program at bedside to evaluate his current state of health and mobility in conjunction with his most recent therapy/clinical notes from Stony Brook.

Mr. Ragone was admitted to this community to increase dynamic standing balance in order to facilitate safe functional mobility without loss of balance; to safely perform bed mobility tasks with use of side rails in order to get in and out of bed; and to perform stand pivot transfers and safely ambulate on level surfaces. Mr. Ragone received physical and occupational therapy six times a week for four weeks.

During Mr. Ragone’s first week in therapy, patient demonstrated lack of full knee extension with right knee standing. While on program, Mr. Ragone required maximum assistance of one with bed mobility and was able to stand a total of 30-60 seconds. Mr. Ragone received static sitting balance training and dynamic sitting balance training as well as therapeutic and progressive resistance exercises. Mr. Ragone performed marching in place exercises, and his present balance at that time was poor.

After one week, Mr. Ragone walked 150 feet with minimum assistance. By week two, Mr. Ragone walked 150 feet without assistive devices or contact guard! Mr. Ragone was able to safely perform bed mobility tasks with minimum assistance with use of side rails to transfer to and from bed. Mr. Ragone was also able to perform stand pivot transfers with stand by assist!

Through three weeks, Mr. Ragone was ambulating 200 feet without assistive devices! Throughout his therapy, Mr. Ragone’s therapists would continue to provide helpful tips in transitioning from rehabilitation center to home.

Due to the teamwork and cooperation of our entire nursing team, occupational and physical therapy team, and all professionals who made Mr. Ragone’s stay so positive, Mr. Ragone was able to have a pleasant stay here at The Hamlet. When our concierge asked how he would rate his overall stay, Mr. Ragone replied, “If the best is 10, I would have to say an 11!” We wish him the best of luck and a safe return home!

Patient Age: 71-years-old
Admission Date: August 18, 2018
Admitted From: Northwell Health
Discharge Date: September 13, 2018
Discharged To: Home with wife
Length of Stay: 27 days
Reason for Stay: A right TKA on 8/8/18 and a left TKA on 8/13/18 (Double Knee Replacement)

Details of Experience:

Mr. Mendlovsky is a 71-year-old male who was admitted to The Hamlet Center at Nesconset after 11 days at Northwell Health where he was a patient from August 3rd through August 17th, and underwent a double knee replacement.

After being hospitalized, he was admitted to the center to build up his strength. Jan began with physical therapy six times a week daily for four weeks. Patient presented with impairments in balance, mobility, sensation, strength and dexterity, which resulted in limitations and participation restrictions in the areas of self-care, learning, and applying knowledge, social life, economic, and general tasks and demands.

Upon admission, Jan needed assistance with personal care and also help with toileting. Jan required major help with transferring and needed the assistance of one or two people, while he walked with the help of one assist. He was able to dress himself until about the halfway point, but still needed assistance.

Patient demonstrated excellent rehab potential as evidenced by his ability to follow multi-step directions and was motivated to participate.
Mr. Mendlovsky made great strides throughout his time in therapy, working closely with his physical and occupational therapists to build strength, stamina, and most of all, motivation. The team complemented his worthiness to succeed and heal. After a little under a month’s stay, Mr. Mendlovsky reached and surpassed his goals, and was cleared for a discharge home with his wife on the 13th of September!

Patient Age: 74-years-old
Admission Date: 4/25/18
Admitted From: Stony Brook University Hospital
Discharge Date: Current Patient at Time of Case Study
Discharged To: Will be d/c to Private Residence Upon Conclusion of Therapy
Length of Stay: 66 days as of 6/29/18
Reason for Stay: Achalasia, Acute Respiratory Failure, Fall Risk, Syncope

Details of Experience:

Mr. Pierce is a 74-year-old male who was admitted to The Hamlet Center at Nesconset after 18 days at Stony Brook University Hospital where he was a patient from April 7th through the 25th. Upon admission, Daniel was dehydrated and malnourished. He was diagnosed with Achalasia, Acute Respiratory Failure, Fall Risk, Syncope, and admitted on April 25, 2018 for physical therapy.

Prior to Daniel’s admission, he underwent surgery on his esophagus where they cut the muscle from the top of his throat to his stomach in an effort to prevent him from choking. Prior to that time, he could barely eat or drink without choking. From April 25th through the 27th, the patient was simply on clear liquids. He was then upgraded to a pureed diet until June 7th. At that time, he was placed on a regular diet and continues to do well!

He was physically weak and needed to build his strength, so he attended physical therapy sessions daily six times a week for four weeks from April 26th to June 22nd!

Overall, Mr. Pierce has worked extremely hard during his time here at The Hamlet, and his positive attitude and desire to help his unit mates is genuine. He continues to progress well and will have follow-up appointment with his physicians in the community to monitor his program and healing. Daniel has an artistic side, and enjoys working with markers and building beautiful paintings. He has also shown a special talent aside from the art of painting and drawing, by sharing his incredibly talented voice during Family Karaoke night.

Daniel became a part of The Hamlet family.When he will be discharged, Daniel will definitely be missed by the team here and the friends he made during his healing journey with us.