Case Study: The Enclave Q 4 2024
Concierge: Esnelanda Eugene
Patient age: 89
Admission Date: 10/16/2024
Admitted From: Greenwich Hospital
Discharge Date: 12/18/2024
Length of Stay: 64 Days
How did the patient hear about The Enclave: The resident referred by a hospital social worker
Reason for Stay: Rehabilitation following Aspiration Pneumonia/ Acute respiratory failure
Details of Experience:
Mr. Stair was admitted to The Enclave at Rye Rehabilitation and Nursing Center for acute respiratory distress with hypoxia due to aspiration pneumonia from swallowing a pill. Aspiration pneumonia is when someone inhales something that shouldn’t be in their lungs. He was admitted from Greenwich Hospital and was NPO (nothing per mouth), receiving medication, hydration, and nutrition by peg tube.
Upon admission, Mr. Stair was welcomed by our Concierge. The interdisciplinary team evaluated him immediately, including nursing, rehabilitation, social services, concierge, and recreation departments. His speech therapist, Rebecca, shared that a treatment plan was set immediately, and the ultimate goal was to eat by mouth/oral (PO). His therapy included Trialing ice chips by mouth – because if it entered the lungs, it would pluralize back into the lungs. PENS treatment – uses electrical stimulation to help improve swallowing function by targeting the muscles involved in swallowing. Chin tuck to block off the airway during swallowing, and effortful swallows are strong swallows that strengthen the muscles for swallowing. According to the therapist, it was the best course of treatment for Mr. Stair and proved to have been a tremendous help in his rehabilitation.
A FEE study was ordered four weeks post-admission to determine if the treatment was successful. The FEE results indicated that it was safe for Mr. Stair to eat by mouth up to regular textured foods and thin liquids. After the Study result, the weaning process began. Mr. Stair started nutrition and hydration with a peg tube and resumed nutrition, hydration, and medication by mouth. Shortly after, he began eating by mouth on ground-textured foods and thick nectar liquids, and he was later discharged with the same diet.
On the day of discharge, Mr. Stair and his daughter were excited about his progress and were ready to go home. They were both so thankful to the whole team. We wished him luck and continued success.