Case Study: The Enclave at Rye Rehabilitation and Nursing Center (August 2018)

Patients Age: 73
Admission Date: 7/18/18
Admitted From: Montefiore Medical Center
Discharge Date: 8/26/18
Discharged To: Community
Length of Stay: 5 Weeks
Reason for Stay: Bilateral lower leg edema, chronic bronchitis
How did Patient hear about The Enclave at Rye? Hospital Case Manager

Details of Experience:
Peggy was admitted to The Enclave at Rye Rehabilitation and Nursing Center on July 18th, 2018 from Montefiore Medical Center, following an inpatient hospitalization due to bilateral lower leg edema. Shortly after her arrival, she was warmly greeted by members of the interdisciplinary team, including the nurses, therapists, and doctor.

Cynthia, her physical therapist and, Tim, her occupational therapist, met Peggy and performed their initial evaluations as well as preliminary goals. She presented with muscle weakness, decreased standing balance and activity tolerance, and limited standing duration of under one minute, severely impacting her ability to independently perform basic activities of daily living (ADL’s). Performing transfers in and out of bed and bed mobility required the extensive assistance of two, in addition to experiencing intense pain. Short term goals were established to help her regain strength while nursing carefully monitored the pain levels so that she could maximize her time in therapy.

While the nursing team provided care to limit pain, the therapy team also utilized its array of tools to minimize pain, including the use of Diathermy prior to therapy sessions. Two weeks into her stay, Peggy realized she was making progress. Her standing duration increased to between one and three minutes. New goals were set to three to five-minute duration, while she could perform transfers in and out of bed with the assistance of one. The feeling of independence in the air gave her the incentive to continue working hard.

Five weeks after entering The Enclave, Peggy was discharged back home with renewed strength and independence. Her standing duration reached over ten minutes, allowing her to perform ADLs such as dressing and personal hygiene. She could safely walk 200 feet with a rolling walker and could perform functional transfers with an assistive device.