Case Study: The Enclave at Rye Rehabilitation and Nursing Center (December 2017)

Patients Age: 73
Admission Date: 10/24/17
Admitted From: Phelps Memorial Hospital Center
Discharge Date: 12/12/17
Discharged To: Home
Length of Stay: 7 weeks
Reason for Stay: Acute Respiratory Failure, Hypoxia, UTI
How did Patient hear about The Enclave at Rye? Phelps Memorial Hospital Center

Details of Experience:

Bonnie was admitted to The Enclave at Rye Rehabilitation and Nursing Center on October 24, 2017 from Phelps Memorial Hospital Center following an inpatient hospitalization for acute respiratory failure and a urinary tract infection. She presented with decreased strength, mobility, and decreased dynamic standing balance resulting in impaired ability to complete basic self-care tasks, bed mobility and functional transfers. Additionally, she was on two liters of oxygen via nasal cannula throughout the day.

Within 24 hours of admission, Bonnie was greeted by the interdisciplinary team that would be overseeing her care during her stay including the doctor, nurses, social worker and therapists who began to formulate her plan of treatment and therapy. She was assessed as requiring extensive assistance of one of one for bed mobility and transfers, as well as for dressing and hygiene. The therapists were eager to work with her, as she was extremely motivated to get back to living at home. Short term goals were established to increase bed mobility and transfers to contact guard assist and to safely ambulate on level surface 75 Feet.

Shortly after starting therapy, Bonnie requested that she be allowed to remove her oxygen, which was initiated under the care of the nursing team. Two weeks after admission, Bonnie met her short term goals of performing transfers with contact guard assist and could safely ambulate 100 feet with a rolling walker. Robert, her physical therapist, established longer term goals of climbing stairs with an assistive device. On the activities of daily living (ADL) front, Bonnie could perform self care with standby assist after three weeks of therapy. She was pleased to be seeing her progress which further motivated her to continue progressing in therapy. The oxygen was also discontinued.

After seven weeks of therapy, Bonnie went back home rejuvenated and proud of her regained functional capabilities. She could now walk a distance of 350 feet with a cane, could safely climb more than 15 steps under supervision and could perform functional transfers and bed mobility tasks with supervision. Additionally, she has greater safety awareness due to technique’s learned, allowing her to perform ADL’s with independence!