Case Study: The Enclave at Rye Rehabilitation and Nursing Center (February 2021)

Patient age: 65-years-old
Admission Date: 12/09/20
Admitted From: White Plains Hospital
Discharge Date: 01/20/21
Length of Stay: 42 days
Reason for Stay: Strength and conditioning due to a fall, secondary to stage 4 bladder cancer
How did the patient hear about The Enclave at Rye: Recommendation from her doctor.

Details of Experience:
Sarah was admitted to The Enclave at Rye Rehabilitation and Nursing Center on December 9, 2020, from White Plains Hospital. The Enclave at Rye was recommended to Sarah by her doctor. Sarah has stage 4 bladder cancer, which spread to the pelvic floor muscles causing her pain in walking and standing. Upon arrival, Sarah was greeted and evaluated by the interdisciplinary team, including nursing, rehabilitation, dietary, social services, concierge, and recreation departments.

The Rehabilitation team developed a personalized treatment plan for Sarah within 24 hours of her arrival. Sarah required maximum assistance while being transferred, was not ambulatory, and could not perform Activities of Daily Living (ADLs). Starlyn Adames, the Occupational Therapist, met with Sarah. Based on his assessment, it was clear that Sarah would benefit from restorative Occupational Therapy to minimize impairments, increase activity tolerance and strength, and increase independence with ADLs to return to her PLOF(prior level of function). After four weeks of intensive balance and tolerance activity training, Sarah progressed at a rapid pace. She saw improvements in her mobility and her pain was decreasing. Cynthia James, Physical Therapist, met with Sarah, developing short-term and long-term goals for Sarah, including performing bed mobility tasks with minimal assistance and safely walk 10 feet using a walker. Her long-term goals included performing bed transfers independently, and to be able to walk 50 feet with a walker. After just three weeks, Sarah had reached 30 feet with a walker. This progress propelled Sarah to continue working hard.

Sarah received close psycho-social support from the Concierge and Recreation departments. Moshe, the Concierge shared one-on-one time with Sarah, which included Sarah beating him at Tic Tac Toe. Recreation presented independent activities to Sarah daily, and she especially liked playing bingo with Amberly.

After spending less than two months here, Sarah was discharged being able to walk 75 feet with a walker, as well as perform all ADL’s independently. Social Work partnered with Sarah’s daughter to ensure Sarah would have continued support at home. Social Work reached out to Visiting Nurse Service of NY to coordinate home care, as well as order adaptive equipment Sarah needed to be safe at home. On January 20th, Sarah’s daughter greeted her at home, ecstatic to be able to have her mother home safely.

The team at The Enclave was honored to play a part in Sarah’s journey to recovery.