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

Patients Age: 69
Admission Date: 4/9/18
Admitted From: White Plains Hospital
Discharge Date: 5/14/18
Discharged To: Home
Length of Stay: 5 Weeks
Reason for Stay: Lower extremity edema due to cellulitis; congestive heart failure
How did Patient hear about The Enclave at Rye? Hospital Social Worker

Details of Experience:
Caroline came to The Enclave at Rye Rehabilitation and Nursing Center on April 9th, 2018, from White Plains Hospital following an inpatient hospitalization due to edema of her lower extremity caused by cellulitis. With a history of congestive heart failure (CHF) exacerbating her condition and slowing the healing process, she experienced a significant decline in her functional capabilities requiring rehabilitation to increase strength and return to her fully independent self.

After being greeted by the nurse manager and social worker, Caroline met with her therapists who would be assigned to her throughout the duration of her stay. She was assessed as requiring extensive assist of one for bed mobility and transfers, extensive assist of one for dressing and personal hygiene, and an unsteady gait requiring the assistance of one for mobility. This change in her status was a challenging position for Caroline and she was eager to return to the community independently.

Cynthia, her physical therapist, incorporated a pain management regimen into her exercises to ease the pain Caroline was experiencing, particularly during exercise, so that any pain she might encounter would not limit her ability to perform daily functional activities and move around. Short term goals were established to improve her strength and endurance and to perform ADL’s (activities of daily living) with as much independence as possible. With the nursing team caring for the edema, Caroline was able to focus all her energies on the ultimate goal of getting home.

Over the course of the next five weeks, the pain was managed effectively to reach a low of 3/10 on the pain scale, allowing Caroline to regain her independence and prepare for a safe discharge back to the community. Her endurance had increased to nearly 30 minutes, allowing her to perform all ADL’s, such as toileting, bathing, and dressing independently, without needing consistent breaks. She could independently perform all transfers and bed mobility and could walk 150 feet with a roller walker allowing her to get around the house without needing a rest. On May 14th Caroline went back home to the community functioning at her former levels. We are proud to see Caroline’s progress throughout her stay here at The Enclave. We wish her the best.