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

Patients Age: 73
Admission Date: 4/21/18
Admitted From: Phelps Memorial Hospital
Discharge Date: 5/21/18
Discharged To: Home
Length of Stay: 4 Weeks
Reason for Stay: COPD exacerbation, chronic hypoxic respiratory failure, asthma
How did Patient hear about The Enclave at Rye? Hospital Social Worker

Details of Experience:
Maureen came to The Enclave at Rye Rehabilitation and Nursing Center on April 21st, 2018, from Phelps Memorial Hospital following a flare up of chronic obstructive pulmonary disease and chronic hypoxic respiratory failure. She was presented with shortness of breath on 2 liters of oxygen via nasal cannula, alert and oriented, but weak and limited in her functionality.

A weekend admission would not prevent the team from welcoming Maureen to her new community. She was assessed by our doctor, nurses, therapists, and members of administration within 24 hours of her arrival, which she found reassuring and made her feel safe. She was assessed as having general muscle weakness affecting her ability to independently perform activities of daily living (ADL’s), and would quickly become fatigued when performing even moderate ambulation with her rollator walker. She scored a 14/28 on the Tinetti assessment, indicating a high risk for falls. The therapists outlined her primary goal as being able to safely transfer in and out of bed and to have the strength to perform ADL’s while standing, so that she could use her wheelchair for lengthy ambulation.

Her physical therapist, Cynthia, guided her with safe transfer practices while working on increasing her strength and safety awareness training. Ten days into her stay, Maureen could better position herself to walk 50 feet with contact guard assist on a rollator walker and could transfer in and out of bed with standby assist. Toileting and hygiene could now be done with modified independence using a supportive device, while lower body dressing could be done with contact guard assist.

During her stay, Maureen was thrilled to take advantage of some of the community’s perks, such as the iPad, which she could use in her room, as well as the company’s complimentary car service, which allowed her husband, who no longer drives, to come visit and spend time with her. This complemented her therapy sessions by ensuring she had an overall exceptional environment conducive to recuperating and keeping her at ease.

On May 21st, Maureen was discharged back home, smiling at the quick turnaround and great success she had during her stay. She could safely climb 12 steps, could transfer out of bed independently, and could also get in and out of a car independently, giving her back freedom to move about the community. Her fall risks had decreased significantly, and she could safely ambulate on her walker 150 feet with supervision. Additionally, she could perform ADL’s such as dressing, bathing and hygiene with occasional set up assistance, giving her back her independence to function as she used to.
We are so proud to see the amazing progress she made during her time at The Enclave.