Case Study: Water’s Edge Rehab & Nursing Center at Port Jefferson (March 2019)

Patient’s Name: Desiree Elliot
Patient’s Age: 56-years-old
Admission Date: 02/12/2019
Discharge Date: 03/06/2019
Discharged To: Home
Length of Stay: 22 days
Reason for Stay: Left knee replacement/arthritis.
How did this patient hear about Water’s Edge at port Jefferson Rehabilitation & Nursing Center?: At John T. Mather Memorial Hospital.


Details of Experience:
Ms. Desiree Elliot arrived at the Water’s Edge Rehab and Nursing Center on February 12, 2019, after spending some time at John T. Mather Memorial Hospital in Port Jefferson. Due to an injury at work, Ms. Elliot had to have a left knee replacement, which quickly led to the development of arthritis.

After ending up in the hospital because of a severe decrease in strength, functional mobility, and the ability to transfer and ambulate independently, Desiree was given a list of skilled nursing facilities to assist in her rehabilitation to get back to a “normal and functional lifestyle.” After spending time researching each facility, Ms. Elliot chose Water’s Edge due to its close proximity to her home, as well as the great reviews she had read up on.

Within the first 24 hours, she was greeted by therapists, nurses, social work, physicians, and administrative staff. After all, was settled, our concierge had gone to greet Ms. Elliot and found that she was feeling a little saddened that she was in this predicament and not able to go home. After welcoming her with an open heart and listening ears, Ms. Elliot expressed that “everyone here has been so nice, and it’s so quiet, but I just want to go home.” After assuring Desiree that Team Water’s Edge wants nothing but the same for her, to send her home the quickest and safest way possible, she felt more confident in her ability to get home and was eager to get started working towards her goals.

Desiree began her stay at the Water’s Edge with the need for contact guard assistance for nearly all of her daily functions. With the help of our awesome rehab team, Desiree was able to accomplish her first set of goals within just a few days – quickly moving on to an upgraded list of goals! With a motivated spirit, Ms. Elliot conquered goal after goal and can now perform some daily life skills, with modified independence, within just one week of being on the program. Two weeks in, Desiree has set the bar high, working toward the goal of being able to go up and down the stairs independently. Together, Ms. Elliot and her therapists used therapeutic resistance exercises and dynamic balancing training; as well as gross motor coordination, bed mobility activities, and dynamic functional activities to assist in meeting all of her goals.

After continued progress in the program, Ms. Elliot was on her way to planning a safe discharge home. Ms. Desiree Elliot shared her experience while at the Water’s Edge, “The care your team has provided has been outstanding. I never thought I’d receive such great care, but not only that, but I have also made so many friends. The rehab team has been excellent, and even the food was good! Your concierge always went above and beyond. I just can’t thank everyone enough for all they have done. It has been a wonderful experience. I am actually a little sad to be leaving.”

Upon discharge, Ms. Elliot expressed some concern with being able to walk the stairs to the best of her ability. Our team worked closely with her over her last few days in our community to ensure she felt comfortable and safe going home. Desiree discharged successfully and safely on March 6, 2019; just in time to celebrate her birthday the next day with her family! Team Water’s Edge is so happy for Desiree as she crushed her goals one step at a time while under our care. Although she will be missed, we wish her nothing but the best in all her future endeavors.

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Case Study: Water’s Edge Rehab & Nursing Center at Port Jefferson (November 2018)

Patients Age: 64-years-old
Admission Date: 10/15/2018
Admitted From: Stony Brook university hospital
Discharge Date: 11/20/2018
Discharged To: Home
Length of Stay: 42 days
Reason for Stay: patient had trouble breathing at home and also had a hard time standing and walking
How did this patient hear about Water’s Edge at port Jefferson Rehabilitation & Nursing Center? The patient’s family was given choices by the social worker’s at Stony Brook hospital; there are several rehabilitation communities in the local area. Water’s Edge was chosen by the patient’s family because of the close proximity to her home.

Mrs. Erike was admitted to our community, Water’s Edge at Port Jefferson for Rehabilitation and Nursing due to breathing complications she was having at home along with walking struggles. One night in particular, Mrs. Erike was having difficulty breathing. Her family decided to take her to the local hospital to be seen for medical care and treatment.

After a few weeks of treatment at Stony Brook hospital, Mrs. Erike was sent to our community due to her decreased functional mobility, a decrease in her range of motion, and a reduced ability to safely ambulate herself. The pain in her back and legs created concerns, which led to the reason Mrs. Erike was sent to our community.

Upon arriving to Water’s Edge, Mrs. Erike was greeted by the concierge who ensured her that the entire staff were here to help make her stay a more comfortable one. Mrs. Erike was evaluated by our admissions nurse to inquire about Mrs. Erike’s medical history and to listen to the questions and concerns the she had concerning her care.

Mrs. Erike was also visited that same day by our rehabilitation department who set forth their evaluation. After her evaluation by our physical therapy department, Mrs. Erike was given a wheelchair and a walker to begin her physical therapy.

During her first week, Mrs. Erike took some time to regain her ability to stand and walk. Through hard work with our physical therapy team and her determination, she was able to get herself out of bed and into her wheelchair without much assistance from our nursing staff. Mrs. Erkie was beginning to regain her ability to stand confidently.

During her second and third weeks, Mrs. Erike was working towards her goals to safely perform functional activities with safety awareness. With decreased complaints about pain and with decreased assistance from caregivers, she was truly working towards gaining her prior level of independence.

After two more weeks of physical and occupational therapy, Mrs. Erike and her family were excited with the level of improvement she had made. She went from not being able to walk at all, to having a baseline of walking 60ft with the help from our communities therapy department. She made substantial improvements in her ability to walk by the end of her stay. Mrs. Erike was able to walk 150ft to an astounding 175ft and she also was able to dress herself!

During her stay, we as a team were able to accommodate Mrs. Erike’s meals in order to keep her nourished for physical therapy and daily activities. We were able to accommodate her with alternate meals other than what was being served due to the fact that Mrs. Erike suggested that she rather have a sandwich for lunch and hot tea with every meal.

We have the duty to ensure to make any changes to accommodate the high level of comfort we provide.

The day came for Mrs. Erike to return home and she was grateful about the progress she had made.With the help from our staff, she was able to receive a walker to take home with her for extra support if she needed it. She also received instructions on continuing her exercise routines.
Mrs. Erike wanted us to know that she made friends here at the Water’s Edge and that with the full support from our staff, she felt confident to return back to her life at home!

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