Case Study: The Paramount at Somers Rehabilitation and Nursing Center (February 2021)

Patient’s Age: 90-years-old
Admission Date: 01/17/21
Admitted From: Putnam Hospital Center
Discharge Date: 02/06/21
Length of Stay: 21 days
Discharged To: Home
Reason for Stay: Congestive heart failure
How did this patient hear about The Paramount at Somers? Hospital Referral

Details of Experience:
Mr. David L. is a 90-year-old gentleman welcomed to The Paramount at Somers Rehabilitation and Nursing Center for short-term subacute rehab following his hospital stay at Putnam Hospital Center for exacerbation of congestive heart failure, hematoma of the iliopsoas, and pleural effusion. His current and past medical history includes hypertension, acute pulmonary edema, hypothyroidism, and hyperlipidemia. Prior to admission, David lived with his wife in a private home with one flight of stairs and independent with his ADLs (activities of daily living). He enjoyed watching TV and reading the NY Times.

Upon admission into the community, David was greeted by the Paramount staff, immediately assessed, and made comfortable. The community worked hard to develop a plan of action to support David’s goals of returning home independently back to his wife.
Upon evaluation, Mr. Liguori was able to follow multi-step directions. When evaluating his ADLs, he showed decreased tolerance for consecutive physical activity. He also showed weakness throughout his entire lower extremities but primarily at his hip and knee extensors, which limit his ability to stand from a seated position independently.

During therapy sessions, he participated in single leg balance activities in order to improve static and dynamic standing balance deficits, stair negotiation training, transfer training from the bedside, chair, and wheelchair, Nustep recumbent bike to improve cardiovascular endurance, and ambulation/gait training with Front WheelWalker. David reported fatigue after his therapy sessions, however, his activity tolerance improved on a weekly basis.

David’s main goal was “to get better and go home.” While his focus was rehab, David enjoyed independent pursuits such as watching TV and following the news. Therapeutic Recreation provided a tabletop activity packet to use at his leisure. In addition, Concierge provided 1:1 visits to increase socialization and provide extra support.

Throughout his therapy, with some hard work and dedication, David was able to perform all Activities of Daily Living. He was able to navigate 1 flight of stairs without shortness of breath and with proper sequencing with Stand By Assist. He was recommended to use Front WheelWalker for energy conservation purposes during gait and ambulation.

Upon discharge, David shared with the Concierge that he is so thankful for the staff and the care he received here. “Special thanks to my therapists who worked with me and helped me regain my strength.” We are very grateful to our patients for choosing The Paramount for rehabilitation and nursing care.

The team at the Paramount is proud to have been a part of his therapy recovery journey.