Case Study: Cortlandt Healthcare (June 2016)

Patients Age: 78
Admission Date: 04/06/2016
Admitted From: Acute care hospital
Discharge Date: 6/19/2016
Discharged To: Home
Length of Stay: 10 weeks
Reason for Stay: Right femur fracture
How did this patient hear about Cortlandt Healthcare?

Details of Experience:

Ms. Loch was admitted to Cortlandt Healthcare with a diagnosis on right femur fracture. She was Non weight bearing on the right leg for over 7 weeks and had to wear a Bledsoe brace. She did not have the ability to move in bed, toilet, transfer ambulate or dress without Max assist upon admission.

Physical therapy and Occupational therapy worked closely together with her and just as close with the staff on the 3rd floor. Each week the patient progressed so that she was able to complete all the above with minimal assistance.

Ms Loch discharged to home with a Rolling walker with no assistance on 6/19/2016. She was able to complete 16 stairs with 2 rails, walk outside on uneven surfaces and manage her activities of daily living for a safe discharge to home and the community.

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Case Study: Cortlandt Healthcare (May 2016)

Patients Age: 83
Admission Date: 04/14/2016
Admitted From: Acute care hospital
Discharge Date: 05/05/2016
Discharged To: Home
Length of Stay: 3 weeks
Reason for Stay: Total left hip replacement.
How did this patient hear about Cortlandt Healthcare?

Details of Experience:

Mrs. C was admitted to Cortlandt Healthcare on 4/4/2016 following surgery for a left total hip replacement. In addition to her left hip being replaced Mrs. C suffered from spinal Stenosis which caused severe back pain.

Mrs. C was evaluated by both Physical and Occupational Therapy and placed on a 6x week program with both disciplines. Upon evaluation Mrs. C required assistance of 1 person for her activities of daily living (i.e. walking, dressing, bathing, stair climbing, etc…). And due to her lower back pain her progress with Physical Therapy and Occupational Therapy was limited. A pain management protocol had to be developed for Mrs. C in order for her to increase her overall functional mobility. A pharmacological plan was developed along with a core stability program for increased and electrical stimulation to also help reduce her pain.

After weeks of skilled therapy and nursing care Mrs. C was able to walk with a straight cane, climb stairs, get in and out of a car, dress and bathe herself with adaptive equipment, plan and cook a meal, all pain free.

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Case Study: Cortlandt Healthcare (April 2016)

Patients Age: 81
Admission Date: 02/01/2016
Admitted From: Acute care hospital
Discharge Date: 05/02/2016
Discharged To: Home
Length of Stay: 3 months
Reason for Stay: Pneumonia, COPD and Urinary Tract Infection
How did this patient hear about Cortlandt Healthcare?

Details of Experience:

J.Halvorsen was admitted to Cortlandt Healthcare on 2/1/2016 with Diagnosis of Pneumonia, COPD and Urinary Tract Infection. She was then discharged to the hospital on 2/17 and returned on 2/25. She was admitted with CO2 retention. Mrs. Halvorsen was at an independent level prior to her admission and lived alone with her husband. Pt had been on 02 for 2 years prior to this admission and was able to manage her own 02 and all activities of daily living. Pt was admitted at a Mod A level with all which means she needed help with everything. Since February Mrs Halvorsen has progressed in all areas and will discharge to home with her husband. This success is due to many people in her family. Mrs Halvorsen receives Pt from Karen Chase and Ot from San Ambrey. She is also seen 3x a week by our exercise physiologist Matt Hahn and our respiratory therapist Sue. Mrs Halvorsen’s family has made themselves very educated in their mother’s care and are present at the facility on a daily basis. A full home evaluation was done by Occupational Therapist Sean Ambrey on April 13th with the family to assure the family of a safe discharge to home.

Recommendations were made and all changes have been done. Mrs. Halvorsen will discharge home within the next 2 weeks with her husband using a Rolling walker, m 2 liters of 02, a shower chair, safety bars on the shower and a shower seat. She will be discharged at a stand by assist level. Family is aware of all Patients needs.

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Case Study: Cortlandt Healthcare (March 2016)

Patients Age: 48
Admission Date: 3/13/2015
Admitted From: Westchester Medical Center
Discharge Date:
Discharged To:
Length of Stay: so far 1 week
Reason for Stay: car accident
How did this patient hear about Cortlandt Healthcare? Down the road from her daughter

Details of Experience:

C.Deagan is a patient here at Cortlandt Healthcare. I sit down with Mrs. Deagan and we start talking: Mrs. Deagan starts telling me that she has gone through 5 car accidents since 1988 and required 9 major surgeries all over her body. Driving to and from numerous hospitals, followed by crazy amounts of physical therapy but just never found the right therapy. So I ask Mrs. Deagan what made you decide to come to Cortlandt Healthcare? Mrs. Deagan replies by saying I don’t know what made me decide by choosing Cortlandt Healthcare, but it was the best thing that ever happened to me.

The minute I walked out of the elevator the smiles on the faces of the nurses, just made me think I can do this. Next morning I walked into therapy with the help of the Nurses and rehab and it was amazing. The Rehab is pushing me, and that’s making me push even harder and I feel so much better and accomplished. I picked this place because my daughter lives right down the road, and it turned out to be the best choice of my life. The OT’S and PT’S are so good to me here. Every day as I am going around doing routine checks Mrs. Deagen always stops and says to me, I’m doing so much better because the nurses and Therapists are so good to me.

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Cortlandt Healthcare hosted fantastic “Paint and Pinot” Evening!

Cortlandt Healthcare was excited to host their community “Paint and Pinot” evening for local community social workers on Thursday, April 7th. Everyone in attendance enjoyed delicious food, great conversation, and had the opportunity to create their own masterpiece!

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Case Study: Cortlandt Healthcare (February 2016)

Patients Age: 79
Admission Date: 11/30/2015
Admitted From: Acute Care Hospital- HVHC
Discharge Date: End of the Month
Discharged To: Independent Living
Length of Stay: 90 Days
Reason for Stay: Congestive Heart Failure, recent fall at home, Gout, Urinary Tract Infection
How did this patient hear about Cortlandt Healthcare? Wife is here

Details of Experience:

The patient was admitted to Cortlandt Healthcare on November 30th, 2015 with a Diagnosis of Congestive Heart Failure, recent fall at home, Gout, Urinary Tract Infection. Upon admission he was given a wheelchair as he was also a fall risk. The patient was not a stranger to our facility as His wife was a patient on the 3rd floor and receiving skilled Pt and OT services. He would drive himself to the facility daily and walk into the nursing home with a Rolling walker with no assistance.

Since November 30, 2015 the patient has been receiving skilled Pt and OT 6 times a week to work in areas of Lower and Upper body strength, Ambulation with a RW with increased distances each week and decreased amount of assistance, He has completed 3-5 stairs with one and tow rails and practiced his balance in all standing activities with increased Independence weekly. Occupational therapy has worked with him on his toileting, grooming and dressing and increased his advancement towards Independence weekly.

Physical and Occupational therapy had goals for the patient to discharge back to his home at a Independent level. Due to family circumstance the Patient has decided to discharge to an assisted living facility.

As of this date 2/8/2016 the patient is ambulating in the facility Independently with a RW and is able to complete all his grooming and toileting on his home . He is able to walk to the Nurses desk and visit his wife in her room or sit with her in the café to enjoy their meals together.

Presently the therapy staff is working along with the social work department and the patient ‘s family to generate a safe discharge to an assisted living facility. He will receive 3 meals a day and have transportation to Cortlandt healthcare so that he can visit his wife daily.

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Case Study: Cortlandt Healthcare (January 2016)

Patients Age: 74
Admission Date: 11/11/15
Admitted From: Acute care Hospital
Discharge Date: 1/1/16
Discharged To: Home
Length of Stay: 52 Days
Reason for Stay: Broken Hip
How did this patient hear about Cortlandt Healthcare?Mother was here

Details of Experience:

The patient was admitted to Cortlandt Healthcare on 11/11/15 after being hospitalized for a fall, which resulted in a comminuted fracture of his right hip. The patient required surgery to his hip, which involved placement of hardware to secure the fracture. Upon discharge from the hospital the patient was given orders that he could only put weight through his toes on the right side.

Due to his injury the patient was limited with his ability to ambulate, move between surfaces safely and perform his overall activities of daily living. Upon admission to Cortlandt Healthcare the patient was placed on PT and OT services. Therapy taught him how to safely perform functional mobility and maintain his toe touch weight bearing status. The patient was also taught how to manage dressing and bathing with appropriate adaptive equipment. After almost a month the patient was given permission to weight bear through his right leg. This allowed the patient to progress to independence with ambulation, stair negotiation, transfers and overall functional mobility. The patient was discharged 1/1/16.

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Case Study: Cortlandt Healthcare (December 2015)

Patients Age: 64
Admission Date: 10/29/15
Admitted From: Acute care Hospital-HVHC
Discharge Date: 11/24/15
Discharged To: Home
Length of Stay: 13 Days
Reason for Stay: Hip Replacement
How did this patient hear about Cortlandt Healthcare?Google for insurance

Details of Experience:
The patient was admitted to Cortlandt Healthcare on October 30, 2015 after being hospitalized for a right total hip replacement. Upon evaluation of physical and occupational thearpy it was assessed that the patient was limited with her overall upper and lower body strength, right lower extremity range of motion and required extensive assist with all of her functional activities. The patient was also limited by significant pain in the right hip. With all the data gathered, all disciplines (PT/OT and nursing) developed an interdisciplinary care plan with goals/ interventions that would help reduce the pain and return her back home at her prior level of function. After two weeks of skilled physical and occupational therapy and skilled nursing the patient was pain free and independent with all her activities of daily living.

Physician Services: Patient Stated, “Overall for most part fantastic.”
Concierge Services: Patient Stated “Been a pleasure, above and beyond with all my complaining you still came back every time with a smile, and I have seen all the grief you get and you always have a smile on.”

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Case Study: Cortlandt Healthcare (November 2015)

Patients Age: 79
Admission Date: 9/16/15
Admitted From: Acute Care Hospital – Northern Westchester Hospital
Discharge Date: 11/24/15
Discharged To: Home
Length of Stay: 69 Days
Reason for Stay: Hospitalized for aspiration Pneumonia
How did this patient hear about Cortlandt Healthcare? Dr. Stadlin

The patient was admitted to Cortlandt Healthcare on September 16, 2015 after being hospitalized for aspiration pneumonia. Patient has a complicated medical history which includes a history of cancer to the head and neck. Due to this cancer the patient has a feeding tube to help maintain his nutritional status, because his swallowing abilities were compromised due to the cancer.
The patient was assessed by Physical Therapy, Occupational Therapy and Speech Therapy and found to be a candidate for all three disciplines. The Patient was severely deconditioned from a functional standpoint and even now had to use oxygen, which he did not have prior to being hospitalized. So, the patient was placed on all three therapies. Receiving Physical and Occupational Therapy 7 x week and Speech therapy 5 x week. In addition, nursing and dietary all developed interdisciplinary care plans with the hopes of returning the patient to home at his prior level of function.
As the patient’s functional capabilities improved and he stabilized medically, the patient became a great candidate for our cardiopulmonary program. He was seen by our exercise physiologists 3 x week, in addition to his regular exercise regime. As a result of the cardiopulmonary program, nursing monitoring oxygen saturations on just room air, the patient was able to return home no longer dependent on the oxygen.
After two months of rehabilitation, the patient was discharged to home being able to perform all activities of daily living at an independent level with professional recommendations for safety with regards to mobility and swallowing to prevent aspirating incidents in the future.

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