Case Study: The Grove at Valhalla Rehabilitation & Nursing Center (December 2017)

Patients Age: 91
Admission Date: 11/24/2017
Admitted From: White Plains Hospital
Discharge Date: 12/22/2017
Discharged To: Home
Length of Stay: Four Weeks
Reason for Stay: Dorsalgia, Muscle Weakness and Spinal Stenosis.

Details of Experience:

On November 21st Mr. T.’s lower back pain became intolerable and brought himself to the White Plains Hospital emergency room. Mr. T. has a diagnosis of spinal stenosis and dorsalgia, a condition which is causing him a lot of lower back pain, numbness to his legs and severe limitation in ambulating. The medical team at the hospital and Mr. T. concluded that surgery would not be in his best interest and decided on a pain management and rehab treatment. When the hospital helped reduce his back pain to a tolerable level, they highly recommended he go to inpatient therapy. Going back home was not a safe option in the condition he was in.

When arriving at The Grove on a late Friday morning, Mr. T. was not shy of his intentions and feelings, “I’m here to get stronger and go home.” The staff helped him settle in and reassured him that with that conviction and courage, going home will happen sooner than later. Within a few hours, Mr. T.’s personality and optimism started to shine. He was very warm and outgoing with all the staff and greatly appreciated the services offered. Although he preferred minimal interaction with other residents, he wasn’t alone or lonely. He responded favorably to the staff’s friendship and had a close relationship with a number of his nurses, and especially, his therapists.

Mr. Higgins had a very positive and happy spirit and the therapist greatly enjoyed working with him.
When first arriving, he was only able to walk thirty feet and required much contact support: he required others to support him while walking. Not uncommon, but the first week, minimum progress was earned.

Due to his condition, his muscles were very weak and the pain in his back severely limited his mobility and balance. First, we needed to help reduce the pain by muscle building and stretching. Once sufficient strength was acquired his therapy sessions were focused on functional skill and ambulation. We are proud to say that in less than a month, Mr. Higgins was able to return home safely. He was able to walk with a walker without the assistance of others and gained the strength and functional skills to enjoy and engage in activities that were once considered questionable. His positive nature was noticeably more expressed on the morning he was picked up by his son in-law, and The Grove is forever a little brighter by his smile.

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Case Study: The Grove at Valhalla Rehabilitation & Nursing Center (November 2017)

Patients Age: 84
Admission Date: 10/25/2017
Admitted From: White Plains Hospital
Discharge Date: 11/27/2017
Discharged To: Home
Length of Stay: Four Weeks
Reason for Stay: Fluid Overload, Muscle Weakness, Hypertension, Obesity, Chronic Obstructive Pulmonary Disease, Chronic Kidney Disease, Obstructive Sleep Apnea and type 2 diabetes.

Details of Experience:

Prior to her hospitalization, Mrs. D. lived at home requiring assistance with some of her activities of daily living and could only ambulate with contact support and her need for increase oxygen was dramatically increasing. To put it simply, Mrs. D. was not in great shape. She was physically weak, short of breath and her spirits were beginning to reflect the poor health she was in. Mrs. D.’s primary medical challenge is physical weakness due to shortness of breath. The hospital helped stabilize her breathing, but recommended short term rehab to help her regain her strength and improve her breathing.

After touring The Grove and meeting with the staff, Mrs. D.’s family felt confident that The Grove can help provide Mrs. D. with the rehabilitation, medical service and support she desperately needed. When Mrs. D. first arrived, she required a therapist to support her while walking and couldn’t climb any steps. She had a lot of pain in her knees and had extremely low endurance. Her first phase of therapy was focused on respiratory exercises and muscle strengthening. The nursing staff and social work department ensured that Mrs. D. was comfortable and well cared for, providing her with the level of service our staff is committed to.

Mrs. D.’s early therapeutic results proved that with effort and time, getting better and stronger is possible. Mrs. D. followed her routine exercises strictly, both in and out of sessions. As her lungs got stronger and her breathing improved, her need for external oxygen became less and her endurance increased – allowing her to participate in therapy sessions for longer and perform more rigorous exercises. Her lower body muscles became stronger, which in effect decreased the pain and pressure in her knees, Mrs. D. began walking for longer distances and transfer independently and the smile on her face was noticeably wider.

The day of discharge was a huge celebration and victory for Mrs. D. She was going back home walking with only the assistance of a walker, independent with her daily activities and completely off oxygen. She proudly walked to the nurse’s station with a box of chocolate in her hand, thanking each team member individually, assuring us all that “I’ll come back to visit and celebrate.”

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Case Study: The Grove at Valhalla Rehabilitation & Nursing Center (October 2017)

Patients Age: 92
Admission Date: 8/18/17
Admitted From: Phelps Medical Center
Discharge Date: 10/16/17
Discharged To: Home
Length of Stay: 2 months
Reason for Stay: Syncope and Collapse, General Muscle Weakness and Fracture of Vertebra due to Wedge Compression, with diagnosis of Benign Prostatic Hyperplasia and Hypertension.

Details of Experience:

When Mr. Lawrence arrived at The Grove from the hospital on a Wednesday evening in mid-August, he was warmly welcomed by the staff, but his mood and orientation was puzzling. He couldn’t recall the reason for being here or a contact person, he seemed very confused. Mr. Lawrence was in poor physical condition, he was not ambulatory and needed assistance with all his ADL’s (activities of daily living). Who he was a mystery to us, until the hospital provided his neighbor’s contact information.

Due to HIPAA regulations, Mr. Lawrence’s neighbor was not informed by the hospital where he was being transferred to for rehab, while at the hospital Mr. Lawrence was unable to indicate his recognition of the neighbor. After a few days at The Grove, he began recalling more of his personal life and his orientation improved. The social worker reached out to Mr. Lawrence’s neighbor, the neighbor was more than thrilled to hear where Mr. Lawrence was, another senior neighbor whom he looks out for was previously here, and immediately visited The Grove community. Mr. Lawrence was beyond ecstatic to see a familiar face and recognized the need to appoint his neighbor as his health care proxy.

Mr. Lawrence was a successful engineer and lived a very independent life. He would regularly dine out, “known to always wear a well-pressed shirt, car in pristine condition and was deeply admired by all the neighbors,” his friend shared. Mr. Lawrence lost his wife a few years ago and has no children or family. His recent accident was a big shock to him, his loss of consciousness (Syncope) caused him to fall and he sustained head trauma, which resulted in memory loss and temporary loss of physical independence and mobility.

After a few weeks of intense physical and occupational therapy, Mr. Lawrence regained significant strength and was making great recovery strides. He was determined to get well and fast. His warm and friendly character was well received by both staff and residents. However, his balance required continued improvement and his mildly impaired cognitive function put him at risk for another potential fall. As much as he had to learn how to be mobile again and perform his daily activities independently, he also had to learn his limitations – he will need devices to assist him in walking and a companion throughout the day. Understandably, this frustrated him, “I want to drive again, I may even buy an island and start a resort.” But with time, he stoically accepted his limitations and pushed harder in the gym.

Mr. Lawrence was able to return home in less than two months! It took an interdisciplinary team to usher incredible levels of recovery from all departments. We are so excited to hear from Mr. Lawrence’s neighbor that “He is acclimating really well back at home and is very receptive to his 24 hour companion!”

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Cars for a Cause!

The Grove at Valhalla would like to thank everyone who attended our community car show: “Cars for a Cause!” The day was filled with legendary vehicles, great food and a lot of fun! The day was in support of our Music and Memory program, which provides our residents with the gift of music!

The Grove/Amputee Walking School CEU

The Grove at Valhalla Rehabilitation and Nursing Center, along with the Comprehensive Amputee Rehabilitation Program, were honored to host a CEU on Thursday, August 24th for professionals in the community. The informative CEU was  presented by Paralympic gold medalists, Todd Schaffhauser and Dennis Oehler, alongside representatives of The Grove at Valhalla. Thank you to all who attended!

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Case Study: The Grove at Valhalla Rehabilitation & Nursing Center (April 2017)

Patients Age: 87
Admission Date: 1/21/17
Admitted From: Lawrence Hospital
Discharge Date: 4/5/17
Discharged To: Home
Length of Stay: 2.5 months
Reason for Stay: Respiratory Failure/Pulmonary Edema from Congestive Heart Failure

Details of Experience:

Resident arrived to The Grove severely de-conditioned and in poor spirits. He had a complicated hospital stay- even a small stint in the ICU, from a severe upper GI bleed, flu, with complications, including hypovolemic shock and malena. This would be tough for anyone to handle, especially a formerly very active 86-year-old. To top it all off, this new resident had a recent hip fracture on his left side, which added much pain to movement and mobility as well as co-morbidities including knee degenerative joint disease, peptic ulcer disease and hypertension.

Much to the surprise of The Grove staff, the resident was all smiles and positive. He was very happy to be admitted to The Grove, and was prepared and ready for the incredible rehabilitation team to begin.

Upon admission, as per the team’s assessments, the resident required moderate assistance of performing bed mobility, transfers, ADLs, (Activities of Daily Living) and ambulation. Both the resident and his family understood the rehabilitation journey they were about to embark on, and assured the team that he was ready to roll up his sleeves and get started.

For the first month or so, he still had pain in his left hip, even with the pain management expertly overseen by the nursing and rehab staff; however, he worked hard every day with his physical and occupational therapists, making small gains. The positive reinforcement, smiles and encouragement from The Grove Staff fueled him to push harder than ever, and eventually, the pain started to subside, and he began to have an easier time with all tasks given by the therapists. Another surprising conversation he had with the team arised when he asked for “homework” exercises to be given to him, to do on his own time!

After two and a half months at The Grove, the resident was discharged back home! His status upon leaving was that he was able to walk over 200 feet with a walker, perform all ADLs on his own, and return to life as he loved it. Proper home care was arranged by his social worker, to assist with the transition back home.

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Case Study: The Grove at Valhalla Rehabilitation & Nursing Center (March 2017)

Patients Age: 80
Admission Date: 1/19/17
Admitted From: WPH
Discharge Date: 3/28/17
Discharged To: Home
Length of Stay: 3 months
Reason for Stay: Respiratory Failure/Pulmonary Edema from Congestive Heart Failure

Details of Experience:

Sara was admitted on 1/19/17 to The Grove at Valhalla from White Plains Hospital. She had been admitted due to Respiratory Failure and Pulmonary Edema, which caused de-conditioning and an increased need for assistance in performing activities of daily living (ADL) ambulation and transfers.
On admission, Sara required maximum assistance to perform bed mobility, transfers, ADLs, and ambulation. Resident was extremely motivated to return back home and worked very hard in therapy every day to do so. All staff and residents on the sub-acute unit enjoyed Sara’s knowledge, wit and sparkle in her eye, as she quickly became a member of The Grove family.

As time progressed, Sara showed slow but steady progress. She was severely reconditioned upon arrival, and summoning the strength to do rigorous therapy daily is not an easy task! Thankfully, with the supportive team by her side, she was able to push herself harder than she ever pushed herself before.

With a combination of supportive nutritional guidance, company, relaxation and rehabilitation, Sara’s future is looking very bright! We are proud to share that Sara is now able to perform ADLs with distant supervision for safety, and will be discharged from The Grove with only her walker!

During one of her final rehabilitation sessions, Sara told her therapist, “I appreciated all the hard work each person at The Grove did to ensure my recovery and return home!”

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Case Study: The Grove at Valhalla Rehabilitation & Nursing Center (February 2017)

Patients Age: 76
Admission Date: 1/19/17
Admitted From: Northern Westchester Hospital
Discharge Date: 3/2/17
Discharged To: Home with sister
Length of Stay: 32 days
Reason for Stay: Hospital social work department

Details of Experience:

The patient was greeted on the first day by two therapists who assisted her transfer from her vehicle. She was escorted to her room to begin assessment. She was later greeted by the overnight nursing supervisor, Freddy, who completed an assessment and intake.

On day two the patient was greeted first thing in the morning by the evaluating physical and occupational therapists. The therapists completed an evaluation, and discussed the plan of treatment with the patient all with a smile. The goals for the residents plan of care included pain management, maintaining appropriate diet intake, maintaining weight bearing precautions (resident was toes touch weight bearing), and safely returning to independence with her self-care tasks. We had our vision mapped out and the team was eager to accomplish all goals set. Resident then met with nursing supervisor of unit, and was provided with a nutritional breakfast and medication.

Within the first few days at The Grove, this resident was experiencing symptoms of depression and feelings of helplessness from the inability to walk independently. She was strongly encouraged by all members of staff to attend recreational programs, and her mood began to lift as she was becoming part of The Grove community.

She was provided with a walker to use for ambulation throughout facility, as she was able to safely perform functional mobility while maintaining precautions ordered by the doctor. Resident was increasing her independence in dressing, toileting, transfers, ambulation, and was becoming stronger every day! Some of her favorite recreational programs, which kept a smile on her face included painting, therapy, activities on unit (i.e. wheel of fortune, wine & cheese).

The resident had this to say about her rehabilitation stay at The Grove, “Everything was excellent at The Grove. The nurses were very careful and attentive. The rehabilitation was excellent – that is why I can walk now! All of the therapists in rehab are good workers. I enjoyed going to the activities and I made a beautiful painting. I will miss all of the people here when I go home.”

Residents discharge date is set for 3/3/17 and we are thrilled with her tremendous accomplishments!

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Case Study: The Grove at Valhalla Rehabilitation & Nursing Center (January 2017)

Patients Age: 92
Admission Date: 12/6/16
Admitted From: Westchester Medical Center
Discharge Date: 1/15/17
Discharged To: Home
Length of Stay: 21 Days
Reason for Stay: Muscle Weakness

Details of Experience:

Resident’s daughter arrived to The Grove at Valhalla in seek of a community tour for a rehabilitation community that would best support her mother, whom was hospitalized. With strong affiliations with the community, the team at The Grove were very much excited to welcome the resident and her family as well as provide state-of-the-art care to encourage healing and optimum health.

The resident found great appreciation for the staff on the short term unit, as well as befriending several other residents who were also at The Grove for their own personal rehabilitation journeys.

Always smiling and upbeat, the resident received the kindness, attentiveness and professionalism befitting a resident of The Grove at Valhalla. We are proud to say that within a short 21 days, The Grove was able to safely discharge this resident back home to her family.

Upon discharging, the resident shared,
“The Nursing staff at The Grove have all provided us with a very positive experience. They treated my mother with the utmost respect and dignity- and for that, I am grateful. I saw teamwork being displayed: when asked, I was assisted by any member of The Grove staff, even if they weren’t assigned to my mother. The therapy was amazing, getting my mom strong and ready to head home. Abe, the concierge, was lovely with us – thank you for everything”

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