Case Study: The Grand Pavilion for Rehabilitation & Nursing (June 2017)

Patients Age: 87
Admission Date: 5/12/17
Discharge To: Long Island Jewish Valley Stream Northwell Health
Discharge Date: 6/22/17
Length of Stay: 42 Days
Reason for Stay: Unspecified atrial fibrillation, hemiparesis following cerebral infarction affecting left non-dominant side and was experiencing generalized muscle weakness.

Details of Experience:

Mr. John Alexander was admitted to the Grand Pavilion from LIJ Northwell Hospital on May12, 2017. Mr. Alexander had a diagnosis of atrial fibrillation, hemiparesis following cerebral infarction affecting left non-dominant side and was experiencing generalized muscle weakness. John was a extremely laid back person, very family-oriented and would always speak of his beautiful grandchildren. He was a truck driver by trade and had the opportunity of traveling all over the country and particularly loved passing through Florida. Mr. Alexander was also always accompanied by his devoted wife and daughter, and although John was self-motivated when it came to getting stronger, they were always there encouraging him. John arrived with the goal of returning back home with his wife and to be independent again.

Mr. Alexander experienced a decrease in strength, endurance, impaired balance and decrease in functional activity tolerance. In regards to his activities of daily living, he required total dependence for toileting and dressing tasks, moderate assistances for self-feeding and hygiene/grooming tasks. The goal of occupational therapy was to increase independence in his daily living skills. It was the goal of physical therapy to enhance fall recovery abilities, facilitate increased independence with ambulation/stair negotiation, to increase lower extremity range of motion, thus minimizing falls and increasing safety awareness.

When Mark (our Director Of Concierge) sat alongside John to follow up on his experience here at The Grand Pavilion, he shared that he was extremely satisfied with the food and the care he received from the nursing team and was very appreciative of social work for keeping him in the loop in regards to his progress.

Mr. Alexander made tremendous progress during his time spent in skilled rehabilitation sessions. John initially required max assistance of two persons to complete all functional transfers and was unable to participate in ambulation tasks. On a daily basis, John participated in therapeutic exercises to facilitate increased ambulation and functional endurance with both upper and lower extremities. In the words of John when asked how his rehab services were coming along, “It’s going great! One amazing lady treats my hands and shoulders, and one lady takes care of my legs, ankles and knees.” By the end of John’s stay at The Grand Pavilion he was participating in floor ambulation of approximately 100 feet on a daily basis!

John progressed with both PT and OT to the point where he was able to safely return to his prior living environment. The whole team was delighted to provide him with a safe transition back home. John was up bright and early the day he was scheduled to return home and had a strong and independent look upon his face. We were so excited to see John come full circle and be able to return home safely. The Grand Pavilion team was honored to support Mr. Alexander in providing the best experience possible.

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Case Study: The Grand Pavilion for Rehabilitation & Nursing (May 2017)

Patients Age: 86
Admission Date: 2/22/17
Discharge To: South Nassau Communities Hospital
Discharge Date: 5/18/17
Length of Stay: 85 Days
Reason for Stay: Patient diagnosed with cellulitis and generalized muscle weakness.
How did this patient hear about the Grand Pavilion? They initially heard about the Grand Pavilion through a list they received from the Social Worker in South Nassau Communities Hospital. The family did their research and came to a decision.

Details of Experience:

Mr. Al Ogurek was admitted to the Grand Pavilion from South Nassau Communities Hospital on February 18, 2017. Mr. Ogurek had experienced multiple falls at home and had was diagnosed with cellulitis in his right leg as well as generalized muscle weakness. Upon arrival to the Grand Pavilion, Mr. Ogurek and his family were greeted by our amazing nursing team! The following morning when the family met with Mark, Director of Concierge Services, they only had pleasant things to say about their first impressions. In the words of Mr. Ogurek’s daughter, “We felt as if we were in a promotional video; everything was set up so nicely. You had the card and gift bag, and we truly felt that everyone was here to take care of us.” Al was known as a very friendly and kind gentleman. Unfortunately, he had lost his wife in the past year and was struggling with the reality of not having her by his side; he was still fighting to remain positive and become stronger. Al arrived with the entrusted goal to begin walking once again and also to have the ability to return home safely to his private residency.

Mr. Ogurek was experiencing a decrease in strength, an increased risk of falls, impaired functional mobility, reduced balance and required an increased need for caregiver assistance. For his activities of daily living, he required max assistance and for functional transfers with the assistance of two people. The goal of occupational therapy was to increase functional activity tolerance, improve motor control and tone in his upper extremities and enhance Mr. Ogurek’s quality of life by improving his ability to perform activities of daily living safely. It was the goal of physical therapy to enhance fall recovery abilities, facilitate increased independence with ambulation/stair negotiation, to increase lower extremities range of motion, thus minimizing falls and decreasing complaints of pain.

Al loved to participate in our music and arts therapeutic programs and would often participate with his daughter at his side. Al would report that the music and art therapy aided in his swift rehabilitation by giving him the opportunity to creatively express his emotions and enhance his daily experience.

Mr. Ogurek made continuous progress during his time in skilled rehabilitation sessions. Al initially required max assistance of two persons to complete all functional transfers and was unable to participate in ambulation tasks. On a daily basis, Al participated in therapeutic exercises to facilitate increased upper and lower extremity muscle strength, therapeutic activities in order to enhance ability to complete functional transfers and self-care tasks to facilitate a decreased need for caregiver assistance with daily activities of living. By the end of Al’s stay at The Grand Pavilion he was participating in a floor ambulation of approximately 50-75ft on a daily basis!

Al progressed with both PT and OT to the point where he was able to safely return to his prior living environment! The whole team at Grand Pavilion was delighted to provide him with a safe transition back home. When we met with Al the day he was scheduled to return home he was full of emotion and appreciation for all the amazing care that he received, and although he had become very comfortable with the Grand Pavilion culture, he was looking forward to taking the next step forward. The Grand Pavilion team was honored to have a hand in giving Mr. Ogurek the best experience possible.

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The Grand Pavilion’s Motown Madness Celebration

The Grand Pavilion is excited to host their upcoming motown madness celebration for the wonderful seniors in the local community! There will be live musical performances, a photo booth, and surprise guests! The fun begins at 12pm on Tuesday, the 20th.

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Case Study: The Grand Pavilion for Rehabilitation & Nursing (March 2017)

Patients Age: 82
Discharge Date: 3/24/17
Discharge To: Home Home with assistance of home care.
Reason for Stay: Experienced a mechanical fall, generalized weakness and impaired dynamic standing balance.
How did this patient hear about the Grand Pavilion? Former patient

Details of Experience:

Mr. Thomas Cox was admitted to the Grand Pavilion on 2/27/2017. He arrived to The Grand Pavilion from Nassau Hospital as he experienced a mechanical fall causing him to have an open cranial wound. Thomas had been with us in the past, making us the first choice for rehabilitation services. Due to generalized weakness and impaired dynamic standing balance Mr. Cox was at an increased risk of falling.

Upon arrival, Mr. Cox recognized all of his past caregivers and even asked about his previous occupational therapist, Roger. As a resident at The Grand Pavilion, Thomas was an easy going, upbeat gentleman. He was always very pleasant and cooperative with all of his caregivers. When asked of his social worker, Sarah, to describe Thomas in one word she replied, “cheerful!” He really knew how to enjoy every moment.

Mr. Cox arrived with one simple goal in mind: to reduce the risk of falling and return back home as functional as he was prior to his hospitalization. Both Roger, his occupational therapist, and Jude, his physical therapist, worked around the clock toward the common goal to ensure a decreased risk of falls and safe discharge home.

Evident by his ability to safely navigate stairs and ambulate with a rolling walker, Mr. Cox was steadily decreasing his need for caregiver assistance. Mr. Cox participated in a Tinetti balance assessment on arrival to The Grand Pavilion, which indicated him as a high risk for falls. Throughout his progress in skilled rehab services and re-assessments of his balance, Mr. Cox reduced his risk for falls, and it was no longer considered a risk for him to be home. This was the most rewarding of all aspects of his treatment as it was his area of greatest concern.

Mr. Cox was discharged from the Grand Pavilion on 3/24/2017 to his home with the arrangement of home care. It was a proud moment for us all and we wish Mr. Cox nothing but continue great health and a joyful season ahead!

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Case Study: The Grand Pavilion for Rehabilitation & Nursing (February 2017)

Patients Age: 80
Admission Date:
Discharge Date: 2/23/2017
Length of Stay:
Discharge To: Home
Reason for Stay: Experiencing acute kidney failure, she was noted to have increased weight gain and generalized weakness.
How did this patient hear about the Grand Pavilion? From the social workers at the North Shore University Hospital.

Details of Experience:

Miss. Loretta Napier was admitted to our community from North Shore University Hospital on 1/19/2017 due to generalized weakness. Miss. Napier was a prominent social worker in the past, leading by example on how to effectively interact and build relationships with several prominent professionals and politicians. It was an honor to get to know Miss. Napier as she was an extremely intelligent and caring person. She would often mention to the Grand Pavilion community about how amazing the staff were and how she wished she could contribute to the team in any way possible. Miss. Napier arrived to our community for short term care with the intentions to return home with home care services to ensure her safety.

Loretta noted that she lived alone in a co-op with roughly five steps. Upon admission, she could walk with the assistance of a rolling walker. Her goals moving forward were to begin with rehab intensively with the hope of enhancing her activities of daily living (ADL’s). Loretta was extremely cooperative and worked as a true team player with both physical and occupational therapy. Physical therapy focused on educating her on proper and safe transfers and ambulation while occupational therapy focused on more functional transfers and mobility. Miss. Napier has come a long way in a very short amount of time with her improved health. Our team is proud to share that she was recently discharged with home health support on 2/23/2017! Upon discharge, Loretta was accompanied by her very supportive daughter. We are pleased with her progress and subsequent achievement of her goals.

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Art Therapy at the Grand Pavilion

Art therapy at the Grand Pavilion is such a special program for our community; a huge thank you to our team member Richard for giving our residents a head start toward St. Patrick’s day. Our residents had to the opportunity to paint their own painting, while at the same time contributing to a bigger picture. #LessonForLife

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Birthday Celebration

The Grand Pavilion was proud to celebrate Irene’s birthday! She is a short term rehabilitation patient who celebrated birthday at the community before being discharged; it was a fun afternoon for all!

Case Study: The Grand Pavilion for Rehabilitation & Nursing (January 2017)

Patients Age: 74
Admission Date: 10/20/2016
Discharge Date: 1/27/2017
Length of Stay: 99 days
Reason for Stay: Acute exacerbation of Congestive Heart Failure (CHF), Right Above Knee Amputation (AKA)
How did this patient hear about the Grand Pavilion? Patient was previously admitted to our community and was happy with our prior services

Details of Experience:

Miss Shapiro was a lovely lady with quite a character. Her bright suggestions were always welcomed and she always sought out therapeutic recreational programming to participate in. She often spoke very highly of her children and always made her progress seem effortless. She loved to listen to a variety of music and always had words of wisdom to share with the staff. She could always put a smile on anyone’s face and was a real go-getter who loved to greet everyone as they walked through the doors of The Grand Pavilion.

Miss Shapiro was admitted to The Grand Pavilion from South Nassau Community Hospital on October 16th, 2016. She selected our community in result of a previous successful stay where she had healed and returned home. Previously, she had had a right above the knee amputation and experienced weakness, balance deficits as well as increased difficulty performing bed mobility and transfers. Her decreased functional activity in addition to acute exacerbation of her congestive heart failure had aided in her need of caregiver assistance to perform activities of daily living. Miss Shapiro was also limited by her anxiety, in which she categorized herself as a “nervous person”, affecting her will power to succeed in therapy; however, she always seemed to overcome obstacles and strived to succeed.

Although Susan had endured obstacles that not everyone has the capability to overcome, she pushed herself and achieved many goals she had set for herself. by participating in a number of diverse therapies offered within our community as well as keeping her mind stimulated with outstanding programming provided by recreation, she was well on her way to returning to her prior level of functioning and independence. Her positive attitude and motivation had also allowed her to be able to return home with home care and we couldn’t be happier to witness her improvements.

Over the course of Miss Shapiro’s stay here at The Grand Pavilion, she has shown that it is all about mind over matter. She was able to achieve anything she set fourth for herself with the combination of her peer’s encouragement, the staff’s support, and the guidance of therapy and nursing. Susan now requires less assistance than when she was initially admitted. She went on to state, “I will miss everyone dearly; however, I am happy with my accomplishments and the ability to return home.” Miss Shapiro was the whole package and we will miss her uplifting attitude and great advice. It was a pleasure to have her here as a part of our family and we would like to wish her the best of luck in the future.

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Case Study: The Grand Pavilion for Rehabilitation & Nursing (December 2016)

Patients Age: 82
Admission Date: 7/29/16
Discharge Date: 12/27/16
Length of Stay: 151 Days
Reason for Stay: Fall at home acquiring a vertebral burst fracture
How did this patient hear about the Grand Pavilion? Family tour of Grand Pavilion

Details of Experience:

Miss Elizabeth Gioe, better known as “Bette”, is a compassionate, kind-hearted individual who always interacts with her peers. She enjoys trivia, where she is known as “the trivia queen” at The Grand Pavilion. She loves her infamous red jacket that means so very much to her. She is a talented dancer and loves to listen to a variety of music genres. She also wouldn’t let you walk by her without telling you about her favorite sports teams.

Miss Gioe was admitted to our community from Orzac Rehabilitation on July 29th, 2016. She had fallen and suffered from a vertebral burst fracture in addition to a spinal cord compression. Upon admission, she experienced abnormalities of her gait and mobility as well as chronic pain and shortness of breath. Being incapable of moving due to muscle weakness and becoming exhausted or short-of-breath has made her functions of daily living seem impossible. Physical obstacles weren’t the only thing that impeded her rehabilitation journey, but depression also largely played a major role in her day-to-day activities.

Although Bette has faced many diagnoses that not anyone could overcome, she pushed herself and achieved the goals she set forth. Participating in the many therapies offered within our community and keeping her mind occupied has helped Miss Gioe come out on top and be able to return to her prior level of functioning. She stated that, “In the beginning of my journey I didn’t see this day so clear, but with the help of every staff member and the encouragement of the different teams it is possible that I am returning to my home. I couldn’t be happier or more thankful.” It has been hard work, but Bette’s drive to succeed and ambition to achieve has kept her going.

Over the course of Miss Gioe’s stay here at The Grand Pavilion, she has shown that if you put your mind to something it can be achieved. With the guidance and support of the entire interdisciplinary team at The Grand Pavilion, Miss Gioe now requires less assistance than she did upon admission. She is now more independent in her everyday living functions. Her increased mobility has supported her outlook on life, improving her once depressive mindset. We would like to wish Miss Bette the best of luck and to remember to always keep reaching for the stars. It was a pleasure to have her as a part of our family here and her smile will be missed.

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