Case Study: The Rehabilitation Center at Jupiter Gardens (April 2018)

Patients Age: 64
Admission Date: 2/6/18
Admitted From: Jupiter Medical Center
Discharge Date: 5/1/2018
Discharged To: Home
Length of Stay: 73 Days
Reason for Stay: Acute Kidney Failure
How did this patient hear about Jupiter Gardens? Hospital Case Manager

Details of Experience:

Mr. Smith is a 64-year-old male who was admitted to The Rehabilitation Center at Jupiter Gardens with the diagnosis of acute renal failure and non-healing bilateral lower extremity venous stasis ulcers. Brian lived with his family in a one story home and was independent with activities of daily living (ADL) and functional mobility prior to going to the hospital. When Brian arrived to our community, he required total assist with self care tasks and functional mobility.

Mr. Smith is a veteran. His expedition to join the Navy began when his father was in the Navy. He was a Culinary Specialist, and Brian wanted to follow in the same path. While serving, he developed both his cooking and baking skills. Post discharge, Brian went to school for thirteen weeks in San Diego. He decided to move to the East Coast and went to school in New Port, Rhode Island, and became a security guard. His passion for baking was still strong, working part time as a baker. Brian held both positions for four years.

Brian enjoyed exploring; he held various jobs in different parts of the country. He was fortunate enough to change his job every five years. He worked from resorts, restaurants, bars, and hotels, doing what he loves the most; baking. His last job before retirement was working at a plastic plant. He held that position for 16 years. The company was making cassette player covers, and then switched over to DVD covers. Once Blockbuster and Hollywood Video went out of business, they switched over to making pill boxes for Walmart.

In 2011, Brian retired from the plastic plant. He moved down to Palm Beach Gardens to live with his brother. He resides with his brother, his girlfriend, her mom, a cat, and a dog.

Mr. Smith was admitted to Jupiter Medical Center with a diabetic wound that developed on his leg. He was then recommended to receive therapy and with the help of the case manager he came to The Rehabilitation Center at Jupiter Gardens.

Mr. Smith had a very positive journey during his stay at The Rehabilitation Center at Jupiter Gardens, “I love this place. People are friendly. Aides and nurses are hard working. I have been to other places where everyone is just talking in the hallway, but not here, this place takes the cake. The food is delicious. I will miss that when I get out. I talked with some of the residents here who are very friendly. Then I saw the concierge speaking with a resident and I knew that I just needed to meet him.”

Mr. Smith continued by stating, “I enjoyed therapy, they are all friendly. I was sent here to learn how to walk again. I was thinking about doom, but this place motivated me to think otherwise. Dr. Patel told me that I will walk before I get discharged and he was right. I would like to give a special thanks to Mellissa, Marsha and Debbie from the therapy department. They were able to motivate me to start walking again. They gave me stories that motivated me.”

It has been a long journey with many obstacles, but Brian persevered through it all, making the minor setbacks into a major comeback. With weeks of hard work and determination, Brian now requires minor supervision to complete activities of daily living and functional mobility utilizing a rolling walker. He is thrilled to be able to return home with his family and start baking again.

We are ecstatic that Mr. Smith was able to return home to his family. He worked diligently to get back to the things he loves. From all of us at The Rehabilitation Center and Jupiter Gardens, we wish Mr. Smith the best!

“Once I get home, I will bake and bring it in for the staff. I want to bake for the next veterans meeting as well!”

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Case Study: The Rehabilitation Center at Jupiter Gardens (March 2018)

Patients Age: 77
Admission Date: 3/14/18
Admitted From: Palm Beach Gardens Medial Center
Discharge Date: 3/30/2018
Discharged To: Home
Length of Stay: 16 Days
Reason for Stay:  DISPLACED INTERTROCHANTERIC FRACTURE OF RIGHT FEMUR
How did this patient hear about Jupiter Gardens? Mother was here previously.

Details of Experience:

Mark Vadas was admitted to the Rehabilitation Center at Jupiter Gardens on March 14, 2018. He went to the hospital for a right total hip arthroplasty on March 12, 2018. At the time of evaluation, Mark needed moderate assistance with bed mobility and transfers. During gait training, he required minimum assistance and walked a distance of ten feet with a rolling walker. After two weeks of intensive physical and occupational therapy, Mark showed significant progress in all levels of function.

Mark’s first experience with the facility was twelve years ago, when his mother was here. It was hard for Mark to come back, but ultimately decided this was the best place for rehab. The experience he had here with his mom was excellent. He felt comfortable selecting The Rehabilitation Center at Jupiter Gardens, even though he just wanted to go home after the hospital.

Mark’s therapy experienced changed his outlook on going to a rehabilitation center.

“I would recommend therapy for anyone. It transforms you into a rejuvenated person,” shared Mark!

He enjoyed and respected the persistence of the therapy team, specifically Renee, whom he has identified as his “ray of sunshine” while in the facility. Mark received both physical and occupational therapy to strengthen his upper and lower body.

The staff here at The Rehabilitation Center at Jupiter Gardens is excited to see Mark become independent once again. “The therapist gave me the tools to perform many of my own functions and not have to rely on my wife.” He also enjoyed the newly renovated room he was in. As an interior designer, he thinks the color schemes in the room are terrific. He has also asked the chef for some of his recipes, as the dining experience here was magnificent.

Mark is now able to get up from bed and transfer at a modified independent level. He is able to dress himself in the morning with good safety techniques. He is walking with a rolling walker at a modified independent level and is preparing to go home with his wife.
Mark is always very motivated during therapy sessions and has worked hard with his therapist to return home safely. As a member of the coast guard we are honored and proud to serve Mark.

“I’m really happy.” – Mark Vadas

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Case Study: The Rehabilitation Center at Jupiter Gardens (February 2018)

Patients Age: 76
Admission Date: 1/22/18
Admitted From: Jupiter Medical Center
Discharge Date: 2/15/2018
Discharged To: Home
Length of Stay: 24 Days
Reason for Stay: HYPO-OSMOLALITY AND HYPONATREMIA
How did this patient hear about Jupiter Gardens? Hospital Case Manager

Details of Experience:

Mr. William Flora was admitted to the Rehabilitation Center at Jupiter Gardens on January 22, 2018. He was hospitalized for Congestive heart failure, Atrial fibrillation, respiratory failure, severe osteoarthritis of the hands and ankles, and suffered from a stroke. The new diagnosis was hard for Mr. Flora to accept because he was always accustomed to doing everything on his own.

William was born and raised in New Hampshire, before moving down to sunny Florida several years ago. He joined the air force for 4 years and worked on B47 bombers as a flight line mechanic. William spent his time fixing air planes during the Vietnam War. Following his service in the air force, he worked as a system analyst professional. Eventually, Mr. Flora changed careers and started a roofing business, then ultimately moving to construction and home building.

“I woke up in bed not knowing what happened to me. I had almost no sodium in my body and went into a stroke. I had to learn how to walk again, which seemed natural and to get hold of my brain and figure who I was again. I committed to eating right and working out daily to get back my strength.”

Initially, William required extensive assistance for bed mobility and transfers secondary to strength deficit of lower extremities and decreased range of motion of the upper extremities. After three weeks of intense cardiovascular rehabilitation, Mr. Flora is now able to transfer to the bed and to the toilet independently with safety using a rolling walker.

Today, Mr. Flora is preparing to return home. He gets himself dressed in the morning, walking with a rolling walker with distant supervision within the facility and is independent with home exercise programs. He looks forward to getting back home to enjoy his grandkids company.

Mr. William Flora on being at the Rehabilitation Center at Jupiter Gardens:

“Everyone was very helpful. Everything lined up with my medication administration and therapy. I am able to go three miles in my wheelchair.”
“I am reminded of the biblical verse ‘do onto others what you would do for yourself,’ the staff was very nice to me and treated me like family.”
“I’m going back home to my dog who got another lease on life.”
We wish you the best of luck, William and hope you enjoy your time with your dog and grandkids!

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Case Study: The Rehabilitation Center at Jupiter Gardens (January 2018)

Patients Age: 89 Admission Date: 1/05/2018 Admitted From: Jupiter Medical Center Discharge Date: 1/25/2018 Discharged To: Assisted Living Center Length of Stay: 20 days Reason for Stay: Dysphagia, Oropharyngeal Phase, Hemiplegia and Hemiparesis following Cerebral Infarction How did this patient hear about Rehabilitation Center at Jupiter Gardens? Hospital Case Manager

Ms. Lue Bean is an 89-year-old female who has was admitted to The Rehabilitation Center at Jupiter Gardens with diagnosis of left hemisphere CVA with right sided weakness including a right side facial droop resulting in anterior spillage of liquids and tongue biting during mastication. Ms. Bean was admitted from Jupiter Medical Center with orders of a mechanical soft diet and thin liquids. Ms. Bean suffered from a severe stroke, to the point she could not speak or vocalize cues. She worked hard and was able to regain her speech back! Her family was instrumental in giving her the motivation to speak again. While at her stay in The Rehabilitation Center at Jupiter Gardens, her family visited her every day!

Since being admitted to the Rehabilitation Center at Jupiter Gardens, Ms. Bean has improved significantly. She was participating in oral motor exercises via neural muscle electrical stimulation to increase facial symmetry, resulting in decreased occurrence of tongue biting during mastication and increased elimination of anterior spillage of liquids. Her diet upgraded to regular consistency. She was motivated for Speech Therapy sessions and appeared to be happy with the increased facial movement and diet upgraded to regular consistency.

Ms. Lue Bean enjoyed her time at The Rehabilitation Center at Jupiter Gardens. The staff was kind and helpful and was always there to address her needs. The social workers helped Ms. Bean to make the transition to the assisted living center. She is excited to start a new chapter in her journey and was very thankful for to the staff for that assistance.

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Justin Lavian, Professional of the Quarter!

We are proud to share that Justin Lavian, Director of Concierge Services for The Rehabilitation Center at Jupiter Gardens, has been chosen as the second 2017-2018 Professional of the Quarter!

Justin Lavian has been working in the healthcare and customer service field for about 1 year, beginning as an intern at Jupiter Gardens in the AIT program, then transferring to the Director of Concierge Services. “I wanted to join the concierge team, I love assisting the team in any way,” Lavian shared. “I have been the Concierge Director for about 5 months; it is a great opportunity, the next stepping stone and learning tool for myself.”

Lavian is a revered member of the team, and his patients and residents mean so much to him, expressing that one of the best parts of his position is forming relationships with his residents. Also, he shared that the best part of his day is when a resident tells him that they’re happy with their stay, and wouldn’t want to be anywhere else; this is the team goal too.

“My fondest memory as the Director of Concierge Services so far is my interaction with one of our residents who is 104 years old. She was sick for a while, and was in her room. After several weeks, she came out of her room and I enthusiastically greeted her. We always exchanged smiles when we see each other (she does not talk). One day, she stops me, and starts talking! I was very surprised and excited to hear her talk. I took her to see the Christmas tree in our dinning room. By that time, activities started and I asked her if she would like to go, to which she agreed. She was happy that she saw the Christmas decorations together.”

Lavian was honored to be named Professional of the Quarter, expressing, “I am on cloud 9; I’m a little shy about the nomination, the team here is great, and really listens and is hands on. I’m very thankful, and to me, this nomination for professional of the year gives me motivation to keep growing and keep my standards high. I like to share special moments with my residents; they become family.”

Lavian is the second of four professional of the quarters, who will then be in the running for the 2018 CareRite Centers Professional of the Year.

Justin Lavian, you are #TheCareRiteDifference!

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Our Community Supports The Cure For Alzheimer’s

The Jupiter Gardens community was proud to represent the center by supporting the region’s Alzheimer’s walk event this past month. Professional team members joined together with advocates in the area to raise awareness for memory care research and support for a cure. Way to go, team Jupiter Gardens!

#TheCareRiteDifference

Case Study: The Rehabilitation Center at Jupiter Gardens (November 2017)

Patients Age: 78 Admission Date: 11/01/2017 Admitted From: Veteran Affairs Medical Center Discharge Date: 11/29/2017 Discharged To: Assisted Living Center Length of Stay: 28 days Reason for Stay: COPD, History of falling, Abnormalities of gait and mobility How did this patient hear about Rehabilitation Center at Jupiter Gardens? Hospital Case Manager

How did this patient hear about The Rehabilitation Center at Jupiter Gardens?
The patient heard about The Rehabilitation Center at Jupiter Gardens through the VA Medical Center.

Frederick Gras was admitted to The Rehabilitation Center at Jupiter Gardens on November 1, 2017. Just prior, he had splurged and picked up an extra-topping, extra-special take-out pizza from his favorite venue, but never got the chance to eat his delicious pizza; he experienced a fall in the parking lot. Fred’s injury caused him severe knee pain, requiring an immobilizer, limiting his independence and causing him a lack of mobility without support.

“I thought that I was being moved rapidly from the VA and I didn’t know what to expect from here. I did not have all my wits about me when I first came here. I met you [Justin], the nurses and Joy, the unit manager. I was brought to my room and all the nurses were making me comfortable. In the morning, they got me up for therapy. I did not think I was ready for therapy, but they said I was; as always they knew best.

My goals were to get back to where I was before the hospitalization; to get back to a year ago. The year before my son died, I was healthy and able to push him around in a wheelchair. He passed in November the year before, and a year later my wife died. I was taking care of her for ten years. Since her passing, I was losing weight. I gained weight since I have been here because the food is great!”

While at The Rehabilitation Center at Jupiter Gardens, Fred attended physical and occupational therapy to help him get stronger. This was in line with his goal to walk independently once again. Fred spent his time in the facility talking to each and every resident, getting to know them on a personal level. His presence in the gym always lit up the room; he was known to keep the mood light and conversation flowing.

Fred worked hard everyday and after only a few weeks in therapy, he was strong enough to walk again. After a few walks outside around the grounds of the community, Fred proved that he was ready to return home. Prior to his discharge, Fred conveyed his first intentions would be to buy that pizza that he has been craving for weeks.

“I fell going out to get a pizza for myself. I went to the VA because I was a mess, bleeding with torn skin. Bea came to the VA and told me about this community, I agreed because I meet Bea Scafidi, the community liaison, and she was pleasant. It turned out to be a nice place!”

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Case Study: The Rehabilitation Center at Jupiter Gardens (October 2017)

Patients Age: 65-years-old Admission Date: 10/09/2017 Admitted From: St. Mary’s Medical Center Discharge Date: 10/31/2017 Discharged To: Home Length of Stay: 23 days Reason for Stay: Fractured Hip How did this patient hear about Rehabilitation Center at Jupiter Gardens? Hospital Case Manager

Mr. Michael Scanlon arrived at the Rehabilitation Center at Jupiter Gardens on October 9, 2017 from St. Mary’s Medical Center, after he was hospitalized for a fractured hip. Michael had to get four pins inserted into his hip as part of his surgery procedure. After the surgery, Michael was recommended to receive rehabilitation services to build up his strength and be able to return home. Michael’s sister helped choose the Rehabilitation Center at Jupiter Gardens from a list of skilled nursing facilities (SNF) that were given to them at the hospital. Michael and his sister called all the centers on the list and spoke with the social worker. They decided to go with the Rehabilitation Center at Jupiter Gardens.

Michael was a little aggravated at first, still coming down from the amnesia from the hospital. At first he was not receptive of the staff. He had many different people come in and out of his room. He shared that he did not remember them, but they remembered him because they kept greeting him. At one point, Michael thought we had more employees than residents, with the amount of staff that were taking care of him. After a couple of days, Michael became more familiar with the staff and set different goals for himself. He wanted to be in the physical therapy room all day. By the time Michael was discharged, he had grown very friendly with the staff.

Mr. Scanlon began his therapy sessions on October 10, 2017. He fractured his pelvis (non-displaced hairline fracture) on his left femur, from which he had a closed reduction internal fixation on October 6, 2017. At the time of his skilled therapy evaluation, Mr. Scanlon needed maximum assistance to perform standing- walking task and was only able to ambulate approximately five feet with a rolling walker. His lower extremity strength had severely decreased since his injury, which made it difficult for Mr. Scanlon to perform daily activities without assistance.

Mr. Scanlon was in a skilled therapy for approximately three weeks where he saw drastic improvements in his ability to ambulate and perform daily tasks. He was able to achieve this by participating in bilateral lower extremity strengthening by gait training, therapeutic activities and neurological re-education skilled therapy interventions. At the time of his discharge, Mr. Scanlon was able to ambulate more than 200 feet in a rolling walker with modified independence and was able to perform all functional activities with no assistance. He was looking forward to going back to work ASAI and resuming his normal activities.

Michael Scanlon was discharged on October 31, 2017. He has gone back to his home where he will be receiving an evaluation and to be shown the proper exercises for the hip. He will be getting a nurse to come in for an hour a day just to see how he is physically, check his hip and monitor his medication. “The rehab here is amazing, [unfortunately] I had to come here, but it was an amazing experience.” “It was a rewarding experience because it helped me to heal to the point that I’m at, even though I didn’t want to be in this setting.”

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Case Study: The Rehabilitation Center at Jupiter Gardens (September 2017)

Ms. Judith Gibson arrived at the Rehabilitation Center at Jupiter Gardens on September 19, 2017 from Saint Mary’s Medical Center. Prior to her hospitalization, she resided at the Country Residence, a small assisted living center with eight residents. Due to impending Hurricane Irma, Ms. Gibson was transferred to our community for continued care.

Ms. Gibson had developed a diagnosis of altered mental status prior to arriving to our community. She was admitted to the hospital where she received specialized treatment for her diagnosis; Ms. Gibson was treated for three days as an inpatient. The hospital clinical team recommended that Ms. Gibson seek out continued care at a neighboring skilled nursing facility where she could receive physical and occupational therapy for strength building. Ms. Gibson and her close friend, Fey West, selected The Rehabilitation Center at Jupiter Gardens for their incredible reputation and quality of care.

Upon admission, Ms. Gibson was evaluated by occupational, physical and speech therapy. Our speech pathologist determined she was not at risk and was not in need for services; however, both occupational and physical therapy determined that she was in need of support for functional mobility and enhanced independence. To determine Ms. Gibson’s goals, Fey shared with the interdisciplinary team her current status for performing activities of daily living. The team intended to ensure that Ms. Gibson had goals set in place that would be of her best benefit, comparing her functional baseline with her progression. A main therapeutic goal for Ms. Gibson was to facilitate a healthy state that would allow her to return to her assisted living center.

The Rehabilitation Center at Jupiter Gardens is proud of Ms. Gibson’s progress. She is now prepared to return home after only ten days of therapy! Ms. Gibson is also excited to reunite with her many back home. Even with the stress of the storm, Ms Gibson was able to put that aside and focus on getting better so that she could return home!

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