Choosing a Rehab Program

December 8, 2009 by  
Filed under Education

The doctor and other hospital staff will provide information and advice about rehabilitation programs, but the patient and family make the final choice. Hospital staff know the patient’s disabilities and medical condition.

They should also be familiar with the rehabilitation programs in the community and should be able to answer questions about them. The patient and family may have a preference about whether the patient lives at home or at a rehabilitation facility. They may have reasons for preferring one program over another. Their concerns are important and should be discussed with hospital staff.

Things To Consider When Choosing a Rehabilitation Program

  • Does the program provide the services the patient needs?
  • Does it match the patient’s abilities or is it too demanding or not demanding enough?
  • What kind of standing does it have in the community for the quality of the program?
  • Is it certified and does its staff have good credentials?
  • Is it located where family members can easily visit?
  • Does it actively involve the patient and family members in rehabilitation decisions?
  • Does it encourage family members to participate in some rehabilitation sessions and practice with the patient?
  • How well are its costs covered by insurance or Medicare?
  • If it is an outpatient or home program, is there someone living at home who can provide care?
  • If it is an outpatient program, is transportation available?

A person may start rehabilitation in one program and later transfer to another. For example, some patients who get tired quickly may start out in a less intense rehabilitation program. After they build up their strength, they are able to transfer to a more intense program.

When Rehabilitation Is Not Recommended
Some families and patients may be disappointed if the doctor does not recommend rehabilitation. However, a person may be unconscious or too disabled to benefit. For example, a person who is unable to learn may be better helped by maintenance care at home or in a nursing facility. A person who is, at first, too weak for rehabilitation may benefit from a gradual recovery period at home or in a nursing facility. This person can consider rehabilitation at a later time. It is important to remember that:

Hospital staff are responsible for helping plan the best way to care for the patient after discharge from acute care. They can also provide or arrange for needed social services and family education.

This is not the only chance to participate in rehabilitation. People who are too disabled at first may recover enough to enter rehabilitation later.

Tags: Geriatrics, Rehabilitation medicine, Nursing, Nursing home, Healthcare

Acute Care for Stroke Survivor

December 8, 2009 by  
Filed under Education

The main purposes of acute care are to:

  • Make sure the patient’s condition is caused by a stroke and not by some other medical problem.
  • Determine the type and location of the stroke and how serious it is.
  • Prevent or treat complications such as bowel or bladder problems or pressure ulcers (bed sores).
  • Prevent another stroke.

Encourage the patient to move and perform self-care tasks, such as eating and getting out of bed, as early as medically possible. This is the first step in rehabilitation.

survivors and family members may find the hospital experience confusing. Hospital staff are there to help, and it is important to ask questions and talk about concerns.

Before acute care ends, the patient and family with the hospital staff decide what the next step will be. For many patients, the next step will be to continue rehabilitation.

Tags: Medicine, Stroke, Patient safety and nursing, Healthcare, Stroke recovery, Patient safety

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