Patient
Services
Resources
DISCHARGE LEVELS OF CARE:
Sometimes it is necessary to continue your recovery with services
provided at home or in a specialized facility. These services may
include:
Home Care:
Home care agencies provide medical assistance to
the home bound patient. Through the services of registered nurses, home
health aides, social workers, chaplain, and/or physical
therapist/occupational therapists, a specialized home care plan is
designed to meet the patient’s needs.
Hospice: Hospice care addresses the physical, spiritual,
social and economic needs of the terminally ill patient. The care is
provided by family, friends, health care professionals and trained
volunteers. Most hospice care takes place in the familiar and
comfortable surroundings of the patient’s home.
Nursing Home:
Nursing homes provide
room and board, personal care, protection, supervision and medical care
for those unable to be cared for at home. Some nursing homes can provide
hospice and subacute rehabilitation.
- Assisted Living:
Assisted living
provides a special combination of residential housing, personalized
supportive services and individualized healthcare for individuals
requiring help with activities of daily living.
Skilled Care(SNF): A nursing home level of care which requires
the services of a registered nurse, on a regular basis, for treatments
and procedures. Skilled care also includes services provided by
specially trained professionals, such as physical and respiratory
therapists.
A level of services in a
nursing home required to maintain a resident’s activity of daily
living. Includes personal care, ambulation, supervision and safety.
This care can be provided by a nurse aide, practical nurse or a family
member. (This service is not covered by Medicare.)
Rehabilitation Facility: Rehabilitative services are
recommended to patients when they need to relearn skills needed to live
independently and productively. There are three different levels of
rehabilitative services: Acute Rehabilitation; Subacute Rehabilitation
and Day Rehabilitation. The level of rehabilitation needed is
recommended by the doctor and physical therapist.
Acute Rehabilitation:
Is recommended for a patient who
requires an intensive medical program and more than three hours of
physical therapy a day. Acute rehabilitation is provided in a special
rehabilitation facility.
Subacute Rehabilitation: The care provided is individually
designed for patients needing a highly structured rehabilitation program
of less than three hours of physical therapy per day. Subacute
rehabilitation units may be located in designated rehabilitation
facilities and/or in qualified nursing homes.
Day Rehabilitation: Rehabilitation services are provided in
an outpatient rehabilitation setting. Depending on the patient’s
needs, the patient will participate in physical therapy for a full or
half day, three to five days per week.
If your doctor recommends follow-up home care, hospice or
rehabilitation services, a social worker will assist you with the
referral at that time.
The above listed facilities are regulated by federal and state
agencies. A list of home care agencies in your area is available and
will be provided by the social worker and/or nurse on request.
Social Work will help you locate resources for Home Health Care,
Hospice, Rehabilitation Services, Medical Equipment, Transportation and
other outpatient needs.
If additional inpatient care is needed, Social Work will assist you
in identifying the resources that best fit your needs. This includes
Nursing Homes, Inpatient Rehabilitation or any other facilities
recommended enhancing the patient recovery and returning to independent
living.
