How does an individual qualify for rehabilitation?
Acute rehabilitation requires that patients be able to tolerate three hours of therapy per day. This includes at least two different specialties – physical, occupational and/or speech therapy. Patients must have a community discharge plan and be considered likely to return to a higher level of function with the help of rehabilitation.
What happens if a person comes to rehabilitation, but cannot tolerate the required amount of therapy?
If at any time a patient cannot tolerate therapy, and/or it is determined that he or she would benefit more from a different level of care, the rehabilitation staff has 72 hours to work with you to identify a discharge plan. These plans may include acute care, long-term acute care or a skilled nursing facility, dependent upon the situation.
Are your rehabilitation rooms private?
Most of our rehab rooms are semiprivate. This means that they accommodate two patients, with a partition dividing the room. We offer several private rooms, based on availability and patient need.
When should family visit and be near?
Immediate family is always welcome and is encouraged to participate regularly in a loved one’s care, including attending therapy and educational groups. Active participation helps facilitate a smoother transition home when the time comes.
Once a week, the therapy team discusses progress and also plans for the coming week. After this meeting, the rehabilitation social worker will communicate with family members, either in person or over the phone.
Can family members spend the night?
We do whatever we can to make sleeping arrangements available to one family member. During the night, the staff instructs that person about care activities as a part of the rehabilitation process. This sleeping accommodation may not be available if your loved one has a roommate, to protect patient privacy and ensure overall safety in emergency situations.
How much are rehabilitation costs?
Out-of-pocket costs vary, based on your insurance coverage. We will assess benefits on your behalf and communicate with you as a part of the evaluation process. If you have additional concerns, we encourage you to speak with your insurance provider directly.
Can we put our loved one in a nursing home after discharge for a little while?
All rehabilitation patients are required to have a community discharge plan. This means that they should be going home and not to another facility. Nursing homes offer an alternative level of care from rehabilitation. If your loved one definitely needs to go to a nursing home for care needs to be met, rehabilitation may not be the right choice for their recovery.
Can rehabilitation patients go on outings with family?
Our team is responsible for the safety of your loved one during his or her stay on our unit. Therefore, patients are not routinely allowed to leave the premises unless it’s for a therapy outing, and while accompanied by a staff member. If extenuating circumstances exist and a patient gets approval from the medical director, accommodations may be made for short outings – on a case-by-case basis.
How long do patients typically stay in the rehab program?
Every situation is different and depends on the type and severity of illness. The length of stay in the rehab center varies, but averages 10-12 days. Our team is dedicated to maximizing patient safety and independence, and continually works with a patient until progress is no longer noted or he or she is at expected functional ability. At that time, the staff will work toward discharge.
What should patients bring from home during their stay?
Rehabilitation is aimed at ensuring a safe transition home. We encourage patients to have as many of their “routine” items as possible (eyeglasses, dentures, hearing aids, etc.). It is also important for patients to have several sets of loose-fitting clothing, undergarments and shoes with nonskid soles. Please avoid bringing any money, jewelry or other valuables, as we cannot ensure their security.
What’s a typical day like in rehab?
Rehabilitation is structured to maximize the benefits that patients receive from their stay. Patients receive and adhere to a specific schedule each day, but can expect this general daily format:
- Nurses help get patients up early to take medications and get ready for breakfast. (They may or may not take a shower and dress, depending on daily therapy for the day.)
- Then, expect 1-2 hours of therapy in the morning.
- Lunch is served in a patient’s room where he or she is seated in a chair for all meals.
- After lunch, there is a short rest period before returning to therapy for the remainder of the afternoon.
- Evenings are typically unstructured to allow for rest after an intense day of therapy. Nurses visit patients throughout the day to ensure all their needs are being met.
What can we expect when our loved one is ready for discharge?
We do everything possible to make the transition from rehabilitation to home a smooth one. Your loved one’s social worker and case manager will work together to evaluate support systems, and help arrange any necessary community services and equipment. On the day of discharge, we ask that family members be present for any instruction. We strive to discharge all patients as soon as possible, which is usually around lunchtime.
What’s the difference between inpatient and outpatient rehabilitation?
There are some distinct differences! Most notably, inpatient programs provide 24/7 medical care and monitoring, as well as meals and housing while the individual is in treatment. Patients receive three hours of therapy at least five days per week while in inpatient rehabilitation. Outpatient rehabilitation happens in a clinic setting, and is available Monday-Friday during business hours.
What’s the difference between Acute Rehabilitation and rehabilitation at a nursing home?
Acute Inpatient Rehabilitation offers distinct advantages in the level of care and services over nursing homes and assisted-living facilities. Some of these advantages include:
- Full-time physiatrist Medical Director actively guiding patient treatment. Patients are seen in person by a rehabilitation physician at least three times per week. By contrast, patients in some nursing homes may not see a physician more than once a week or, in some instances, even longer.
- Intense therapy regimen to enhance outcomes and expedite recovery. Acute Rehabilitation programs require a minimum of three hours a day of PT, OT and/or speech therapy at least five days per week. At nursing homes there is no minimum.
- Rehab-trained nursing care 24/7. More than 90 percent of our nursing staff is registered nurses. All of our Rehabilitation Nursing staff has ongoing development in rehabilitation-specific topics to support the highest level of care for our patients.
- Direct Medical Center access. As a part of the greater Saint Francis campus, patients in our Rehabilitation program have easy access to all services included at the Medical Center as well as any specialists that they were seeing when they were hospitalized.
What is a physiatrist?
A physiatrist is a physician who specializes in physical medicine and rehabilitation, and treats various musculoskeletal (muscles and bones), cardiovascular (heart and blood vessels), pulmonary (lungs and breathing) and neurological (nervous system) disorders. A physiatrist also focuses on functional capabilities.
Will our loved one’s doctor be involved?
The difference between inpatient rehabilitation and other post-acute venues is the level of interaction with a patient and physician. Our doctors see patients 3-5 times a week to evaluate progress, address concerns and discuss upcoming plans. Typically, a medical director can be found on the unit at least four hours per day, Monday-Friday.
What if emergency medical care is needed while in rehab?
Our staff is trained to respond in emergent situations and can address any issues if they arise. In addition, we have the full support of the Medical Center, including response teams and specialty diagnostic and treatment equipment, plus easy access to acute care and/or surgery as needed.
Do you offer tours of the facility?
Most definitely … and we would love to show you around! Please contact an admission liaison at 573-331-5811 or simply stop in for a tour.
Where should we park?
Rehabilitation is located on the main level just behind the registration center. All visitors are encouraged to use Entrance 4 (Registration) when visiting.
How do you keep family members informed on a patient’s progress and care?
To help streamline communication and ensure that our team is communicating effectively with your family, the nursing staff will ask for a family contact at admission. This person will be the point of contact to ensure appropriate communication and proper planning for the transition home.
After a family contact is selected, we will communicate regularly with him or her, and also direct other family members to him or her as a resource. This person should be available to help after discharge and should also have availability for training and instruction.
If you have additional questions regarding Saint Francis Rehabilitation Services, call 573-331-5184.