Re: Rehab Low Category

[Delores234]

Gail, I agree completely.  However, my experience has been that restorative nursing is never involved until the day the therapy discontinued.  I have been trying to  get clients to understand that just because the resident is treated by a therapist that does not preclude  practicing with nursing.

I never could understand how residents were supposed to sustain goals when they only receive therapy with no practice sessions with nursing.

Can you learn to play an instrument just by going to lessons?

Delores

Having Restorative involved in the early stages of therapy helps to transition to Rehab Low at the appropriate time. Remember that you need to have two Restorative Programs and a formal Toileting Plan can count as one and at least 45 minutes of skilled rehab services (any combination) at least 3 dys acrosss 7.  As far as the ARD,  just follow the schedule and the grouper will adjust the RUG to RL. I like to use the RL category either at the beginning of the resident's stay if the resident is too weak to participate in a more rigerous therapy program and build minutes up or at the end of treatment to assure that the program when discharged is safe and effective!

Delores L. Galias, RN, RHIT

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