This is great, however I would like to add that restorative care for those
residents who become independent is very important less they lose those
skills. Remember a significant change is a decline or IMPROVEMENT requiring
care planning. For example, an individual who was discharged from therapy
walking 100 feet with supervision. This individual then began to walk 150
feet independently with the restorative nurse. The resident has steps to
manage 5 steps to get into his/her home. It might be feasible to discharge
the resident to home if he/she had another course of treatment with PT to
gain greater strenght/endurance to accomplish climbing steps,etc. If this is
accomplished, it is important for the PT &/or OT to do an environmental
safety check of the resident in the home and develop appropriate adaptive
programs.
Gail Neustadt, NHA
----- Original Message -----
From: <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Tuesday, March 16, 2004 7:18 AM
Subject: Re: Rehab Low Category
> In some cases we use restorative nursing six days a week during the final
week of therapy {and then after} to assure continuity. During this time the
resident practices the newly learned skill with Restorative C.N.A. while
still receiving skilled services {usually 3 times/week} This transition
seems to result in improved care and good communication between nursing and
rehab while the resident becomes more independent. In other cases residents
are trult independent following skilled therapy and do not need
reinforcement or additional restorative services.
>
> /----------------------------------------------------------
> The Case Mix Discussion Group is a free service of the
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> -----------------------------------------------------------/
/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
American Association of Nurse Assessment Coordinators
"Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
questions posted to NAC News and FAQs.
For more info visit us at http://www.aanac.org
-----------------------------------------------------------/
