Our therapy department would skill and work as long as
they could. I think prior level of function is a factor, and also that she was
living with her Dad at home. She can have her therapy adapted to her abilities,
sometomes a speech therapist can help assess cogntiive/linguistic deficits,
approaches. If she is attending Adult Day Care she would probably do well. Just
my opinion, but we had a man who was mentally retarded and demented and therapy
was still able to work with him.
ann m schoeny
crnac
sem haven nursing and
rehab
225 cleveland
ave.
milford, ohio
45150
(513) 248-1270
-----Original Message-----
From: Infante, Marie [mailto:[EMAIL PROTECTED]
Sent: Thursday, April 22, 2004 10:01 AM
To: [EMAIL PROTECTED]
Subject: RE: Mentally Challenged ResidentsBack when I was still an orthopaedic nurse, the rule was if they walked before hip fracture, they could walk after...Has something changed since then? I am surprised that the rehab dept of all places would come up with such an excuse given that their profession(s) work with disabled populations of all types. I would be thinking in terms of consistent and effective pain management, playing to the individual's communication strengths and a lot of follow up on the floor to complement the actual therapy sessions. MCI-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Libby Cawthorn
Sent: Thursday, April 22, 2004 8:56 AM
To: [EMAIL PROTECTED]
Subject: Mentally Challenged ResidentsWe are a hospital based SNF, Medicare only and geared mostly towards short time rehab. I eval'd a mentally challenged 44 year old female and she meets the criteria for admission. The problem is our therapy dept. is hesitant about her due to her mental defect and feel she is not teachable. This patient attends an Adult Day Care program and lives at home with her father who is very supportive. She ambulated independantly before fracturing her hip in a fall. Admission is my decision but I am not sure what to do in this situation. How do other facilities handle the mentally challenged and patients with Alzheimer's that need rehab following ortho surgery? I feel like we take only "the cream of the crop" and leave the ones who could really benefit from our services out there to become someone else's problem. I don't want to admit her and then have therapy eval and discharge.Libby Cawthorn, RNDirector/MDS Coordinator SNFSTATEMENT OF CONFIDENTIALITY:
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