Faye Jones <[EMAIL PROTECTED]> wrote:
We provide services to these individuals just like everyone else (unless the deficit is so advanced or severe they can�t possibly benefit). You just need good documentation to show progress is being made-even these residents have to right to return to previous level of functioning if possible and our experience is that many of them do. Many people with learning deficits are �trainable�. Actually this scenario is one of the reasons for my recent interest in predictability of pauses in need for therapy. Sometimes they cannot be taught limited weight bearing techniques and therapy has to be on and off r/t status changes. IF you take her be sure everyone understands the in and out�s of coverage so if a cut (even temporary) takes place, all the financial bases are covered
-----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 Residents
We 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, RN
Director/MDS Coordinator SNF
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