Libby, it sounds like your rehab department either doesn't want to have to work at their job or are not up for a challenge. As long as the resident can follow basic directions & task segmentation, they should be able to rehab her. At my facility we currently have one our favorite residents here for his 2nd admission (he was here a year ago for rehab and discharged). He is not only mentally retarded, but he is also deaf and mute. Therapy works with him because he can follow hand gestures and hand over hand techniques. His face lights up and he really enjoys his time spent in the gym.------Mike
Libby Cawthorn <[EMAIL PROTECTED]> wrote:
Libby Cawthorn <[EMAIL PROTECTED]> wrote:
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, RNDirector/MDS Coordinator SNF
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