For years our facility has had a very progressive Restorative program which is managed by an RN.  Specially trained RNAs (restorative nurse's aids) provide the care and much of the documentation.  When one of our residents shows a decline in ADLs, such as feeding or ambulation, that resident is screened by the appropriate therapy.  If therapy does not pick the resident up, a referral is made to Restorative; the RN and therapist develop a plan of care which is then provided by the RNAs 7 days a week.  We find we are able to help our residents maintain a higher level of functioning this way.
 
Judy Brulotte, RN,C, RAC-C
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Sent: Wednesday, May 12, 2004 8:21 AM
To: [EMAIL PROTECTED]
Subject: Re: RESTORATIVE

Another consideration with rehab being involved with restorative programs is the cost.  If you have a contract therapy service, think about how miuch this is costing your facility to be involved in a "nursing program".  I get very concerned when I hear that the rehab department in some facilities insists on screening and evaluating residents for the restorative program. This is not needed and an additional cost. 
 
Denise F. O'Donnell, RN, RAC-C, MN, NHA
QUnique Corporation
1 Lion Trail
Carroll Valley, Pa. 17320
1-877-642-9451

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