After being released from the hospital, a person is transferred to a skilled rehab facility for the hands-on care. This can be either medical care or rehabilitation care — and sometimes both. Skilled physical rehabilitation care is a high level of care that can only be provided by trained and licensed professionals, like physical, occupational, and speech therapists. Skilled care is short-term and helps people get back on their feet after injury or illness. It is often given in a skilled subacute inpatient facility.
After admission a comprehensive assessment is completed and an individualized plan of care with realistic goals and discharge plans is established.
Plan of care may include:
- Skilled nursing services: These may include
- IV* or IM* injection of drugs given at least every 12 hours
- Parental feeding (TPN) or enteral feeding, (eg, nasogastric, gastrostomy or jejunostomy)
- Active management of an exacerbation of chronic disease conditions
- Complex wound care of stage 3 or 4 or multiple stage 2 decubitus ulcer(s)
- Wound Vac Device or drain management, including initial care of urinary or wound drain catheters (such as bladder irrigation, nephrostomy tube, suprapubic catheter or JP***/biliary drains
- Ventilator and/or tracheostomy management and weaning
- Skilled therapy services: Adult and pediatrics
- Physiotherapy
- Occupational therapy
- Speech and language therapy
- Counseling
- Neuropsychology
Patient Admissions Checklist
- NHIF Card and National ID
- Medical health Insurance
- Discharge summary
- Imaging information
- Medications/list
