When Your Loved One is Discharged From the Hospital

What happens when your loved one is ready to leave the hospital? Until now you’ve been juggling your career and home responsibilities, visits to your loved one, and meetings with doctors. You haven’t really given any thought to what comes after.

But experts say you need to start planning your loved one’s discharge almost as soon as they enter the hospital.

When your elderly mom or dad has a stroke, heart attack, or other emergency event, they’re rushed to the hospital for acute care. Once the patient has been stabilized and no longer needs hospital-level care, it’s time for discharge—even though they haven’t fully recovered yet.

A medical crisis and hospitalization throws the spouse or adult children of the patient into a whirlwind of decisions, confusing medical jargon, and labyrinth insurance rules.

What You Need to Know

In most cases, a stroke or fall victim will need rehabilitation at a sub-acute rehab facility. The first thing you will need to do is decide which facility is best for Mom or Dad. How to choose a rehab facility is beyond the scope of this article, but here’s a good place to start: Selecting Long Term Senior Care.

The hospital should give you a written discharge plan with instructions for post-hospital care. This is especially important if you’re bringing Mom or Dad home. The plan should include:

  • Overall care instructions
  • Where the patient is going—i.e. skilled nursing care, sub-acute rehab, home
  • Medication instructions, along with possible side effects
  • Symptoms to watch out for
  • What to do if these symptoms occur
  • Any necessary follow-up appointments

Make sure to go over the discharge plan with the patient’s doctor or nurse. If you don’t understand something, speak up and ask for clarification. The day before discharge can be a frenzied experience, especially if the hospital only informed you about the discharge that day. Take a few deep breaths to keep calm, and don’t worry about being assertive in making sure you understand the doctor’s instructions.

For more information about planning your discharge, check out this article from Robert Wood Johnson University Hospital.

When discharge day comes, make sure you are well-rested and have eaten well. Bring along nutritious snacks and an extra drink or two for you and the patient. Getting discharged from the hospital can be a long process with a lot of waiting, so make sure you’re prepared.

With some advance planning, you can help your parent or loved one have a seamless transition from the hospital to a rehab facility.

What is Acute Rehabilitation?

In July of 2015, I published this short description on our internal Regency Blog, outlining the difference between “acute rehab” and “sub-acute rehab.”

The article was very well received and has been visited by over several thousand unique visitors, to date.

Just this morning, an industry colleague who works in a local hospital informed me that she disseminated my blog to a fellow social worker to help her better articulate to families the nuances and differences between the two.

Regency is always happy to oblige, especially when we are educating and empowering!

My Visit To The Manor Health And Rehab Center In Freehold, NJ

Last night I went to visit a patient at The Manor skilled Nursing and rehabilitation center in Freehold, NJ

This patient is looking to transfer to Regency Park, which is our magnificent Nursing and Post-Acute Rehabilitation Center located in Hazlet, NJ.

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The Manor Health and Rehabilitation Center in Freehold, NJ, provides short-term rehabilitation and long-term skilled-nursing services for adults age 18 and older and is located on the campus of CentraState Medical Center. The Manor is part of CentraState Healthcare System’s senior services division.

Upon my arrival to The Manor, I took these several photos:

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The Manor Entrance
The Manor Entrance
Hallway
Hallway

The Manor is located not too far from our World Class Nursing and Rehabilitation Center, Regency Heritage, which is located in Somerset, NJ.

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For more Information on Regency Park and Regency Heritage, or to schedule a tour, please call 732-264-5800, or visit us online at www.RegencyNursing.com

 

My Visit To Roosevelt Care Center At Old Bridge, NJ

Late last night I paid a visit to the Roosevelt Care Center at Old Bridge, NJ.

This is a skilled nursing and rehabilitation center located at 1133 Marlboro Rd. Old Bridge NJ 08857.

I was there to meet with a family and a patient who will be transferring today to our magnificent Regency Park Nursing and Rehabilitation Center in Hazlet NJ.

Regency Park is located just a short drive from the Roosevelt Care Center and the family selected us for our world class 5 Star Rated Care.

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Gorgeous Regency Park. Click on image to be taken to our website!

Roosevelt Care Center is located near the intersection of Routes 9 and 18

The Middlesex County Board of Chosen Freeholders began construction on the 105,000-square-foot center in 2009, and Roosevelt Care Center at Old Bridge officially opened its doors in the fall of 2011. The intent was to extend all of Roosevelt Care’s services to a more convenient location for South County families and residents.

Upon my arrival, I took these several photos:

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30 Day Readmissions Rate: What’s Behind The Number

I picked up a fantastic article today by Kevin McMahon, MPA, LNHA, writing for LTL.

Kevin McMahon, MPA, LNHA
Kevin McMahon, MPA, LNHA

Both the acute care and post-acute care (PAC) industries have their full attention focused on the much discussed and hyper-analyzed 30-day readmission metric. On the acute care side, this number determines whether a reimbursement penalty will be applied—affecting revenue streams. On the PAC side, the number increasingly will be used to judge the quality of PAC partners and ultimately communicate that information to discharging patients. High stakes stuff for sure. Unfortunately the fixation on this magical metric might be obscuring various subtle and more nuanced aspects of this readmission puzzle.

As I have considered this metric and its implications both as a PAC administrator and in my current job on the acute care side of the of the healthcare world, I have stumbled on three not-so-obvious angles that PAC providers need to be aware of and, if at issue, develop a means to address.

Read more.

Rehabilitation Robots Help With Therapy

Regency Nursing Centers loves evolving technologies in healthcare, since we’ve been at the forefront of innovation for years.

ReportsnReports.com offers “Rehabilitation Robots, Active Prostheses, and Exoskeleton Market Shares, Strategy, and Forecasts, Worldwide, 2014 to 2020” research report in its store. The report is of 326 pages and has 154 industry tables and data figures. Rehabilitation robot market size at $43.3 million is expected grow dramatically to reach $1.8 billion by 2020. Market growth is a result of the effectiveness of robotic treatment of muscle difficulty. The usefulness of the rehabilitation robots is increasing. Doing more sophisticated combinations of exercise have become more feasible as the technology evolves. Patients generally practice 1,000 varied movements per session. With the robots, more sessions are possible.

Relearning of lost functions in a patient depends on stimulation of desire to conquer the disability. The independent functioning of patients depends on intensity of treatment, task-specific exercises, active initiation of movements and motivation and feedback. Rehabilitation robots can assist with this task in multiple ways. Creating a gaming aspect to the rehabilitation process has brought a significant improvement in systems.

As patients get stronger and more coordinated, a therapist can program the robot to let them bear more weight and move more freely in different directions, walking, kicking a ball, or even lunging to the side to catch one. The robot can follow the patient’s lead as effortlessly as a ballroom dancer, its presence nearly undetectable until it senses the patient starting to drop and quickly stops a fall. In the later stages of physical therapy, the robot can nudge patients off balance to help them learn to recover.

Worldwide markets are poised to achieve significant growth as the rehabilitation robots, active prostheses, and exoskeletons are used inside rehabilitation treatment centers and sports facilities providing rehabilitation for all patients with injuries or physical dysfunction

Very cool stuff!

Rehab Facility Near Bayshore Hospital, NJ

I was at Bayshore Hospital today.

Our World Class Nursing and Rehab Facility, Regency Park in Hazlet, NJ is located just several minutes away.

We have an excellent relationship with Bayhsore Hospital and they rely on us to provide their discharged patients with a robust and intensive Therapy program.

We never disappoint!

I took this photo of the hospital covered in snow!

Bayshore Hospital covered in snow.
Bayshore Hospital covered in snow.