Restraint-free, sounds good to me

Thursday, Aug. 17 was more than just the first day of school for my children. With all five now in school, it was the first day in 10 years during which we did not have a child at home.

Rehab patients are not always as they appear

We often see a phenomenon in rehab patients at initial presentation. Many times they are not as they appear.

RCS-I: Where will your rehab patients fall?

With the shift from volume in RUGs IV to a goal of value and patient characteristics in RCS-I, rehab providers should ask themselves a number of frank questions.

Speaking 'out of turn'

It is up to caregivers to determine what individuals are attempting to express, and how they should adjust care to meet their needs.

RCS-1 CMS Case-Mix Rule

There is a new horse in town and it goes by the name of RCS-1.

When the patient plot thickens

We had a plan. We should have known better.

Mommy, work's all done

It's 10:42 p.m. when I finally pull into the driveway. A six-and-a-half-hour drive home from a site visit. My in-laws' car is not in the driveway. I take a deep breath. This means that my husband is home alone trying his best to manage our five children ... Lord only knows what kind of a scene I am getting ready to walk into.

SNF Therapy Myths: Busted!

There are many myths surrounding rehab services in skilled nursing facilities. They often come from a lack of understanding of skilled care and a need to increase knowledge of Medicare regulations. I'll bet we have all encountered at least some of these.

Is your rehab partner wearing blinders?

Never, ever bet on a horse wearing blinders. Why, you ask? Because, of course, a horse wearing blinders must be irresponsible, uncontrollable and, worst of all, completely unaware of its surroundings. At least as a child who spent my summers at the track, that was my logic. You need another kind of logic to prepare for the workdays ahead.

Naughty or Nice?

If left up to me this holiday season, I vote let them be NAUGHTY.

Rehab Realities

Rehab Realities is written by Renee Kinder, MS, CCC-SLP, RAC-CT.  She currently serves as Director of Clinical Education for Encore Rehabilitation and acts as editor of Perspectives on Gerontology, a publication of the American Speech Language Hearing Association.