If a patient can achieve his or her highest level of independence, as a rehab clinician, I say let’s go for it. To Medicare reviewers, too often they say stop at the prior level of function. So I often challenge the reviewer to explain this terminology.
I love my grandma dearly. She’s still going strong, living independently in a ranch-style house. But while her stubbornness may be the reason she lives such full and active lifestyle, it’s also a trait that almost cost her big-time when she had a “health scare” a few years ago.
The theory of improving function in China is overshadowed by the focus on comfort, reducing pain, and providing as much rest as possible. From a cultural standpoint, the family dynamics are very different from our American experiences.
A few years ago, my consulting company had the opportunity to work with a facility to implement a bariatric unit within a skilled nursing facility. This would seem an easy task, but the facility ended up in major renovations for a variety of reasons.
Is it worth it? I’m referring to home visits by the therapy team, the patient, and their family. These are the clinical visits with the patient to their home for a “practice run” conducted several days or a week before their official discharge from the facility.
A few years ago, I broke my leg. Ouch! I was stuck in a long-leg cast for 14 weeks. Luckily, no surgery was required. It was around the holidays, so I asked to have my cast done in red and green stripes.