This in-home care division responds to the special needs of patients requiring continuous care due to a life-changing injury or chronic disease. Patients may include those with severe or multiple traumas who have suffered brain, spinal cord, pediatric or work-related injuries, post-surgical patients, or others who are chronically disabled. For example, a patient who is now paraplegic due to a spinal cord injury in a car accident and requires 24-hour supervision or a patient suffering from brain and spinal cord degeneration due to ALS (also called Lou Gehrig’s disease) or MS. Patients and families will be assisted with recovery, with the goals of maximizing rehabilitative potential and regaining independence in the community.
To ensure the best possible outcome, we are involved in the patient’s care transition from hospital or rehab facility to home. We assist with discharge planning and the development of a care plan tailored to the patient.
- Highly specialized rehabilitation nursing (e.g. ventilator and tracheostomoy care)
- Physical, occupational and speech therapies
- Personal attendant care/short and long-term
- Assistance with home modifications and adaptive aids
- 24-hour coordinated care
We believe the family plays a central role in the patient’s rehabilitation success and our approach fully integrates the family in the process. Regular team conferences are held to ensure communication between all parties. We provide a timely summary of the patient’s status and outcomes, and the patient’s physician is regularly updated.
We employ a highly specialized group of rehabilitation nurses, community-based physical, occupational and speech therapists, and other support staff dedicated to address the special care needed for those who have suffered catastrophic events or need continuous care.
I can say with confidence that we have seen a better outcome for our son because of the care plan that was designed and delivered by THE MEDICAL TEAM.
– Mother of catastrophically injured son