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Shari,

If these people you are referring to are over 55, you may want to see if there

is a PACE (Program for the All-Inclusive Care for the Elderly) in your area.

This can be a good solution for those who have family support but need more help

than HH can provide. PACE programs provide transport, OT/PT/ST, MD, RN,

Activities, at least one meal, family training, DME, etc...everything possible

to allow the patient to continue to live intheir own home as long as possible.

Romano PT

Sentara Senior Commuity Care Program

Virginia Beach, VA

caroltonrehab wrote:

Hi, I was wondering how people out there are handling discharges from

short term rehab facilities. We have had some patients lately that we

recommend they have 24 hour supervision for discharge home due to

safety issues or require assist for all transfers. The family and pt

are educated on the reasons for the assist but when they arrive to

pick up the patient they state that the patient did not want anyone in

the home so they do not have the recommended amount of care. Should we

cancel the discharge until proper care is in place, are we responsible

if they go home then are injured or end up hospitalized shortly after

D/C home?

Thanks for any input

Shari France,PT

Rehab Director

Carolton Rehab

Fairfield, Ct

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