Outstanding and clear explanation of the difference between skilled nursing (sub acute) and In Patient Rehab (Acute) services. Now we get why our 96 year old mom is starting our with 1-2 hrs of “therapy” a day vs a minimum of 3 hours a day which would exhaust her! Thanks so, so much for the consideration and crystal clear explanation! 👍
I'm a former Executive Director for an Assisted Living and Memory Care. I've seen better results when my residents went to Inpatient Rehab vs a SNF. There were even times when I had the resident go to SNF and would come back without much improvement. The doctor recommended trying an Inpatient rehab and that same resident came back being able to do so much more. And people need to understand the 3 hours is not all together. They may do 45 minutes in the morning, 45 mid day and 45 later that afternoon. And the whole 3 hours may not just be exercise. I'm no expert but I do know there are other things involved in that 3 hours besides exercise.
My father died of Alzheimer's last year. He was in a nursing home but kept falling and getting injured. He would be sent to a rehab facility (to heal the fall injury). Rehab people keep talking in terms of the patient "getting better". This is very misleading to the family because Alzheimer's disease has no cure and the patient is not going to "get better". It gives a sense of false hope. I had to explain this to my elderly mother several times. My point here is that medical professionals need to be precise in rehab about what is "getting better".
I'm sorry that happened to you. As a therapist I always educate patients on how the process works. Acknowledging that therapy is not a cure all but therapy can help improve a patients rhythm/mobility. It really depends on how far along the patient is. Also, you have to keep in mind that some people become agitated when given the truth in a straight forward manner. Therapist would have to build rapport with your family and then try to be straight forward. I also feel like Parkinson's is a disease that is more about funding safe ways of performing tasks or giving family education to decrease or prevent care giver burnout or injuries to pt/pt family. Again I am sorry for your loss.
I’m am occupational therapist in acute rehab. I like to explain it this way: We want to get you to the point where you can safely discharge home alone or with the help of others. Or wherever the patient is discharging to. We obviously can’t cure Alzheimer’s, but we can help the patient build back their strength. We can also train the family/caregivers on home adaptations and safety recommendations going forward.
Outstanding and clear explanation of the difference between skilled nursing (sub acute) and In Patient Rehab (Acute) services. Now we get why our 96 year old mom is starting our with 1-2 hrs of “therapy” a day vs a minimum of 3 hours a day which would exhaust her! Thanks so, so much for the consideration and crystal clear explanation! 👍
I'm a former Executive Director for an Assisted Living and Memory Care. I've seen better results when my residents went to Inpatient Rehab vs a SNF. There were even times when I had the resident go to SNF and would come back without much improvement. The doctor recommended trying an Inpatient rehab and that same resident came back being able to do so much more. And people need to understand the 3 hours is not all together. They may do 45 minutes in the morning, 45 mid day and 45 later that afternoon. And the whole 3 hours may not just be exercise. I'm no expert but I do know there are other things involved in that 3 hours besides exercise.
You are right. Therapy can also focus on balance tasks, safety, transitions, and independence with self care tasks.
It can be a combination of other therapy types such as OT and SLT.
My father died of Alzheimer's last year. He was in a nursing home but kept falling and getting injured. He would be sent to a rehab facility (to heal the fall injury). Rehab people keep talking in terms of the patient "getting better". This is very misleading to the family because Alzheimer's disease has no cure and the patient is not going to "get better". It gives a sense of false hope. I had to explain this to my elderly mother several times. My point here is that medical professionals need to be precise in rehab about what is "getting better".
I'm sorry that happened to you. As a therapist I always educate patients on how the process works. Acknowledging that therapy is not a cure all but therapy can help improve a patients rhythm/mobility. It really depends on how far along the patient is. Also, you have to keep in mind that some people become agitated when given the truth in a straight forward manner. Therapist would have to build rapport with your family and then try to be straight forward. I also feel like Parkinson's is a disease that is more about funding safe ways of performing tasks or giving family education to decrease or prevent care giver burnout or injuries to pt/pt family. Again I am sorry for your loss.
I’m am occupational therapist in acute rehab. I like to explain it this way: We want to get you to the point where you can safely discharge home alone or with the help of others. Or wherever the patient is discharging to. We obviously can’t cure Alzheimer’s, but we can help the patient build back their strength. We can also train the family/caregivers on home adaptations and safety recommendations going forward.
@@nickit7655 Your explanation is the type we should've heard at the time. I get the impression you are a very good caregiver.
@@xfiles4792 thanks! I enjoy working at the rehab!