Key Components Supporting Effective Post-Acute Care Practices

Fremont, CA: After a serious illness or injury, additional support may be necessary to regain independence and focus on what matters most. The appropriate care setting for you or your loved one depends on several factors.

Suppose you or your loved one have recently experienced hospitalization due to a serious health issue or injury. In that case, it is advisable to contemplate the following questions and consult your physician regarding the most suitable care environment that aligns with your needs and objectives.

Advocating for the care you require and are entitled to is essential. As a patient, you have the right to choose where you receive your care.

The Different Settings in Post-Acute Care

The Center for Medicare/Medicaid Services characterizes post-acute care as “care that is provided to individuals who need additional help recuperating from an acute illness or serious medical procedure.” The primary environments for post-acute care encompass home health, inpatient rehabilitation, skilled nursing facilities, and long-term acute care hospitals. What distinguishes these settings?

 ● Home health refers to healthcare services delivered directly in the patient's residence. The care team may consist of skilled nurses and therapists collaborating with the patient's physician to establish an appropriate care plan tailored to individual needs.

 ● Inpatient rehabilitation offers more intensive care within a hospital environment, with nursing staff available around the clock. Patients in this setting typically engage in three hours of therapy daily, involving at least two disciplines: physical, occupational, and speech. Physicians also conduct regular visits.

 ● Skilled nursing facilities provide therapeutic services, but there is no mandated amount of therapy, and nursing staff may not always be present.

 ● Long-term acute care is designed for patients who have experienced prolonged, complex hospital stays. While rehabilitation services are available in these facilities, the severity of the patient's conditions may limit their ability to fully engage in therapy, as they might require assistance with essential functions such as breathing.

What Does Therapy Do?

Therapeutic interventions should be tailored to align with your specific objectives, and your healthcare team should assist you and your family in formulating a practical plan to restore your maximum level of independence. Your therapy team needs to collaborate closely with your physician, nursing staff, and case manager, convening regularly to monitor your progress and facilitate your discharge, ensuring a safe transition back to your daily life and community. Increased frequency of therapy sessions generally correlates with improved outcomes. Your care team should modify your therapy to accommodate your capabilities and aspirations.