Home after Rehabilitation
— September 15th, 2019
Hospitalization due to acute and/or critical illness will cause a high risk of being deconditioned, especially for seniors. Lack of physical activity, immobility, poor nutrition and the medical illness itself can contribute to deconditioning and if prolonged can cause atrophy leading to disabilities. Atrophy is a pathological process that cause tissues and muscles to decrease in its size.
Rehabilitation is a long process and individuals may need to be in a rehab facility. It involves interventions that are focused on recovering from disabilities, return back to baseline functional capacity and/or achieve their optimal physical capabilities. It involves an intensive program with the interdisciplinary team that ensures proper assessment, plan and interventions. A patient will go through a series of exercises, training and other therapy program. An assistive device is a tool for training to assist in exercises and therapy program, and at the same time it encourages individuals to perform activities of daily living and self-care.
Often times, patients are discharge from rehab when the strength is back, learned and can carry on activities safely and learned to use assistive device appropriately. Rehabilitation continues at home!
What are the strategies to support a successful rehab at home?
• Environmental safety. Coming home after rehab is a period of higher risk of falls and injury. Preparing the home is crucial as part of strategies in a successful transition back to home. Safety proofing is individualized depending on the needs of the client. Common measures will be put in place for safety including increased lighting, colored steps strips, non-slippery tub, toilet grab bars, stairway handrails, uncluttered and no loose nails or rugs on floor space.
• Pain management. Proper assessment of pain is important in coordination of timing of medication administration. This is to reduce discomfort when performing exercise, therapy regimen and doing activities of daily living. This also ensure safety and prevent injury.
• Proper management of chronic illness. Nutrition, rest and sleep and taking prescribed medications the right way are part of a successful recovery and healing. This control and /or prevent occurrence of symptoms of chronic illness.
• Compliance and motivation. Engagement and active participation in plan of care to increase compliance and motivation. The client is assess based on their interest and the activities is plan accordingly. Simple activities at a time to achieve successfully will encourage to do more and strive to do better. Emotional status includes self-motivation and willingness to strive and achieve the set goal.
• Social support. Social support plays major aspects of successful rehabilitation. Transitioning to home involves family members, some changes in roles and other responsibilities.
The ultimate goal of care is to successfully transition back to home and back to previous routine and be “your old self” and if not possible, at least the best capacity you can be.
For in-home rehab assistance, Geri Health Home Care will guide you through with your journey. Geri Health Care Coordinator is available 24/7 and will arrange schedule for ongoing nursing home visit to assess and track your progress and be able to support for any health concerns. Contact us today at 416-431-6266.
Anabelle Heramia is the founder of Geri Health Home Care. She earned her Bachelor of Science in Nursing in Lyceum Northwestern University in the Philippines. She started her Nursing career at a Pediatric facility in the Philippines then had the opportunity to worked in Singapore General Hospital in Singapore. She came to Canada and worked as live-in caregiver. Anabelle is very motivated person, driven by her passion of caring and her Nursing profession. She graduated the program Bridging to University Nursing at Centennial College and started working in Acute geriatric medicine at Sunnybrook Health Science Center. She also worked in Palliative Care at Providence healthcare for number of years. Her Nursing career at Sunnybrook is diverse and extensive experience, she worked in various units including step down ICU and Hemodialysis unit. Anabelle founded Geri health Home Care which is her way for her passion and dedication to care for the seniors, people with complex chronic medical problems, people who decided to live comfortably as palliative at home and most of all provide care and support for family caregivers who most of them spend so much time for their loved ones.