Cancer is a chronic disease with intermittent acute episodes resulting in the need for care in various settings, including rehabilitation and long-term care. The multidisciplinary team, familiar with the patient’s disease, treatment, and prognosis will integrate all aspects of care and will assist the patient through all phases of an exacerbation of disease or chronic disease. To assist the patient after surgery, there is coordination with treating oncologists and restorative therapy.
Cardiac/ Post Open Heart Surgery Care
Skilled nursing care and medical treatments are provided to assist in the prevention of complications and improve the rehabilitation of patients with cardiac conditions. Post open-heart surgery patients are monitored closely for incision healing and potential cardiac complications. The multidisciplinary team provides a specially designed program for cardiac care and work together to return the patient to the highest possible functional capacity.
Chronic Renal Failure
The multidisciplinary team manages patients with renal failure maintaining ongoing communication with outpatient hemodialysis centers. An interdisciplinary team of caregivers works closely to provide and care for this patient population by maintaining laboratory values within range and ongoing monitoring for disease-related complications.
For patients who need monitoring, teaching, and treatment for diabetes mellitus, the multidisciplinary team focuses on the prevention of complications and acknowledges that diabetic control is imperative. Our goal is to achieve consistent excellence in the care of diabetes by incorporating medical, nursing, and nutritional interventions on a comprehensive basis.
Enteral nutrition involves the infusion of nutrients into a person’s stomach or intestine via tubes placed through the nose or a surgical opening in the stomach. This feeding approach is most often used in patients who are unable to eat independently, or who have difficulty swallowing, and helps to ensure optimal nutrition, weight loss prevention, and skin breakdown. Enteral Nutrition helps to provide adequate nourishment to the patient, prolonging life and enhancing both comfort and quality of life.
IV Antibiotic Therapy
Patients are able to complete a course of complex intravenous therapy under the supervision of registered nurses and physicians. All RNs are trained in the use of multiple different forms of IV access, including PICC lines and Mediports. Infectious Disease consultants are available if antibiotics need to readjusted. In many cases patients also require additional skilled nursing services, such as isolation procedures, and are at risk for other medical problems. On-going infection control monitoring creates an environment in which complex IV therapies can be administered safely and efficiently.
Neurological Disease Care
The multidisciplinary team focus is to help patients recover the mental and/or physical function affected by a neurological condition. Patients who have suffered strokes, paralysis, loss of memory, mobility, speech, and/or the ability to eat receive physical, occupational, and speech therapies through a comprehensive individualized plan of treatment.
Orthopedic rehabilitation is provided for the patients with orthopedic, arthritic, or athletic injury problems. Therapists provide evaluation and treatment of soft tissue injuries to the spine and peripheral joints, post-surgical rehabilitation of total joint replacements, and fractures, utilizing state of the art techniques and equipment, patient education, and home exercise programs. Manual therapy, mechanical treatments, and various modalities are also available.
The goal of the Palliative Care Program is to help patients and residents achieve the highest-possible quality of life throughout every stage of illness. Medical, emotional, spiritual and social needs are at the forefront to help patients and their families through the complex problems associated with serious, life-threatening illness.
Hospice care is available for families and patients needing 24-hour per day nursing care and counseling for the terminally ill, pain management and comfort remain paramount. Hospice philosophy recognizes death as the final stage of life and helps patients to continue an alert, pain-free life and to manage other symptoms so that their last days may be without pain or discomfort surrounded by loved ones.
Post-surgical care may require a combination of intravenous medications, wound care, nutritional support, skilled nursing care, and physical therapy during the recovery period. The multidisciplinary team focuses on incision healing, pain control, and rehabilitation.
The multidisciplinary team works closely to return the patient to the highest possible functional capacity allowed by his/her vascular diagnosis. Patients with cerebrovascular disease, peripheral arterial disease, venous disease, lower limb arterial insufficiency, and non-healing leg ulcers are provided care in an effort to increase independence and decrease complications of vascular disease.
The multidisciplinary team is dedicated to the care of patients with surgical, pressure, and vascular wounds. This specialized team of professionals provides comprehensive inpatient services for those who require expert care for skin and wound healing. Wound Vac therapy is available as well as on-site certified Wound Care Nurses. Components of the Wound Care/Skin Integrity Program include specialty dressings, 24-hour attention and treatment, specialized airflow mattresses, and tracking and documentation of outcomes.