Are Long-Term Care Providers Passing the Buck?
When a person comes to a long term care facility for rehab they are often unaware of what to expect. Everything is different for them, but the staff is there doing their job every day. Staff is trained on their job duties, but a trend I noted before retiring is passing off things for the next provider.
New diabetics usually get one quick training session with a nurse before going home. I've heard nurses say the home health nurse will work with you. While doing home health I've had patients tell me they still aren't certain they're taking the correct dose. That information was always passed on to the supervisor.
After having therapy for a few weeks it seems to be assumed that patients know what to do when they get home. However, I've heard therapists tell patients that their home health therapist will give them exercises to do, and I've heard home health therapists tell me what a great program a patient had. I guess I'm from the old school way of thinking. because if there is a program the patient needs to do they got a paper copy of it and trained with it. I did the same for other areas, whether that was safety, energy conservation skills or support information.
Since Medicare does not pay for medical equipment until the person in not in a skilled setting, the new equipment is usually sent to the house. Some have an attitude of I can't see it so I can't train for it. If there is a patient returning home with a new device I always tried to incorporate some training on the basics during their therapy. Simple things like folding a wheelchair or adjusting a bath seat. No, it's not the same equipment they will have at home, but general knowledge of the device will always help.
No one likes change or dealing with things we don't know about. Learning something new takes time and if done routinely becomes a new skill. Since therapy is all about teaching new skills, don't pass the buck to the next in line.
Until next time, hope all your "Thoughts" are Good-