Unsafe Discharges
As a therapist, one of the most rewarding parts of my job is when I see a patient overcome their deficits and is able to return home. Unfortunately, some people don't succeed and end up remaining in long term care. Worse yet are the people who are only able to re-gain some of their abilities, then return home in a less than safe environment.
There are some patients that you just know are going to be alright after they return home following rehab. They are motivated, able to complete necessary tasks safely, and understand precautions. These are the patients that make therapy fun, easy, and rewarding.
It's always sad to see some people who really try, but are unable to complete certain tasks. Whether physical or mental limitations hold them back, you can just tell they are giving it their all but it's not enough. Along the same thought are the ones who would be safe at home with a little family support, but it's not available. These people make up our long term population.
One of my worst fears though, are the people who you know will be a safety risk if they return home. At times it's a family decision, sometimes it's a financial situation, but then there are the ones who you just know will not be safe to go home. Despite all the warnings, advice and recommendations they go home anyway. In the past few weeks, we have had a couple of these discharges from the facility where I work. I expect that they will return before long, or end up at another facility soon. Hopefully not for the reason that they have an accident, but realize that life at home is tougher than they thought. Yes, being in a facility where you have your food brought to you, your bed made, and someone to help dress and bathe you makes life easy. Doing all of these things by yourself though is tough, in addition to the many other things that need to be done around a home. There are too many stories in the news these days about these kinds of events, and less is better in this case.
Until next time, hope all your "Thoughts" are Good-
Tim