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Q
What is the typical protocol for rehabbing from a fractured hip?
A
Your rehab begins right after surgery when you are still in the hospital with simple exercises and transfer/ambulation. When you are discharged to Rehab a more intense program is initiated - designed especially for you! You will have a full evaluation from both Physical and Occupational Therapy. The plan will focus on strengthening, regaining mobility in the hip, regaining prior level of function for transfers and ambulation. We will work on balance, strength, ADL's and mobility to achieve the optimal goal. If you require adapted equipment, we will recommend it and teach you how to use it.

Q
What is Wiihabilitation?
A
Wiihabilitation is a FUN way to have an adjunct therapy while continuing to strive towards your rehab goals. Perhaps you are working on balance, strength, agility, or specific joint mobility through therapeutic exercise one day and wiihab of bowling, soccer or a fitness test the next - we want you to have FUN!!!

Q
What therapies are provided in a skilled nursing facility?
A
Physical, Occupational, Speech and Respiratory Therapy.

Q
What treatments are available?
A
Currently, there is no cure for Alzheimer’s disease and no way to halt the progression of the disease. Drug and non-drug treatments may help with both cognitive and behavioral symptoms. Medications currently approved by the FDA to treat the cognitive symptoms of Alzheimer’s disease include Cholinesterase (KOH-luh-NES-ter-ays) inhibitors, which prevent the breakdown of acetylcholine, and Memantine (Namenda®), which works to regulate the activity of glutamate. Acetylcholine and glutamate are chemical messengers in the brain involved in learning and memory. Three cholinesterase inhibitors are commonly prescribed: •Donepezil (Aricept®), approved to treat all stages of Alzheimer's disease. •Rivastigmine (Exelon®), approved to treat mild to moderate Alzheimer's. •Galantamine (Razadyne®), approved to treat mild to moderate Alzheimer's. Please consult your physician about treatment options.

Q
What types of things will I do in Occupational Therapy?
A
In Occupational Therapy we use many activities to address function. Whether it be a strengthening exercise or balance exercise….the goal is being able to do washing, dressing, toileting, and even cooking in a safe manner. We will practice these skills in a structured environment.

Q
What types of things will I do in Physical Therapy?
A
In Physical Therapy you will work on many exercises to improve your balance, walking and strength. We use machines that work to give you resistance, cuff weights, resistance balls and bands, assistive devices for walking and many physical agents or modalities such as heat, cold, ultra sound, electrical stimulation and anodyne.

Q
What types of things will I do in Speech Therapy?
A
In Speech Therapy you will work on a variety of things depending on what your disability is. If you are working on swallowing - the Speech Therapist will do exercises with you that will strengthen your swallowing pattern. There are different consistencies of food and drink that can be worked with. Speech therapy also can work on different orientation and safety tasks which will help you have a successful discharge to home.

Q
When can I go home?
A
Discharge Planning is on top of everyone's mind. You are a member of our discharge team. All factors are incorporated into the decision for the safest discharge date. We will work with you and your family to plan for this discharge in a very comprehensive way.

Q
When is your stay never covered by Medicare?
A
When you go to the ER only, do not have three day hospitalization, when you received only custodial care (personal care, medication and food)or when you used all 100 days and never had 60 days custodial.    

Q
When touring a skilled nursing facility what should I focus on?
A
Focus on the residents and the staff. They will give you a good feel of facility operations.

Q
When will my discharge be planned?
A
Discharge planning actually begins prior to your admission. The rehab team works with you, your family and physician to determine what is needed to get you back to your home situation. Home assessments are done as needed.

Q
Who decides what diet my family member will be on?
A
The interdisciplinary team that consists of the Physician, Registered Dietitian, Speech Therapist and Registered Nurse. If your family member needs any special devices at meal time such as a built up fork, then the Occupational Therapist is consulted.

Q
Who pays for my Medications?
A
While you're covered under a Medicare Part A stay all your medications and supplies are provided by the nursing facility.

Q
Why do I need to fill out a financial application when I only need short term rehabiliation?
A
The facility of your choice may decide that there is a chance you may need long term services. They will need to know payer source after your insurance exhausts.

Q
Will I have any limitations after my total hip replacement?
A
Your therapist will advise you in maintaining total hip precautions. These are movements to avoid in order to protect your new hip while it is healing. The first precaution is not sitting on a low bed, chair or toilet. You do not want to raise your knees higher than your hip. A raised toilet seat or an extra pillow in the chair may be required depending upon your height. You will also be advised not to bend over to put your socks and shoes on. Occupational Therapy will work with you to use adapted equipment to safely do this ADL. Crossing your legs is not recommended. You also need to make sure not to turn your leg inward. Your Doctor will advise you how long these restrictions should remain in place.

Q
Will I lose all my money if I need to go to a nursing home?
A
No, there are ways to protect money even in catastrophic situations with no advanced planning, which can protect up to fifty percent (50%) or more of the money.

Q
Will my family member receive foods that they do not like?
A
Of course not. One of our Registered Dietitians and/or Dietetic Technicans will interview your family member within 24 hours to establish their likes and dislikes.

Q
Will my insurance cover sub-acute rehabilitation?
A
Every insurance plan is different - the skilled nursing benefit will let you know what your coverage is for SNF.

Q
Will my Medicare coverage be enough to pay for my stay in the Nursing Home?
A
In most cases yes, Medicare provides up to 100 days of coverage, per each benefit period. You must have been hospitalized for 3 days. You must have entered the nursing home within 30 days of that hospitalization. Medicare will pay 100% coverage up to day 20. Then there is a co-insurance that must be paid. Currently 133.50 for 2009 and 2010 137.50 per day you need a skilled need to continue the coverage. There is a maximum of 100 days per hospitalization and diagnosis. Skilled coverage includes physical occupational and speech therapy, daily IV therapy or wound care provided by a nurse daily or unstable medical conditions.

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Disclaimer: The above questions are for informational purposes only. Absolut Care Facilities Management, LLC. (Absolut) has attempted to ensure that the above questions contain correct and accurate information; however Absolut assumes no responsibility for the accuracy of the information.


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