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Writer's pictureAlissa Zemering, MA, ATR,LCAT

Hospital to Rehabilitation (Rehab) Guide

Updated: Jan 19, 2019


Hospital Experience:

  • Emergency Room - Seen by a team (nurse and doctor).

  • Will be evaluated and assessed.

  • Relocation - Meeting another team (nurses, doctors, specialists, students, dietitians). Be prepared to repeat your medical situation.

  • Surgery Needed - Meet the therapy team (physical therapist, occupational therapist, and sometimes a speech therapist).

Rehabilitation Terms - Acute Care and Subacute Care:

Acute Care:

  • Patients requiring intensive, multidisciplinary rehabilitation programs are expected to make significant functional gains and medical improvements within a reasonable timeframe.

Subacute Care:

  • Patients requiring less than 3 hours of therapy per day.

Read more here.

Rehabilitation Settings - Inpatient (Hospital) and Skilled Nursing Facility (SNF):

Acute Care - Hospital:

  • Attending Physician - On site 24 hours a day.

  • Physical/Occupational/Speech Therapies - As needed with a minimum of 3 hours of therapy per day and up to 6 days per week with individual and group sessions.

  • Neurological Diagnoses (traumatic brain injuries, stroke, etc.) - Neuropsychologist available for additional psychological or psychiatric treatment.

  • Respiratory Therapy/Therapeutic Recreation Programs - Generally available.

Subacute Care - Hospital:

  • Physical/Occupational/Speech Therapies - Provided 1-2 hours per day.

Acute Care - Skilled Nursing Facility (SNF):

  • For those recovering from illness, injury, and/or rehabilitation services (e.g., physical therapy, occupational therapy, speech therapy).

  • Goals - 1) To provide the appropriate therapeutic interventions to facilitate independence, and 2) to discharge the patient to the least restrictive, most independent living environment.

Subacute Care - Skilled Nursing Facility (SNF):

  • Skilled Nursing Facilities/Subacute Care - Ordered under a plan of care established and reviewed regularly by the attending physician, and provided directly by or under the supervision of a qualified skilled technical or professional health person.

Read more here.

Rehabilitation Team:

  • Case Manager in Hospital

  • Physical Therapist

  • Occupational Therapist

  • Speech Pathologist

  • Medical Director in Skilled Nursing Facility

  • Attending Physician in Hospital

  • Nursing Home Administrator (NHA)

  • Social Worker (SW)

  • Director of Nursing (DON)

  • Certified Nursing Assistant (CNA)

  • Nutritionist/Dietitian

  • Recreation Coordinator/Life Engagement Coordinator

Environment - Important things to be mindful of:

  • Room Size

  • Cleanliness

  • Access to Outdoors

  • Lighting Technology

  • Access to Main Areas

  • Safety Protocol

  • Bedside Call Button/In-Room Communication


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