Services

Social Services

social servicesShortly after admission to our facility, the Interdisciplinary Care Team (IDCT) will meet with you and your family members to develop a Care Plan. Each discipline (Nursing, Therapy, Nutrition, Activities, and Social Service) of the IDCT asks questions to make sure you receive the unique services your individual situation requires. When a patient isn't able to effectively communicate, family members are heavily relied upon for key information needed to help the patient feel comfortable and get as well as possible. A broad spectrum of information about the patient is taken into consideration, from medical data such as diagnosis and prior level of function, to personal information such as likes and dislikes, religious preference, social and family support and personal history and interests.

As an interested family member, this is your opportunity to get your questions and concerns answered, and we're here to help. We understand what an anxious process this can be, so we take our time explaining the details of what your loved one's care and stay with us will involve, how you can assist in their recovery, and what to expect along the way.

Once a plan is in place, frequent updates are given to involved parties to improve the plan of care and ease any concerns.

The Discharge Plan

Discharge planning is initiated upon admission as the Care Plan is developed by the IDCT (Interdisciplinary Care Team). Included in the discharge planning is the resident's discharge outcome goal. The Discharge Plan provides a "road map" for returning the patient to their home and prior level of function, or to the highest level of function possible.

The discharge outcome goal is a reflection of the professional opinion of the team based on the initial evaluation, and is open for change based on the patient's progress.