Hospital Discharge Planning - Hospital 2 Home
Accident, injury and disease can cause many stressors on the patient and their family: physical, emotional, social, financial, and disruption of life. When the time comes to transition home, the process can be stressful and challenging. At DMARehability, our H2H program focuses on the individual needs of the patient and their families in building a transition plan of care. We work with you and your hospital treatment team to determine your needs upon discharge. We will coordinate services and therapies for your community-based rehabilitation plan. All the while educating you on what to expect next. Our Professionals have extensive knowledge and experience assisting both adult and pediatric patients in the areas of:
- Brain injury
- Spinal cord injury
- Orthopaedic and musculoskeletal injuries
- Concussion assessment and treatment
- Chronic pain
- Hand and upper limb treatment and splinting
- Vestibular
- Speech - assessment and treatment
- Grief and trauma counselling
- Supportive counselling for patient and family members
- Vocational assessment, guidance and re-entry
- PTSD
Our client-centered hands on approach is a value instilled in all of our professional staff including: Occupational Therapists, Physiotherapists, Kinesiologists, Speech Language Pathologists, Nurse Case Managers, Vocational Placement Specialists, Social Workers, Rehabilitation Therapist and Behavioural Therapists. We also have a physician on staff to assist with referrals and medication reviews.
How We Can Assist:
- Pre-discharge hospital and home assessments and support
- Attendant care needs assessments
- Grief and trauma counselling
- Ordering of assistive devices and ensuring they are ready for your return home
- Facilitation of medical evaluations and environmental modifications
- Funding approvals from insurers and agencies
- Seamless communication linking the patient, hospital, insurer, and healthcare professionals
