What happens after a hospital discharge?

One of your long-standing residents, Jean, has just been discharged after a ten-day stay in hospital.  She has been discharged back to your residence, but she has declined considerably in the past 10 days.

 

She lost quite a bit of her strength from being in bed all day at the hospital, and since she was catheterized, she’s struggling with incontinence now as well. Previously she was independent with personal care and was able to get to the dining room on her own.  Now, she’s needing help with toileting and sometimes she’s not even a one-person transfer.

 

Your care team were already stretched thin across residents with high needs.  There are key times of day when you simply don’t have enough staff available all at the same time.

 

That’s where Warm Embrace comes in

 

Jean needs a dedicated caregiver who can attend to her increased needs as she recovers from her hospital stay.  If she requires a two-person transfer assist, our caregiver can be one of the two required people.  Jean’s caregiver can attend to her toileting needs and assist her in getting to and from the dining room at a time when your staff have many other residents who need help getting to meals. 

 

Jean’s caregiver can work together with her on some strengthening exercises to help her return to a greater state of independence.  Of course, the goal is to help Jean remain independent enough to remain in your residence much longer.

 

If, however, Jean’s medical condition deteriorated while in the hospital to the point that she now qualifies for long term care placement, Jean’s caregiver will provide the assistance she needs while she remains in your residence awaiting placement.  With her increased needs, Jean may require more than your staff have the capacity to provide, especially when other residents also have many complex needs. 

 

If you have a resident like Jean who is returning from hospital, you can recommend that they implement a dedicated caregiver from Warm Embrace to help them as they recover.  We recognize that our role might vary depending on the goals of the resident and their health. Any combination of the following are possible:

 

  • Temporary assistance as your resident recovers from hospitalization/surgery/recent illness until they regain their strength and abilities and no longer need our help
  • Ongoing support to match your resident’s new ability level and needs, allowing them to remain living in your residence even though their needs have increased.
  • Crises support if your resident is awaiting long term care placement and their needs have drastically increased.

Our support ensures the resident has all the care they need after returning from the hospital, while also reducing strain on your staff. 

 

The next time you have a resident with a pending hospital discharge, remember to make Warm Embrace part of the planning process and have care in place for a smooth return to your residence.

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