Since illness or injury can affect many areas of life, treatment involves a number of health care professionals. Upon admission, a physician will assign a team to care for the patient. Potential team members include:
Our team will establish an individualized plan of care with both long- and short-term goals based on an initial assessment and the input from the patient and family. The team meets weekly to discuss the patient’s progress and discharge plan.
Each patient and family member should feel comfortable in the Rehabilitation Hospital of Memphis (RHM). It is important to know what to expect from our staff during the entire process. A case manager will meet with the patient and family to answer all questions.
A conference is held during the patient's stay to discuss the goals and expected outcomes of rehabilitation. Additional conferences may be scheduled as needed to review progress.
The social worker/case manager will schedule times for the family to observe the patient during rehabilitation. We also teach the caregiver the skills and strategies necessary to provide care at home. This involves working with nurses and therapists to learn transfer and self-care skills. Family members get the opportunity to see how well the patient is doing and therapists can give the family insight into the patient's diagnosis.
The social worker serves as the discharge planner, but other team members are actively involved. The social worker will address the needs of the patient and family in planning for discharge.
So that everyone concerned can assess a patient's abilities to return to an independent lifestyle, the patient may be scheduled for therapeutic passes away from the hospital. Passes are arranged through the patient’s case manager upon recommendation by the treatment team. Physician approval is required for passes.