Transitional care is a perfect fit for patients that need extra rehabilitation and training after an acute hospital stay, but before going home. Patients with weakness, decreased ability to walk or maintain balance, or decreased ability to participate safely in self-care and regular activities following a hospitalization, may be a candidate for this service.
We work closely with our patients and their families and bring together a personalized care team designed to meet the individual needs of each patient. Care teams may include:
- Specialized Rehabilitation Physicians & Nurses
- Physical Therapist
- Occupational Therapist
- Speech Therapist
- Certified Wound Care Nurse
- Case Manager
- Social Worker
- Pastoral Care
We believe family members are also an integral part of the care team and encourage families and other members of the patient’s support system to be actively involved throughout the rehabilitation journey.