Inpatient RehabilitationFacility vs. Short-term Rehabilitation Facility You have just gone through an illness (stroke, brain injury, amputation, prolonged hospital stay, etc.) now what?  You are not ready to go home, where should you go?  The hospital service isrecommending rehabilitation, but which type and where?  There are two different types of facilities that you reside/stay while you get your rehab: inpatient rehabilitation facility (IRF) and short-term rehabilitation facility.  What is the difference? Inpatient Rehabilitation Facility Short Term rehabilitation -       Hospital level of rehabilitation -       24/7 in-house physician care -       24/7 nursing care -       Intensive therapies: regulated by CMS o   Individualized therapy session o   At least 3 hours/dayx6-7 days a week -       Shorter stay: average stay is 14 days -       Nursing car level of rehabilitation -       Physicians available but not always in-house -       24/7 nursing care -       Less intensive therapies: o   30min-a few hours, a few times a week (this varies among facilities)-       Longer stay: average stay is 20-30 days  Your medical team has determined you qualify for IRF level of rehabilitation.  Where should you go?  VA Boston Healthcare System (BHS) has an accredited IRF just for Veterans, regardless of service connection located at the West Roxbury Campus. Our physicians trained at some of the best rehabilitation medicine facilities in the country.  They are board certified in rehabilitation medicine and brain injury medicine.  Our therapy staff also trained at some of the best facilities in Boston and have advance certifications.  Our nursing staff are caring, loving, and Veteran centered too.  What separates BHS IRF from community IRF?-       We are Veteran centered-       We can provide equipment that other community facilities may not be able to -       A sense of comradery with other Veterans can help with improvement in mood and function -       We understand PTSD and other mood changes and can offer on-site services -       We provided outpatient follow-up after discharge from IRF to assess, manage and treat issues that may interfere with your function and/or quality of lifeHow do I contact BHS IRF?-       Please have your case manager in the hospital call Boston Healthcare System Flow center and request referral to BHS inpatient rehabilitation program: 857-203-3835-      The rehabilitation physician will review your medical record and provide a decision to your medical team            This article was submitted by Dr. XinLi, Medical Director of Inpatient Rehabilitation Facility at West Roxbury VA, Boston Healthcare System. Information Contact:  David Hencke, US Dept of Veterans Affairs, Directors Office, VA Boston Healthcare System  Veterans Outreach Coordinator  O: 857-364-5934; C: 617-275-6101  David.hencke@va.gov 

When you or a loved one requires short-term rehabilitation after a hospital stay, finding the ideal center can be a challenging and time-consuming process. Selecting the right senior rehab facility is crucial to ensuring the best possible care and support during the recovery period. To help in making an informed choice, consider asking the following questions:Availability of Openings and Anticipated Discharges: Inquire about the facility's current availability for new patients and ask about anticipated discharges in the near future. This will give you insight into the center's capacity and when the rehabilitation program may begin.Insurance Coverage and Preapproval Process: Confirm that your insurance is accepted at the facility and learn about the steps required for coverage preapproval. The admissions staff should assist in determining if they are in-network for your insurance plan or help you find out.Staff Specialization: Inquire about the staff's proficiencies, particularly in areas like wound care and orthopedic treatment, which are generally considered standard aspects of care. Additionally, verify the facilitys accreditation from well-regarded organizations such as The Joint Commission (TJC) and the Accreditation Commission for Health Care (ACHC), among others, to ensure the facility adheres to established healthcare standards.Therapy Sessions and Patient Care: Inquire about the amount of therapy patients typically receive. While frequency and duration will, of course, vary based on individual care plans, you may wish to ask to get a general sense.Staff-to-Patient Ratio: Learn about the staff-to-patient ratio on each shift, including the number of Registered Nurses, Licensed Practical Nurses, and Certified Nursing Assistants compared to the patient capacity. A lower ratio often indicates more personalized care.Treatment Team Members: Find out about the other professionals involved in the recovery process besides the nursing team. Will there be a physiatrist, respiratory therapist, or wound care team available to assist in the rehabilitation care plan?Essential Items and Amenities: Check which items should be brought from home and what amenities the facility provides. For instance, the center may suggest bringing sturdy shoes and layered clothing options, among other things.Involvement of Family in Care Planning: Inquire about dates and times for regularly scheduled care planning meetings. Involving loved ones in the care-planning process is important for effective rehabilitation. Outpatient Therapy and Post-Rehab Services: Find out if the facility offers outpatient therapy and inquire about their process for setting up in-home services if needed after the short-term rehab stay is complete. Understanding these options will help you plan for life after rehabilitation.Choosing the right short-term senior rehab center requires thorough research and careful consideration. By asking the above questions and assessing the facility's capabilities, you can ensure that you or your loved one receives the care and support needed for a successful recovery. Always take the time to visit the facility, meet the staff, and get a sense of the environment to make the most informed decision.(Sidebar):How Short-Term Rehab Makes a Difference Highly skilled and qualified staff members are available 24/7 to provide continuous medical check-ups following a hospital stay, reducing the likelihood of returning to the hospital. A dedicated team of therapists and nursing staff can create a comprehensive recovery plan that addresses each residents specific needs, capabilities, and health goals. Continuous care and monitoring encompassing physical therapy, pain management, and nutritional guidance can help prevent setbacks and ensure a faster recovery. Nurses and therapists work together to facilitate a smooth transition back to regular life helping patients regain their confidence and independence while safeguarding against potential risks. Families stay involved in their loved ones healing journey and remain well-informed about the medical status, challenges, and personalized care plans and routines, working with rehab specialists toward a successful recovery.Were here to help. We welcome the opportunity to provide you with information about Mary Ann Morse Outpatient & Short-Term Inpatient Rehabilitation Services or answer any questions. Contact us at 508-433-4400 and outpatient@maryannmorse.org, or visit us at Short-Term Rehabilitation | Mary Ann Morse Healthcare Center.

Change is hard. Making a move in uncertain times can be scary; navigating all your options can be downright confusing.Assisted living communities are supportive environments meant to help prolong the independence of you or your loved one. This housing option is often overlooked because many dont realize it is a viable option until there is an emergency. There is often resistance because there are many misconceptions surrounding this senior living option, including affordability, access and services provided.Once you start to look around, comparing the various communities is no simple task; from giant continuums of care to very small specialty units, and your job as the consumer is to find which place suits your needs as close as possible for as long as possible. One very important factor for most people when researching communities, besides the quality of care and location, is cost. Do I rent or join a community with a buy-in? Is an all-inclusive program better, or does the a la cart pricing structure work better for me? Looking at your finances is the first step to determine which option is right for you.If you have a long-term care insurance policy, for instance, you want to go to a licensed assisted living facility for your services so you can utilize those funds for your care. If you are a wartime veteran or spouse, you would want to make sure that the community you choose supports the Aid & Attendance benefit.One thing that can very easily get overlooked in the decision-making process, especially if it is an emergency, is what happens if/when the money runs out?In many cases, the options are very limited and it is your responsibility to find your next home. Some communities, however, have financial programs available that allow the resident to age in place through subsidy programs such as a SCO or PACE program, or in some cases GAFC. These programs are a great way to keep your loved one in their assisted living if the community offers it. At the end of the day, knowing your options will help you find the best place for your needs and a wonderful new home for you or your loved one. Written by Stephanie Nordstrom, Director of Admissions & Marketing at Christopher Heights of Marlborough, an Assisted Living Community. She can be reached out 508-281-8001 or snordstrom@christopherheights.com. 

Asking for help is hard. When seniors begin to show signs of needing assistance, they are usually not the first to point it out. If you are concerned about your aging loved ones safety in their home, it may be time to look into home care assistance from a trusted agency like Visiting Angels. If your loved one needs to be persuaded to accept the idea of an in-home caregiver. Here are elements that can help you navigate this important conversation.Common worries among seniorsIs your loved one uncomfortable with the idea of a stranger coming into their home. They might see this as an invasion of privacy, especially if they have lived alone or independently for a long time. They may also feel a loss of dignity from the inability to help themself. This is an understandable feeling, but hopefully, it is something you can work through for the betterment of their safety and your peace of mind. For those with Alzheimers or dementia, these feelings can be exacerbated.Focus on the positivesIf youre met with resistance, focus on the improvements an in-home caregiver will make in their quality of life. Emphasize that the caregiver will help them with household tasks and personal care needs. Remind your loved one that the caregiver will support their needs, but not take over their life.Emphasize your needsYou are likely looking for an in-home caregiver because you cannot be there for your loved one around the clock, and youre concerned about their safety. Communicate that having professional in-home support does not mean you will not be there to help at all. It means that having a caregiver, will bring you peace of mind and allow for more quality time when you are with them. Stress the mutual benefit you both will gain.Editors Note: This article was submitted by Karen Woodrow, Director/Owner, Visiting Angels of Chelmsford/Burlington and Visiting Angels of Newton/Canton. She can be reached at KWoodrow@VisitingAngels.com. Visiting Angels has been providing experienced senior home care since 1998. Contact your local office to schedule a complimentary care assessment with one of our senior experts.