Bill W. was pretty sick when he was admitted to the hospital recently. He spent time in Intensive Care and was treated with IV antibiotics for septic shock due to an infection of a non-healing wound on his leg. He spent 5 days in the hospital recovering from serious illness. He was encouraged to keep working on his recovery when he transferred to the general medical surgical unit. Bill didn’t feel so great though and was not always welcoming of the help of therapists who came to see him at his bedside.
“Don’t they understand I am sick? I can’t be bothered with walking or washing myself. I’m in the hospital. Shouldn’t they be doing that for me?”, he wondered as the Occupational Therapist talked about bathing at the bedside. So he told the therapist that he “didn’t feel like it today”.
When the Physical Therapist stopped by to take him for a walk he hesitated because he felt weak. Her explanation that it would help him be strong enough to go home helped, so he took a short walk down the hall and back to his bed.
Bill’s daughter and son both visited every day in the hospital and did their best to encourage their dad. When the case manager called Bill’s daughter, she recommended Bill go to rehab to recuperate for a short time after his hospital stay. He had been in bed for an extended illness and she was afraid he was too weak and might fall if he went straight home. Since Bill passed the walking test with the physical therapist, and refused occupational therapy, insurance did not consider him a candidate for inpatient rehabilitation. While they appealed the insurance company decision, Bill’s kids requested home health, in case he didn’t win the insurance appeal.
“I don’t need help,” Bill protested. Unfortunately, Bill didn’t win the insurance appeal and plans were made to go home. When Bill got home, he wasn’t able to make it up the steps to get into his house, so his family was forced to take him back to the hospital. Bill was readmitted to the hospital and received therapy services at the bedside for 4 more days until he was strong enough to do the steps to get into his house.
When Bill went home this time, his daughter Vickie and her mother did their best to help her dad settle in safely at home. Vickie stayed home from work the first 24 hours to help since her mom has health problems of her own. Vickie noticed Bill was pretty tired and short of breath with the most minimal activity, and she saw his balance was off while he stood to put on a sweater that first afternoon home.
Vickie was pleasantly surprised that the home health agency didn’t just send a nurse out to see her dad. The nurse told the family that Bill would also see a Physical Therapist and Occupational Therapist right away as she also observed his poor endurance and balance problems, too.
Bill, the nurse and therapists formed a bond. Bill and his wife committed to the agency’s home equipment and safety recommendations, and allowed these former strangers into the home to treat his wound, and provide therapy to make him stronger. While some refer to a “personal best” in relationship to fastest sprint or run time in a race, Bill was back to his “personal best” self in his ability to care for himself, with independence, in 3 weeks.
Independence gained or retained through rehabilitation is priceless.
Rehabilitation services occur in many settings. As this website demonstrates, rehabilitation provides a total approach to treatment and care for people with short term as well as long term mobility and self-care needs for recovery. Some additional rehabilitation facts:
- Rehabilitation services occur in hospitals, rehabilitation hospitals, nursing facilities, at home with home health agency visits, and outpatient clinics.
- Nearly 50 million Americans are disabled. Disability may be temporary or permanent. Disability does not discriminate – every person is at risk of disability. Therefore, everyone is a potential candidate for rehabilitation. Rehabilitation lessens the long term impact of disability.
- Most Americans will require at least one rehabilitation service at some point in their lives.
- Rehabilitation is an integral part of healthcare and a tremendous component in providing patients with positive outcomes.
- Rehabilitation saves money and improves lives. For every $1 spent on rehab care, it is estimated that $11 are saved on long-term disability costs. People participating in rehabilitation programs of care are able to regain productivity and return to work, school and independent living.
- Rehabilitation is individualized so every patient can progress at his or her own ability level.
- Rehabilitation can lengthen life, improve the quality of life and reduce subsequent illness.