Wow, that sounds fantastic Rachel. Thanks for sharing. I know that Hackensack
Meridian Health, JFK Medical Center, in Edison, NJ also has a health club for
patients with limited mobility that has worked well for years. Perhaps reach
out to them as well for information.
Mary Massery, PT, DPT, DSc MasseryPT LLCGlenview, IL 60025 mmassery@xxxxxxx
www.MasseryPT.com
-----Original Message-----
From: Wellons, Rachel D. <rtromm@xxxxxxxxxx>
To: neuropt@xxxxxxxxxxxxx <neuropt@xxxxxxxxxxxxx>
Cc: Quanteria Williams-Porche <quanteria@xxxxxxxxxxxxxxxxxxxxxxxxx>; Mark
Raymond Jr <mark@xxxxxxxxxxxxxxxxxxxxxxxxx>
Sent: Tue, Nov 8, 2022 8:17 am
Subject: [neuropt] Re: Outpatient difficult discharges
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div.yiv6160073153WordSection1 {}-->I’ve attached an article which was published
in the April issue of JNPT which reframes neurologic PT delivery into 4
different models: Traditional, Skilled Maintenance, Consultative, and
Wellness. The authors and others also did a wonderful presentation at CSM
using case studies to illustrate the benefits of each model (I’m sorry I don’t
remember their names but it was one of my favorite presentations at CSM 2022).
What I think is most helpful are the tables on pages 7-9 which described the
models and outlines the language to use in documentation. Having a discussion
with patients around these models and their care I think is extremely helpful
in getting everyone (patient, PT, family) on the same page. Also if there is
a need in your community perhaps they will support a wellness center for your
patient population. One was started about 2 years ago in my community (New
Orleans) by an extremely smart and driven individual who has a quadriplegic
level spinal cord injury: https://www.splitsecondfoundation.org/ It’s a ;
non-profit foundation which has a gym for people with neurologic impairments
with trainers, PT tech, and a PT supervising. They have been very aggressive
with fundraising and offer their services at a very reasonable price for their
members ($50 per month). Everyone involved with this organization have worked
extremely hard to create an invaluable resource. They are a model for others
to follow. I’ve included the PT and founder on this e-mail for people to reach
out with questions. Thanks, Rachel From:
neuropt-bounce@xxxxxxxxxxxxx <neuropt-bounce@xxxxxxxxxxxxx>On Behalf Of Angela
Link
Sent: Tuesday, November 8, 2022 7:49 AM
To: neuropt@xxxxxxxxxxxxx
Subject: [neuropt] Re: Outpatient difficult discharges *EXTERNAL EMAIL:
EVALUATE* Just putting an extra point out - for the correct patient, getting
involved in a research study can also be something they can be engaged and
participate in. Studies can be anywhere from a few days/weeks to a year long
with follow ups depending on preference and interest. I direct patients to
clinicaltrials.gov since those are all IRB approved studies. We also talk
about low vs. high risk studies and what it could entail for htem. They can
search by state, diagnosis and go from there! https://clinicaltrials.gov/ ;
-Angela
Angela Link, PT, DPT, NCS Board Certified Specialist in Neurology for Physical
Therapy Spaulding Rehabilitation Hospital - Charlestown, MA Clinical Researcher
at INSPIRE Lab – Cambridge, MA Drexel University Class of 2014 Linked In
Profile : https://www.linkedin.com/in/angelalink On Sun, Nov 6, 2022 at ;
9:03 PM Kathleen Hines <kathleen.buzzeo@xxxxxxxxx> wrote:
Hello All!
I am giving a presentation to my outpatient clinic on discharge planning
in the outpatient setting specifically with neurological clientele. I work in
Massachusetts for Spaulding and we have a large outpatient neuro caseload. As
outpatient is the “end of the line” in rehab often the discharges are emotional
for family and clinicians.
I am aware this is a very broad question but how do you all prepare these
patients for their last day in PT?
I usually will connect them with a social worker early on in their care,
introduce them to community resources and day rehab programs if applicable,
talk about discharge early so they are aware of the plan and encourage them to
return for a “tune up” as needed and guided by their neurologist. I am very
specific that this tune up is for one of 3 reasons: their neurologist wants
them to return, they had a fall or new weakness or pain (ect.) or their home
exercise is no longer challenging. We do not have a neuro-focused gym that I
am aware of on the south shore. Prior to the pandemic the YMCAs had assistants
who would assist clients get onto and off of equipment this program is no
longer running unfortunately. I do refer to our outpatient clinic at a gym so
they can be set up with a gym program if they are interested and family and or
friends can be trained to help Them In a gym setting.
What else do others do to prepare for this difficult phase in their journey?
Thank you in advance!
Sincerely,
Kathleen Buzzeo PT, DPT, CBIS
Visit the NeuroPT Listserve webpage at //www.freelists.org/list/neuropt to ;
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