Your Interdisciplinary Team at a Skilled Nursing and Rehabilitation Center

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After a hospitalization, your rehabilitation journey may take you to a skilled nursing facility (SNF). Whether you need post-acute care after an unplanned hospitalization or recovery assistance after a planned surgery, Prestige Care is here to support you with all your clinical and rehabilitation needs.

During your stay at a skilled nursing center, your interdisciplinary team of healthcare professionals will work with you to discuss your care plan options, help you manage your care, and provide you with the tools and education necessary for an optimal recovery. At Prestige Care, our goal is to help you successfully transition from hospital to home while meeting your medical, social, psychological, and functional needs. Read more about the role of each member of your healthcare team at Prestige:

Administrator:

The Administrator at a skilled nursing center leads the operations of the care center and is responsible for the care and safety of every patient and their healthcare team. This role helps ensure all patients have the support and care they need for a successful recovery so they can transition from hospital to home as quickly as possible. Our Administrators work diligently with the entire center to coordinate each patient’s rehabilitation program and to provide the highest quality of care for every individual.  

Director of Nursing Services (DNS):

The Director of Nursing Services (DNS) at a skilled nursing center is a Registered Nurse (RN) who oversees every member of the clinical nursing team and ensures all patients’ medical needs are being met. The DNS works closely with all members of the interdisciplinary team including nurses, therapists, and the dietary team to coordinate patient care and build a unique comprehensive rehabilitation program for each patient. During your stay at a Prestige Care skilled nursing center, your DNS serves as a resource for any specific requests or concerns about you or your loved one’s recovery needs.

Social Worker:

A Social Worker at a skilled nursing center play a large role in a patient’s recovery journey and may even work with the patient prior to their rehabilitation stay. A social worker focuses on being a resource and support system for the patient including advocating for the patient’s care, providing education about discharge and post-rehabilitation care, and working with the family to make educated decisions in regard to their loved one’s care. They may also work with the patient and their family to provide financial, social, and psychological support.

Often, social workers will work with every member of the patient’s interdisciplinary team to ensure the patient is receiving the care and resources they need for a successful recovery.

Clinical Team

At Prestige, our clinical teams are skilled and experienced in assisting patients with a wide range of diagnosis while offering continued support throughout their recovery journeys. Our clinical teams are comprised of Physicians, Nurse Practitioners (NPs), Registered Nurses (RN), Licensed Practical Nurses (LPNs), Registered Dietitians (RDs), and Certified Nursing Assistants (CNAs).

Physician:

During your stay at a Prestige skilled nursing center, your initial diagnosis, care, and rehabilitation needs will be directed by an attending physician. While they will only make periodic visits, the attending physician is in constant communication with our onsite nursing team to ensure any medication or treatment changes to your care are being met.   

Nurse Practitioner (NP):

A Nurse Practitioner is an advanced practice nurse that collaborates with your clinical team to provide you with the full range of care necessary for an optimal recovery. This may include treating chronic diseases, providing health education and counseling, and prescribing medications. Our nurse practitioners work with each member of your nursing team to develop your rehabilitation program and ensure you are achieving your recovery goals.

Registered Nurse (RN):

A Registered Nurse works directly with patients and their family to ensure they are receiving the care they need to transition from hospital to home. RNs initiate the recovery of each patient by implementing a treatment plan upon arrival and evaluating their individual care needs throughout their stay at a skilled nursing center. They often will lead a team of nurse to ensure the patient is receiving the medical care required for their recovery.

Licensed Practical Nurse (LPN):

A Licensed Practical Nurse works under the direction of a Registered Nurse and Nurse Practitioner to provide each patient with direct routine care and basic health needs. At Prestige, LPNs provide patients with the care they need for a comfortable stay. This may involve taking vital signs, changing bandages, helping them get around the center, and communicating with the lead nurses for any changes in a patient’s health.

Certified Nursing Assistant (CNA):

A Certified Nursing Assistant works under a team of nurses to assist patients with activities of daily living. CNAs spend a considerable amount of time with patients and assist with daily needs such as dressing, bathing, feeding, and ensuring the patient is comfortable during their recovery.

Registered Dietitian (RD):

A Registered Dietitian works with each patient and their dietary team to build a customized diet for each person’s health and recovery needs. The role of a RD is to help patients establish a modified food and nutrition plan that coincides with their rehabilitation program. They take into consideration the nutritional needs for every individual to ensure they are receiving the appropriate diet necessary for a successful recovery. This may include a specialized diet of vegetables, fruits, and foods rich in protein and fiber.

At Prestige, our RDs also work with each patient to determine a post-discharge nutrition plan to help prevent rehospitalization and to ensure you are receiving the nutrients you need to continue your recovery.

Therapy Team

Whether you experienced a fall or need recovery assistance after a surgery, our therapy teams are committed to providing each patient with an individualized treatment plan with the goal of helping them get their independence back. Upon arriving at a Prestige Skilled Nursing and Rehabilitation Center, our licensed therapy teams will work with your physician to determine your therapy orders and will conduct an evaluation to develop your optimized rehabilitation plan for your individual needs.

Each person’s individual therapy plan may consist of physical, occupational, and/or speech therapy. Our therapy teams are comprised of:

Physical Therapist:

A Physical Therapist at a skilled nursing center works with patients who have been hospitalized following an injury such as a fall, or surgery such as a joint replacement. They will help build an individualized treatment plan for each patient focusing on improving a patient’s functional mobility skills and strength. This may include a series of exercises, education, and assessments to increase motor control, improve balance and help prevent future injuries. Our physical therapists at Prestige are committed to working with each patient to help improve their quality of life and gain back their independence.

Occupational Therapist:

If you have been hospitalized for a stroke or other serious injury, you may be required to go through occupational therapy at a skilled nursing center to enhance your recovery. An Occupational Therapist focuses on helping patients achieve independence in activities of daily living, refining motor skills, improving hand and upper extremity function, and providing education to help compensate for permanent or partial loss of function. At Prestige, our occupational therapists work closely with each patient’s clinical team to ensure they are receiving the rehabilitation they need for a successful recovery.

Speech Therapist/Speech-Language Pathologist:

A Speech Therapist focuses on improving a patient’s communication in speaking, problem solving, reading, writing and verbal expression. Speech therapy is also used when resolving problems with swallowing, particularly after a stroke or serious head injury. Our speech therapists at Prestige may also collaborate with a patient’s registered dietitian and dietary team to establish a customized diet plan for patient’s that may have difficulty with swallowing. Regardless of your unique rehabilitation needs, our therapists work diligently with each member of your healthcare team to determine a recovery plan that will help you achieve your goals.

Our interdisciplinary teams at Prestige Care work with each patient to build an Individualized Care Plan based on their medical needs, preferences, and goals to support their path to recovery. Each member of a patient’s healthcare team is essential to their rehabilitation journey as they work together to provide each person with the highest quality of care. No matter your age or ability, our highly skilled teams will work diligently with you to help you successfully transition from hospital to home.