CNS believes in making the transition from rehabilitation to the next phase of a patient’s life a streamlined event. Discharge planning involves the patient’s treatment team, their family or sphere of support, insurers, and others, including conservators, attorneys, or health care providers. Above all, discharge planning is tailored to what patients need in their life post injury. Discharge services include:
Identifying medical, psychological, and social service resources (if needed) in the patient’s community
Setting up referrals for physicians and providers for post-discharge care/support
Ensuring the patient and family are aware of medications prescribed, dosage, and physician follow up
Recommendations for adaptive devices the patient may need for driving, vision, walking, and safe living
Suggestions of community resources such as brain injury support groups for patients and families
Assistance with insurers’ requests for records/paperwork on patient’s discharge
Making families and patients aware of CNS ongoing rehabilitation programs, such as our Continued Care Program which includes assisted living, supported living and residential options.
Discussing CNS’ Aftercare program and introducing the Aftercare coordinator, who maintains patient/family contact to determine if additional therapeutic help or community services are needed
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