“My therapist was exceptional.  She was not only an educator, but also a cheerleader. Her encouragement was, in my opinion, a major factor in my recovery from knee replacement surgery. She listened to my concerns, provided ongoing support, and was always  professional. In fact, the entire team who cared for me was excellent.”     Janet C. of Wakefield

 

The Hallmark Health Visiting Nurse Association and Hospice’s Bone and Joint Replacement Program involves a multidisciplinary team approach utilizing the expertise of the referring physician, physical therapist, occupational therapist, nurses, and home health aides. The program’s goal is to provide education and therapeutic interventions to maximize patient knowledge and the patient’s recovery of functional independence while minimizing post-operative complication.

Continuum of Care

The home health care rehabilitation component is an integral part of the continuum of care. The focus is to educate and guide patients to participate actively in their recovery and to enable patients to safety return to the community and their lifestyle. Each patient is provided with an individual care plan based on his physical condition, lifestyle, and learning needs. Instruction focuses on increasing strength, decreasing swelling and stiffness, as well as weight bearing precautions, stair training, and gait training. Patients and their caregivers are educated in all aspects of home care treatment. At discharge, the rehabilitation team will ensure a smooth transition to outpatient therapy when appropriate.

Program Specifics

This specialized rehabilitation program provides:

Safety assessments and patient education; home exercise program to build range of motion, strength, and endurance; therapeutic exercise; transfer/gait training; and promotion of independence with activities of daily living.

Additional plan of care options include:

Skilled Nursing – to assess the patients’ post-operative clinical status and to provide wound care if necessary, inclusive of other medical problems.

Certified Home Health Aide – to reinforce the home exercise program, assist with ambulation and activities of daily living.

Medical Social Worker – to address the patients understanding and coping with altered functional status and assist in identifying community resources.

Referral and Information

Patients referred to our program come directly from an inpatient stay or after a stay in a rehabilitation or extended care facility. Our focus is always a seamless transition to at-home recovery.

To Refer: please call our Intake Department at (781) 338-7900.

For Information: please call our nurse liaison of Home Health at (781) 338-7865.