Services: Medically Complex Care



Cancer Care:  

Cancer is a chronic disease with intermittent acute episodes resulting in the need for care in various settings including rehabilitation and long-term care. The multidisciplinary team, familiar with the patient’s disease, treatment, and prognosis will integrate all aspects of care and will assist the patient through all phases of an exacerbation of disease or chronic disease. Hospice care: For families and patients needing 24-hour per day nursing care and counseling for the terminally ill, pain management and comfort remain paramount. Hospice philosophy recognizes death as the final stage of life and helps patients to continue an alert, pain-free life and to manage other symptoms so that their last days may be without pain or discomfort surrounded by loved ones.

Palliative and End of Life Care:

The goal of the Palliative Care Program is to help patients and residents achieve the highest-possible quality of life throughout every stage of illness. Medical, emotional, spiritual and social needs are at the forefront to help patients and their families through the complex problems associated with serious, life threatening illness.

Chronic Renal Failure:

The multidisciplinary team manages patients with renal failure maintaining ongoing communication with outpatient hemodialysis center. An interdisciplinary team of caregivers  works closely to provide and care for this patient population by maintaining laboratory values within range and ongoing monitoring for disease related complications.

Diabetes Management:

For patients who need monitoring, teaching and treatment for diabetes mellitus the multidisciplinary team focuses on prevention of complications of diabetes mellitus and realizes that diabetic control is imperative. Our goal is to achieve consistent excellence in the care of diabetes incorporating medical, nursing and nutritional interventions on a comprehensive basis.

IV Antibiotic Therapy:

Patients are able to complete a course of complex intravenous therapy under the supervision of Registered Nurses and Physicians.  In many cases, patients also require additional skilled nursing services such as isolation procedures, and are at risk for other medical problems. On-going Infection Control monitoring creates an environment in which complex IV therapies can be administered safely and efficiently.

Cardiac/ Post Open Heart Surgery Care:

Skilled nursing care and medical treatments are provided to assist in the prevention of complications and improve the rehabilitation of patients with cardiac conditions. Patients post open-heart surgery patients are monitored closely for incision healing and potential cardiac complications. The multidisciplinary team provides a specially designed program for cardiac care and work together to return the patient to the highest possible functional capacity.Neurological Disease Care:The multidisciplinary team focus is to help patients recover the mental and/or physical functioning affected by a neurological condition. Patients who have suffered strokes, paralysis, loss of memory, mobility or speech and the inability to eat receive Physical, Occupational and Speech Therapies through a comprehensive individualized plan of treatment.

Post Surgical Care: Post surgical care may require a combination of intravenous medications, wound care, nutritional support, skilled nursing care and physical therapy during the recovery period. The multidisciplinary team focuses on incision healing, pain control and rehabilitation.

Vascular Disease:  

The multidisciplinary team works closely to return the patient to the highest possible functional capacity allowed by his/her vascular diagnosis. Patients with cerebrovascular disease, peripheral arterial disease, venous disease, lower limb arterial insufficiency, and non-healing leg ulcers are provided care in an effort to increase independence and decrease complications of vascular disease.

Wound Care:

The multidisciplinary team is dedicated to the care of patients with surgical, pressure, and vascular wounds. This specialized team of professionals provides comprehensive inpatient services for those who require expert care for skin and wound healing. Components of the Wound Care/Skin Integrity Program include specialty dressings, 24-hour attention and treatment, specialized airflow mattresses, and tracking and documentation of outcomes

Enteral Nutrition:

Enternal nutrition involves the infusion of nutrients into a person's stomach or intestine via tubes placed through the nose or a surgical opening into the stomach. This feeding approach is most often used in patients who are unable to eat independently or who have difficulty swallowing and help to ensure optimal nutrition and prevention of weight loss and skin breakdown. Enteral Nutrition helps to provide adequate nourishment to the patient, prolonging life and enhancing both comfort and quality of life.