Discharge Planning

The following considerations will be accounted for in planning Brian’s discharge:

1. Home Exercise Program (HEP): Inncluding exercises to maintain ROM, strength, respiratory skills and balance. The purpose of the HEP will be to maintain and increase the progressions he made during his rehabilitation program, and to preserve and enhance his ability to perform ADL.
2. Family education will include written information about skin care, respiratory care, bowel and bladder care, psychological support. Since the majority of the time Brian’s parents will assist him with transfers, special emphasis will be given to proper body mechanics. Concepts such as a wide base of support, flat back, lifting close to COG, and pivoting will be explained, demonstrated and examined.
3. Accessibility: Brian and his family will be educated about adaptive equipment that will be necessary. After establishing the family’s financial recourses, the appropriate medical staff member will be sent to evaluate Brian’s home to determine the required home modifications.
4. Manual and power w/c will be available prior to d/c.