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Home rehabilitation starts with easycare .

We work with you in your home to meet your recovery needs

All the way discharge rehabilitation service

We firmly believe that the ideal rehabilitation should not be limited to the hospital, but should extend into the patient's daily life.
Therefore, easycare will work with patients and their families to set rehabilitation goals, select the most suitable treatment and nursing combination, and provide free education and practical training so that everyone can master key nursing and rehabilitation skills in the shortest possible time, truly achieving "peace of mind upon discharge and peace of mind at home".

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Service details:

Person in Charge (Nurse / Physical Therapist / Occupational Therapist / Social Worker)

  1. Discharge Preparation:

  • Pre-discharge clinical and functional assessment (Nurse + PT + OT).

  • Collaboration with the hospital’s discharge planning team to obtain discharge instructions, medication lists, and rehabilitation recommendations.

  • Preliminary home risk assessment (based on caregiver descriptions + photos/videos).

  • "Pre-discharge Education" for the patient and their caregivers.

 

    2. One-time On-site "Post-Discharge Home Assessment" (RN + PT or OT):

  • Physical & Mental Status: Vital signs, wound care, pain management, and mental state.

  • Home Environment: Bed, toilet, walkways, and fall prevention measures.

  • On-site Adjustments: Bed positioning, handrail placement, walking aid recommendations, bathing arrangements, etc.

  • Setting "Rehabilitation Goals":

  • Example: Regaining the ability to walk to the bathroom using a walking frame within a specific timeframe.

  • Caregiver Training:

  • Correct transfer techniques, feeding, oral medication management, and PRN (as-needed) medication usage.

  • Providing a simplified, written home exercise chart.

3. Golden Rehabilitation Period (All The Way Support)

  • Physical Therapy (1–2 times per week):

    • Muscle strength, balance, and gait training.

    • Gait correction and fall prevention training; ongoing home safety adjustments.

  • Occupational Therapy (Once every 1–2 weeks):

    • Reconstruction of Activities of Daily Living (ADLs) (e.g., toileting, bathing, dressing).

    • Advice on home modifications and assistive devices.

  • Speech Therapy (If swallowing/communication issues are present):

    • Swallowing safety training and food texture recommendations.

    • Simplified communication strategy training.

  • Nursing Services:

    • Wound and stoma care.

    • Blood pressure and blood glucose monitoring; medication management.

  • Social Work / Counseling:

    • Emotional support and caregiver stress assessment.

4. Stability and Long-term Follow-up

  • Risk Stratification:

    • High Risk: Maintain regular follow-ups with Physical/Occupational Therapists and on-site Social Worker visits.

    • Medium Risk: Primary follow-up via video calls and telephone tracking.

    • Low Risk: Quarterly reviews + educational seminars or support groups.

  • "Readmission Prevention Plan":

    • Fall prevention strategies.

    • Chronic disease management (Monitoring blood pressure, blood glucose, and "red flag" warning signs of heart failure).

All services are scheduled by the hour.

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