Karen called our office and explained that, following a fall at home and a hospitalization, her mother was now in a Skilled Nursing Facility receiving physical therapy. Karen lives out of state and was concerned her mother was being discharged too soon and is she does not know how to help her mother.
With Karen’s assistance, we assembled the Client Profile and made a visit to the facility. We met with Karen’s mother and explained that we would be able to assist her with her pending discharge. Working with the facility staff, PSA was able to provide Transition Assistance services and the discharge process was a successful team effort. We negotiated a delayed date for discharge that would be in the best interest of Karen’s mother and that allowed her stay and meet her therapy goals.
Following her mothers discharge Karen decided to have PSA provide Care Management visits to assure that her mother would be safe and supported as she continued her recovery at home. With a clear understanding of what to expect both Karen and her mother felt prepared and empowered for the next steps of the recovery process.