Scope of Services (In-Stay) 

Purpose

Emirates Rehabilitation & Homecare LLC, provides quality care and treatment to all patients, whose medical needs can be met within the capability of the ERHC staff and facilities.

Population Served

The population served at Emirates Rehabilitation & Homecare LLC, includes Children (Up-to age 18 years, and Adults, regardless of national or ethnic origin, economic status, lifestyle, creed or philosophical Patients can expect appropriate procedures, treatments, interventions and care will be provided according to established policies, procedures, protocols that have been developed to ensure patient safety and positive outcomes.

 Services Provided 

Medical services but not limited to: 

• Physician assessment/ re-assessment, consultation, follow up

• Create patient’s rehabilitation / medical

• Prescribe

• Request for orthosis, splints or any equipment’s for patients as

• Change of NGT, Suprapubic catheter, Foleys catheter, Central line insertion, Tracheostomy and PEG Tube patients as per our protocols.

• Wound Management (minor debridement and dressing).

• Incision and drainage simple/ non complicated

• Requesting investigations as each case

• Prepare medical and progress

• Referrals to other medical specialties and /or emergency, as

• Collaborate with Interdisciplinary

• Meet patient’s family (family meeting) and contact the family about the patient’s progress, advises, plans, and educate them.

• Patient’s medical record

  Nursing services but not limited to:

• Activities of daily living (manual handling techniques & use of assistive device).

• Medication Management including Prescription, Ordering, Storage, monitoring and Administration of medications according to Doctor’s order.

• Medication Administration (IV, SQ, IM, O, PR, Intradermal, Topical) and monitor patients for any side effects.

• PEG, NGT and oral feeding

• Management of Catheter (Indwelling, Straight, Suprapubic, Condom catheter)

• Bowel and Bladder Management

• Care for age specific patient with special needs

• Preventing Bed Bound complications

• Define the stage, size and status of the Pressure ulcers and apply

• Implement preventive action for pressure

• Physical/Physiologic Assessment, re-assessment and documentation

• ECG, glucometer & I-stat recording and

• Select proper positions and applying orthosis as prescribed/advised by Physician or therapist

• Vital signs recording and monitoring

• Diabetes management (blood sugar monitoring and recording)

• Wound care management

• Pain assessment and management

• Nebulizer, Oxygen Therapy,

• Tracheostomy and Speak valve

• Ventilator alarm monitoring, settings and

• Chest drainage (positioning, cuffing and/or using vibrator as individual case requirement)

• Providing life support when needed

• Mobilizing patients according to their condition

• Informing the Physician about any changes in the patient’s status

• Measuring the Intake and Output of patients as per

• Post-Operative Care

• Patient risk assessment

• Coordinate patient follow up, referral, transfer and

• Keeping strong relationship and communication with the family, working together for family education; aiming to achieve best patient care.

• Develop a nursing plan of care for each patient

• Assist in medical procedures invasive and non-invasive as

• Collect blood samples and other body fluids specimens for laboratory

• Operate and monitor medical

• Facilitate the process of safe patient’s admission and discharge

• Identify patients’ care requirements and implement the identified and expected patient`s plan

• Participate in decision-making concerning patients’ care as well as coordinate their care with other healthcare professionals and facilities.

• Maintain a safe environment using quality assurance and risk management

• Provide a safe environment for patients and staff, including implementing infection control

• Participate in continuous healthcare related quality improvement activities

• Evaluates patient’s treatment outcome

• Engage in proper documentation relevant to patient’s care

  Therapy Services

• Our experienced therapy team offers the necessary assistance to our patients to maintain a safe and independent lifestyle. We realize that everyone’s requirements are different and constantly evolving, therefore our services are tailored to meet the needs and interests of our individual clients. Our therapy services are designed to improve both the patients and their families’ capacity to be successful in every aspect of patient’s life.

  Assessment & Evaluation  

  • The Therapist demonstrates the ability to undertake a thorough and accurate assessment of the patient’s impairments, activity limitations, participation restrictions, personal factors, and the environment in consultation with the patient’s self-declared goals.

  • Assessment should be done using the appropriate tools; examination may include, but is not limited to: strength and range of motion testing and assessment of Scope of Practice for balance, coordination, posture, muscle performance, respiration, neurology, mobility, special tests, developmental assessment, motor function, cognition, speech, swallowing function, ADLs function and hand function.

  • The assessment process is modified according to factors such as the patient’s age, occupation, pain, comorbidities, people of determination, cultural background, ability to communicate, level of understanding and assessment of the environment.

  • Potential problems and contraindication to assessment should be

  • Formulating a diagnosis, prognosis and treatment plan based on a comprehensive assessment

  • Evaluating and monitoring the patients’ condition and progress, reassess monthly once and alter treatment programs if required, developing reflective practice.

  • Identifying factors that may support or limit successful outcomes, or confound

  • Recording qualitative and quantitative changes must be measured safely and

  Specialty programs:

• Stroke Rehabilitation

• Amputation/ limb loss rehabilitation program

• Traumatic brain injury

• Spinal cord injury

• Post RTA rehabilitation

• Pain management

• Cerebral palsy

• Long term rehabilitation program with Tracheostomy, ventilator support care

• Parkinson disease

• Multiple sclerosis cases

• Alzheimer disease

• Post Total Hip and knee replacement rehabilitation program

• Post-surgical rehabilitation program

• Post fracture management and rehabilitation program

• Osteoarthritis rehabilitation program

• Cervical and lumbar spondylosis

Therapy Treatment Planning

• Physiotherapist should be skilled in creating patient centered treatment plans that aim at helping patients recover from injuries, manage chronic conditions, and improve their overall quality of life. It should be flexible and adaptable to accommodate the patient’s needs and progress. 

• Evaluate the findings from the examination and assess patients’ physical conditions, functional abilities, and pain levels to develop appropriate treatment plans with IDT and care plan.

• Discuss the potential impact of lifestyle, culture and values, attitudes, and the environment on a plan of intervention should be identified.

• Once initial evaluation and treatment plan finalized will clearly explain to family members in initial family meeting.

Physiotherapy intervention, but not limited to:

• Ambulation/ Gait Training / stair climbing training

• Gross Motor Training

• Balance/Strength exercises/ Coordination training

• Manual therapy techniques (e.g., mobilization, stretching / manipulation, manual lymphatic drainage, manual traction Bed Mobility Training).

• Therapeutic procedure; neuromuscular reeducation of movement, balance and

• Kinesthetic sense and proprioception training for sitting and/or standing

• Posture correction and education

• Therapeutic procedures such as neuro-developmental techniques to stimulate/ facilitate normal movement with a focus but not limited to head and trunk control, balance, co-ordination and gait re-education.

• Balance and endurance training

• Strengthening training

• Passive Range of Motion and active assisted ROM,

• Orthosis and adaptive device training

• Standing tolerance training (Using Tilt table or saraplus)

• Pain Management (e.g. Electro therapy modalities, MFR, IASTM, Taping Trigger point release, dry needling)

• Cardiovascular endurance training

• Vestibular training

• Lymphatic Drainage

• Prosthetic

• Ergonomic modification and education

• Chest Physiotherapy

• Educate the nurse/ care giver/ family about the proper actions in-between sessions

• Preparing Progress medical report

• Documentation

• Home Therapy Program upon required or discharge

Speech & Language Therapy Services but not limited to:

• Assessment & Reassessment

• Speech & language difficulties

• Cognitive-linguistic function training

• Articulation & Phonology

• Speech sound production (e.g., articulation, apraxia, dysarthria),

• Resonance (e.g., hyper nasality, hypo nasality),

• swallowing training and education (e.g., oral, pharyngeal, and esophageal stages).

• Language exercise activities

• Passive oral motor exercises

• Strengthening to oral and fascial muscles

• Behavior training (e.g. Eye contact training, attention span)

• Cognitive assessments and Intervention (e.g., attention, memory, problem solving, executive functioning)

• Voice (e.g., phonation quality, pitch, respiration),

• Fluency (e.g., stuttering), language (e.g., comprehension, expression, pragmatics, semantics, syntax),

• Cognition training (e.g., attention, memory, problem solving, executive functioning),

• Reading & writing

• Augmentative and alternative communication techniques and strategies

• Communication technology and software recommendation and training

• Customized prosthetic/adaptive device (e.g. tracheostomy speaking valves; palatal lifts and artificial larynges)

• Patient/Family & MDT education

• Preparing Progress medical report

• Documentation

Occupational Therapy Service but not limited to:

• Hand Function Assessment

• Functional Training

• ADL Training Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment).

• Fine motor training

• Hand coordination training

• Orthosis and adaptive device recommendation

• Bowel and bladder assessment and training recommendation

• Transfer training (Bed to wheelchair and car transfer)

• Bed mobility training

• Functional Electrical Stimulation

• Visual Imagery

• Cognitive Retraining

• Community Re-Integration Training

• Work Simulation

• Communication Programs (in conjunction with Speech and Language Therapists)

• Activities of Daily Living training and re-training

• Splinting Assessments and Interventions

• Serial Casting Assessments and Interventions

• Seating Assessments and Intervention

• Therapeutic procedure; therapeutic exercises to develop hand function, strength and endurance, range of motion and flexibility.

• Wheelchair management (eg, assessment, fitting, training)

• Home Environmental Assessments and recommendations for modifications, for discharge facilitation

• Patient/Family & MDT education

• Office ergonomics

• Preparing Progress medical report

• Documentation

Respiratory therapy service but not limited to:

• Respiratory assessment /reassessment

• Management and therapy for cardiopulmonary patient

• ABG sampling and interpretation

• Ventilator initiation and management and troubleshooting

• Inter and intra transporting Ventilator patient

• Chest physio  /postural drainage  /Respiratory  breathing  exercise  cardiopulmonary  patients / Rehabilitation patients

• Tracheostomy cuff check and care/prevent tube block

• Tracheostomy tube change in emergency situations

• Bronchial lavage

• Ventilator wean off

• Airway management (artificial)

• Management and operating the Respiratory therapy machine and equipment (ventilator, chest vest, cough assisting machine, capnography,

• Tracheostomy decannulation

• Educate the patient and family who need cardiopulmonary Rehabilitation

• Educate the nursing staff ventilator trouble shooting tracheostomy

Support Services

To ensure that direct patient care services are maintained in an uninterrupted and continuous manner by coordinated, identified organizational functions such as Administration, Case Management, Customer care services, Facility management, financial services, Quality, Risk and Safety, Business development and Human resources are available. These services support the comfort and safety of our patients.

Disclaimer: The services offered by this centre will be periodically assessed and updated to accommodate any changes, such as the introduction of new services or the discontinuation of current services.

Scope of Service shall be reviewed on an annual basis.