Scope of Services (Homecare)

Purpose

Emirates Rehabilitation & Homecare LLC, provides direct quality activities of daily living, maintenance therapy and Quality of Life activities to all patients at their homes, 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 beliefs. 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

Levels Of care

Clinical services

Hours of service

 

 

 

Level-1- 4

1.        Medical Services

2.        Nursing Services

 

24/7

3.  Rehab Services

·       Physiotherapy

·       Speech Therapy

·       Occupational Therapy

·       Respiratory therapy

 

Sat – Thu

8:30am – 5:30pm

Home Care Medical Services:

  • GP regular visit, and unscheduled visit as per family

  • Requesting investigations as each case need

  • Referrals to other medical specialties and /or Emergency, as needed

  • Contact the family about the patient progress, advises, plans, and educate the family

Home Care Nursing Services:

  • Activity of daily living

  • Developing and updating the patient Care plan

  • Medication Management

  • PEG, PEJ, NGT and oral feeding, Assistance with the preparation of meals

  • Catheter care

  • Colostomy care

  • Care for children, Infant and special needs

  • Preventing Bed Bound complications

  • Physical Assessment and documentation

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

  • Monitoring vital signs

  • Diabetes Management

  • Wound care

  • Nebulizer, Oxygen Therapy, suctioning,

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

  • Providing BLS as & when needed

  • Mobilizing patients according to their condition

  • Ventilator care

  • Tracheostomy & speak valve care

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

  • Measuring the Intake and Output of patients as per orders

  • Receiving & documenting verbal/telephone orders from Physicians

  • Post-Operative Care

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

  • Family education; aiming to achieve best patient

  • Collaborating with other departments for best quality care

  • Inventory of patient consumable

  • Care of patient medical equipment

  • Patient safety (fall, aspiration, medications errors, bedsore…. preventions)

  • Infection control

Homecare 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 home care therapy services are designed to improve both the patients and their families’ capacity to be successful in every aspect of patient’s life.

Evaluation & Monitoring:

  • 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 evaluation

  • Recording qualitative and quantitative changes must be measured safely and accurately

Specialty program:

  • Stroke Rehabilitation

  • Amputation/ limb loss rehabilitation program

  • Traumatic brain injury

  • Pediatric specialty program

  • Spinal cord injury

  • Post RTA rehabilitation

  • Pain management

  • Cerebral palsy

  • 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 centred treatment plans that aim at helping patients recover from injuries, manage chronic conditions, and improve their overall quality of It should be flexible and adaptable to accommodate the patients’ 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.

  • Post-surgery rehabilitation, rehab team coordinates with the surgeon while preparing the program

Physiotherapy Services include:

  • Initial assessment and reassessment

  • Passive Range of Motion and active assisted ROM, Stretching

  • Applying Orthosis and adaptive device training

  • Ambulation/ Gait Training

  • Gross Motor Training

  • Balance and Coordination training

  • Bed Mobility training

  • kinesthetic sense and proprioception training for sitting and/or standing activities

  • Strengthening

  • Cardiovascular endurance training

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

  • Lymphatic Drainage

  • Chest Physiotherapy

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

  • Preparing Progress medical report, Documentation

Speech & Language Therapy Services Include:

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

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

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

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

  • Reading & writing training

  • Augmentative and alternative communication techniques and strategies

  • Communication technology and software recommendation and training

  • 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)

  • Patient/Family & caregiver education

  • Preparing Progress medical report , Documentation

Occupational Therapy Service but not limited to:

  • Hand Function Assessment

  • ADL Training, Self-care/home management training (e.g., 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

  • 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 & caregiver education

  • Office ergonomics

  • Preparing Progress medical report and

Respiratory assessment /reassessment

  • Management and therapy for cardiopulmonary patient

  • ABG sampling and interpretation

  • 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

  • Airway management (artificial)

  • Educate the patient and family who need cardiopulmonary Rehabilitation

  • Educate the nursing staff ventilator trouble shooting tracheostomy

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.