It’s finally happening. You’re ready to go home!
You’ve been in an acute hospital or rehab hospital or skilled nursing facility for so long.  Finally you will be able to get back to your family, your pets, your schedule, and most exciting, your own bed.  *sigh*  It’s going to be such a relief.  But maybe you’ve suffered a stroke, or a traumatic brain injury, or received a life-changing diagnosis like Parkinson’s or multiple sclerosis.  A lot of things have changed; so now is the time for making a plan.  Most likely your doctor, nurse, case manager, or social services agent will assist you in making a few important choices.  One of the most important decisions you will make after a neurological event is where and how you will continue your therapy once you head home.  There are clear benefits and drawbacks to both outpatient therapy and home health therapy.  ANR is here to outline a few of these to assist in your decision making process.

When to choose Home Health:

  • If you are bed-bound, chair-bound or are physically unable to leave your home.
  • If you have skin wounds, serious medical issues, or require continued nursing care.
  • If you have absolutely no access to outside transportation.
  • If you require a lot of education on activities of daily living or safety training in your home environment.

When to choose Outpatient:

  • When you are medically stable and do not require nursing care.
  • When you have consistent and reliable transportation to visit a clinic.
  • When your neurological symptoms need more intensive treatment:
    • Home health therapists provide excellent care, but many lack a few things:
      • Home health therapists (and most other outpatient therapists) may be “generalists” and may not have much experience specific to neurological difficulties.
      • Home health therapists may lack access to “therapeutic modalities” such as electrical-stimulation, cold or heat packs, or swallowing tools.
      • Home health therapists are limited in the equipment they can use.  [They are unable to transport treadmills, body weight support systems, Video Frenzel Lenses, or other neuromuscular training equipment.
  • When you need very specialized/customized treatment.
    • ANR has therapists that are certified and well experienced in:
      • Vestibular rehab for dizziness and vertigo
      • The Big and Loud program for Parkinson’s
      • Assessments regarding driving and community mobility
  • When you want to make your own regular appointments.
    • Home health services do their best to accommodate their patient’s schedule, but more often than not are not able to create a very customized weekly schedule and may not be able to visit you as often as you feel you need.
  • When you feel you need more time and attention.
    • Home health therapists need to visit a variety of patients across the valley and are not always able to spend an entire hour in a patient’s home.

Whatever your choice may be, please do not hesitate to seek out help from your doctor or a physical, occupational, or speech therapist.  ANR can also assist in referring you to a home health company which will help you fulfill your needs.