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Dietary Services

Food choices can impact a number of health conditions such as as diabetes, heart disease, and high blood pressure. Dietary Services develops and provides comprehensive evidenced based nutritional services for our residents.

Dietary Services delivers safe and high quality patient food services and relies on a registered dietitian nutritionists to serve as nutrition diagnosticians and medical nutrition therapists for residents utilizing the nutrition care processs. Nutrition professionals promote wellness and disease prevention by ensuring effective nutrition education and counseling. The nutrition team proactively contributes to multiple facility initiatives including the Patient Care Team, Cultural Transformation, nutrition research, and resident-family engagement. Dietary Services utilizes advanced clinical nutrition practices, data driven quality improvement, and healthy eating programs to improve residents' lives.


Hospice Services

Formally speaking, hospice care is that which can be provided to patients with a life expectancy of six months or less. Rather than seeking a cure, hospice care aims to make their remaining time with us as comfortable and as meaningful as possible. This may mean pain relief and nursing care, but also includes emotional support and help with everyday tasks.

Under this broader way of thinking about end of life care, the needs of family, friends, and caregivers are also taken into account. We recognize that loved ones are also on a difficult journey and may benefit from support, and expert advice.We work with local hospice providers to offer respectful, individual palliative and hospice care designed to ease this transition for the whole family. 


Infusion Therapy Services

Infusion therapy involves the administration of medication through a needle or catheter. It is prescribed when a patient’s condition is so severe that it cannot be treated effectively by oral medications. Typically, “infusion therapy” means that a drug is administered intravenously, but the term also may refer to situations where drugs are provided through other non-oral routes, such as intramuscular injections and epidural routes (into the membranes surrounding the spinal cord).

Diseases commonly requiring infusion therapy include infections that are unresponsive to oral antibiotics, cancer and cancer-related pain, dehydration, gastrointestinal diseases or disorders which prevent normal functioning of the gastrointestinal system, and more. Other conditions treated with specialty infusion therapies may include cancers, congestive heart failure, Crohn's Disease, hemophilia, immune deficiencies, multiple sclerosis, rheumatoid arthritis, and more. 


Nursing Services

Nursing Care provides for the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations to deliver holistic, patient-focused care. To achieve this goal we apply the nursing process:
Assessment
A nurse uses a systematic, dynamic way to collect and analyze data about a client, the first step in delivering nursing care. Assessment includes not only physiological data, but also psychological, sociocultural, spiritual, economic, and life-style factors as well. 
Diagnosis
The nursing diagnosis is the nurse’s clinical judgment about the resident's response to actual or potential health conditions or needs. The diagnosis reflects not only that the resident is in pain, but that the pain has caused other problems such as anxiety, poor nutrition, and conflict within the family, or has the potential to cause complications. 
Outcomes / Planning
Based on the assessment and diagnosis, the nurse sets measurable and achievable short- and long-range goals for this resident that might include moving from bed to chair at least three times per day; maintaining adequate nutrition by eating smaller, more frequent meals; resolving conflict through counseling, or managing pain through adequate medication. 
Implementation
Nursing care is implemented according to the care plan, so continuity of care for the resident can be assured. Care is documented in the resident's record.
Evaluation
Both the resident's status and the effectiveness of the nursing care must be continuously evaluated, and the care plan modified as needed. 


Occupational Therapy Services

Occupational therapy is the use of assessment and treatment to develop, recover, or maintain the daily living and work skills of people with a physical, mental, or cognitive disorders. Occupational therapy also focuses on identifying and eliminating environmental barriers to independence and participation in daily activities. Occupational therapy is a client-centered practice that places emphasis on the progress towards the client's goals.

Occupational therapy interventions focus on adapting the environment, modifying the task, teaching the skill, and educating the client/family in order to increase participation in and performance of daily activities, particularly those that are meaningful to the client. The term "Occupational therapy" can often be confusing. It carries the misconception that the profession’s focus is on vocational counseling and job training. The word occupation as defined in Webster’s Dictionary is "an activity in which one engages." Occupational therapists promote skill development and independence in all daily activities. For an adult, this may mean looking at the areas of self-care, home-making, leisure, and work.


Physical Therapy Services

Physical therapy is a physical medicine and rehabilitation specialty that, by using mechanical force and movements, remediates impairments and promotes mobility, function, and quality of life through examination, diagnosis, prognosis, and physical intervention. Physical therapy attempts to address the illnesses, or injuries that limit a person's abilities to move and perform functional activities in their daily lives. This type of therapy uses an individual's history and physical examination to arrive at a diagnosis and establish a management plan and, when necessary, incorporate the results of laboratory and imaging studies like X-rays, CT-scan, or MRI findings. PT management commonly includes prescription of or assistance with specific exercises, manual therapy and manipulation, mechanical devices such as traction, education, physical agents which includes heat, cold, electricity, sound waves, radiation, rays, prescription of assistive devices, prostheses, orthoses and other interventions.

In addition, physical therapy is used to prevent the loss of mobility before it occurs by developing fitness and wellness-oriented programs for healthier and more active lifestyles, providing services to individuals and populations to develop, maintain and restore maximum movement and functional ability throughout the lifespan. This includes providing therapeutic treatment in circumstances where movement and function are threatened by aging, injury, disease or environmental factors. Functional movement is central to what it means to be healthy.


Respiratory Therapy Services

Respiratory Therapy involves the treatment, management, control, diagnostic evaluation, and care of patients with deficiencies and abnormalities of the cardiopulmonary system. While intensive respiratory care is essential, day-to-day therapeutic respiratory care is equally as important. Respiratory care personnel, in consultation with physicians, carry out specific therapeutic measures to assist the distressed patient. Respiratory therapy includes the use of medical gases and administration apparatus, environmental control systems, humidification, aerosol, medications, ventilatory support, bronchopulmonary drainage, pulmonary rehabilitation, cardiopulmonary resuscitation, and airway management.

Respiratory therapy interventions, can be grouped into four major categories: oxygen therapy, aerosol therapy, physical therapy, and mechanical aids to lung inflation. Individually or in varying combination, these methods of therapy are used to treat almost any kind of respiratory problem. Their use is especially common in patients undergoing surgery involving the chest or upper abdomen and in patients with chronic obstructive bronchial tube diseases, such as emphysema, chronic bronchitis, asthma, and bronchiectasis.


Respite Care Services

Taking care of an older or ill family member can be enormously rewarding, but it can be physically and emotionally draining as well. That’s why it’s important for caregivers to seek occasional respite from their responsibilities.

Whether it’s for a few hours a week to run errands or a few weeks a year to take a much-needed vacation, respite care offers you the chance reduce stress, restore energy and keep your life in balance.


Speech Therapy Services

Speech Therapy works to prevent, assess, diagnose, and treat speech, language, social communication, cognitive-communication, and swallowing disorders.

Speech therapy begins with an initial screening for communication and swallowing disorders and continues with assessment and diagnosis, consultation for the provision of advice regarding management, intervention and treatment, and provision counseling and other follow up services for these disorders.
Services are provided in the following areas:
  • cognitive aspects of communication (e.g., attention, memory, problem solving, executive functions)
  • speech (phonation, articulation, fluency, resonance, and voice including aeromechanical components of respiration)
  • language (phonology, morphology, syntax, semantics, and pragmatic/social aspects of communication) including comprehension and expression in oral, written, graphic, and manual modalities
  • language processing; preliteracy and language-based literacy skills, phonological awareness
  • swallowing or other upper aerodigestive functions and aeromechanical events
  • voice (hoarseness (dysphonia), poor vocal volume (hypophonia), abnormal (e.g. rough, breathy, strained) vocal quality. Research demonstrates voice therapy to be especially helpful with certain patient populations; individuals with Parkinson's Disease often develop voice issues as a result of their disease.
  • sensory awareness related to communication, swallowing, or other upper aerodigestive functions
Speech, language, and swallowing disorders result from a variety of causes, such as a stroke, brain injury, hearing loss, developmental delay, a cleft palate, cerebral palsy, or emotional issues.

Pinewood Manor Nursing & Rehabilitation Center   •   (478) 783-9171   •   © Copyright 2017 Pinewood Manor - All Rights Reserved