Restorative Care Service

About the Service

St. Peter's Restorative Care serves  the rehabilitation needs of adults with a multiple medical and/or functionally complex condition(s) which may include stroke or orthopaedic conditions such as arthritis or fracture, or deconditioning. The patient has clearly defined goals and is expected to benefit from low intensity, long duration interventions provided by an interprofessional team. The patient's goals can realistically be attained within a 90 day length of stay.

Goals of Care

Restorative Care is time limited and directed toward discharge home by helping patients reach their maximum level of functioning, independence and comfort. Typical patient goals include improved ability to manage activities of daily living, mobility, wheelchair seating, continence, communication and adaptation to an altered level of functioning.

Admission Criteria

Restorative Care is appropriate for adults who need daily skilled assessment and intervention by an interprofessional team, requiring 2 services in addition to Nursing and Medicine. The individual is medically stable:

• the major portion of diagnostic tests has been completed
• does not require acute daily medical intervention by a physician
• the acute phase of illness has been completed
• medications and conditions have been stabilizedis not at the end stage of disease such that functional improvement is unlikely

The individual is ready to participate in programming having:

• the cognitive ability to participate (ability to learn, carryover & apply learning)
• the physical tolerance to participate throughout the day
• the motivation to participate
• clearly articulated, realistic & achievable goals related to functional improvement
• goals that can be attained within a 90 day length of staythe goal to return home

Exclusion Criteria

The Restorative Care Service is not appropriate for an individual who:

• exhibits behaviors which limits/ precludes participation in programming
• is disruptive to others
• exhibits exit-seeking behaviors
• resides in Long Term Care or are designated as ALC- LTC in an acute care facility

Referrals

Patients are referred from an acute care hospital, Convalescent Care and SJV Assess and Restore.

Hamilton Niagara Haldimand Brant (HNHB) LHIN Acute Care to Rehab and Complex Continuing Care (CCC) Referral Form