Aggressive Care
Aggressive Care is Necessary
Aggressive care is an approach used in our G60 model to eliminate unnecessary medical clearance and other tests to offer medical treatments and services to patients in a timely manner. This approach allows our G60 population to receive the care they need and reduce their time spent in a healthcare facility.
The goal of this approach is to reduce the risk of other health related complications that could potentially arise from long term stays in healthcare facilities. It will also allow our patients to return to their community and continue with their Activities of Daily Living (ADL) at their highest level of independence.
Aggressive care following an injury has shown to increase the patient’s likelihood that they will be discharged and return to their home.
What Aggressive Care Includes
Early and safe operative intervention
Aggressive mobilization with physical therapy and occupational therapy postoperatively
Multi-modal pain regimen including ON-Q* pain catheters and an opiod-limiting pain regimen
Early involvement of case managers and social workers to ensure outpatient rehabilitation needs are met
Multidisciplinary team to ensure all aspects of patient care are addressed
Medical Clearance
Medical clearance for surgical intervention is based on individualized needs. The goal is safe, early operative fixation if necessary as unnecessary testing leads to delays in operative intervention. Even in emergency surgery, studies have shown that delays in operative intervention lead to worse outcomes.
There are, however, some important issues that require a delay in operation. Examples include:
New cardiac arrhythmia
Decompensated heart failure
Active myocardial ischemia
Discharge Planning
Discharge planning must be individualized based on insurance, medical needs, and support available. It begins at admission and is a continued focus of G60 multidisciplinary rounds. The patient’s recovery is reviewed so the patient and their family can make informed decisions based on the patient’s support systems.
The goal is to return to home in optimal state of health and pre-injury status.
A Skilled Nursing Facility (SNF), Acute Rehabilitation Facility (ARF), or Long Term Acute Care (LTAC) may be necessary based on physical, occupational or speech therapy recommendations.
A physical rehabilitation physician may be consulted to aid in placement needs.
As a member of the patient’s G60 multidisciplinary team, a case manager or social worker will assist in coordinating insurance requirements.
The goal of G60 is to get the most aggressive rehabilitation program possible.