The first points of contact can be the hospital's physical and occupational therapists. These professionals can assess the patient's functional abilities and limitations and make specific suggestions regarding the patient's adapting to his disability as well as the home accommodating his disability. For example, the therapists will teach the patient how to transfer from bed to wheelchair and advise him on arranging his bedroom to allow for free movement of the wheelchair. Upon discharge from the hospital, the patient may need some personal assistance at home. This will help him retain the benefits gained by working with therapists daily in the hospital, and it can be the difference between him remaining in his own home and going to a nursing home.
Personal assistants can provide a variety of services from nursing care to housekeeping.
The client's need will determine the level of expertise, time commitment, and cost involved. Personal assistants are available through private agencies, in-home nursing services, and state agencies. A good place to start when seeking a personal assistant is the hospital social work department. Home modifications and assistive devices will help the patient make the most of the gains made in rehabilitation by further facilitating independent functioning. Rehabilitation therapists in the hospital, rehabilitation center, and state rehabilitation agency can offer assistance to the family in determining what home modifications and assistive devices are needed.