About the Program

The Extended Care and Rehabilitation Program at VAMC Fayetteville is composed of four areas —

• Physical Medicine and Rehabilitation
• Nursing Home Care
• Short-Stay Rehabilitation
• Homemaker/Home Health Aide
• Community Nursing Home
• Contract Adult Day Health care
• Respite Care
• Hospice & Palliative Care
• Home IV Infusion

Services Offered

Physical Medicine and Rehabilitation (PM&R)

PM&R services include —

• Occupational therapy
• Physical therapy
• Kinesiotherapy
• Therapeutic recreation
• Specialized clinics include amputee clinic, wheel chair clinic, diabetic shoe clinic, MOVE exercise program

Nursing Home Care Unit Admission Criteria

• Any veteran who has a service-connected disability rated at 70 percent or more qualifies for nursing home care.
• Veterans whose service connected disability is clinically determined to require nursing home care.
• Care will be provided in a VA nursing home or contract nursing home.

Short Stay Rehabilitation (Purchased Skilled Care)

• Time-limited, goal-directed care for the purpose of returning the veteran to functioning as independently as possible.
• Services are rendered and goals achieved by interdisciplinary effort to improve function.
• The primary resources for care are physical therapy, occupational therapy, kinesiotherapy, and speech/language pathology.

Homemaker Home Health Aide

• The Homemaker Home Health Aide Program is a community based program that provides personal individualized care in the home. Services may include assistance with activities of daily living, aid in ambulation or transfer, active/passive range of motion, assistance with medical equipment and routine health monitoring.

Community Nursing Home

• The Community Nursing Home Program provides extended care services to veterans in need of nursing home placement. Admission is based on the Veterans Millennium Health Care and Benefits Act eligibility requirements. The goal is to ensure the long term care needs of our aging veteran population are met in a comprehensive coordinated manner in the most appropriate setting.

Contract Adult Day Health Care

• Adult Day Health Care Program is a therapeutic day care program, which provides medical and rehabilitation services to disabled veterans in a congregate setting.
• Adult Day Health Care is part of the basic benefits package. Veterans must be enrolled in the VA system for their health care and meet the clinical admission criteria.

Respite

• Respite care provides supportive care to veterans on a short-term basis to give the caregiver a planned period of relief from the physical and emotional demands associated with providing care.
• Prior to the new changes, respite care was limited to VA nursing home care or hospital beds. Now, respite care can be provided in the home or other non-institutional settings.

Hospice & Palliative Care Program

• Hospice/palliative care programs offer pain management, symptom control, and other medical services to terminally ill veterans or veterans in the late stages of the chronic disease process, as well as bereavement counseling and respite care to their families.

Home IV Infusion

• The Home Infusion Program provides services in the home supporting the medical centers goal of decreasing the veterans length of stay in the medical facilities by allowing patients to be discharged to the home environment earlier and receive the necessary medically care on an outpatient basis.