Active Wellness offers comprehensive, coordinated extended home care services. We have a shared goal with our patients to help them achieve
and maintain their maximum level of independence and wellbeing. By extending care into the home, we help manage their condition through a
dedicated Care team who build Personalised Care Plan. The focus is on Total Health through appropriate education and skilled services.
We assist patients to understand their conditions and remain safe in their homes once they have stabilised and home health is
no longer required.
Which Patients Benefit?
- Recent discharge after hospitalization
- Post-cardiac surgery
- Post pacemaker insertion
- Diagnosis or recent onset of disease
- Fluctuating or unstable vital signs
- Paroxysmal nocturnal dyspnoea
- Recent history of frequent chest pain or changes in chest pain pattern
- Peripheral edema
- A recent history of Congestive Heart Failure/Myocardial Infarction/HTN/CVA
- Orthopnea
- Recent history of hemiplegia
- Loss of function or control
- Multiple cardiac drugs (increased fall risk)
- History of syncope and fainting / frequent falls
- Patient requiring dietary/fluid modifications and teaching
- Wound care (preferred providers for KCI)
- Start of new medication regimen PT/INR for medication management or Coumadin therapy
- Frequent Emergency Room visits indicate the need for a skilled nurse to educate the patient about disease process and management
What Active Wellness Transition Care Services Does To Assist Patients With Cardiovascular Disorders?
- Cardiac assessment
- Home safety evaluation/education
- Evaluation and management
- Assess for DME needs
- Disease process education
- Ambulation and transfer techniques
- Monitoring/management
- Compensatory techniques
- Medication education
- Assistance with ADLs
- Diuretic therapy
- Adhere to clinical pathways
- Fluid intake education
- Physical therapy
- Electrolyte replacement
- Occupational therapy
- Weight monitoring
- Escalation to Care Team