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During the Initial Evaluation, your therapist will collect information about you and your injury or condition. We evaluate the quality of your movement patterns, strength, coordination, skin integrity and sensation, and how your impairments impact your daily tasks.
Therapy can feel intimidating, especially for 1st timers, so we will address your concerns about the therapeutic process.
Once the evaluation is completed, your therapist will determine the proper frequency and duration you’ll need to overcome your limitations; It's based on the complexity of your injury or condition. Your therapist will never ask you to attend more or fewer visits than you require. We may change the frequency and duration to reflect your progress throughout your episode of care.
You and your therapist will set obtainable goals to help guide therapy activities and to help decide when you’ve achieved your maximum therapeutic results.
SELF CARE PLAN
Your therapist will prescribe customized self care strategies unique to your situation. This might include home exercises, specific massage techniques, splint wearing schedule, or wound dressing changes.
FOLLOW UP VISIT
Next, you will participate in a customized program of activities and treatments to help you achieve your goals.
Overcoming your limitations or pain is dependent upon attendance to your scheduled follow up Treatment Visits and participation in your Self Care Plan, especially if there are several days between visits.
The time you dedicate to your self-care program is as valuable as the time you spend with your therapist. We are responsible for showing you what, how, and when to do your care plan: your best outcome depends on you carrying out the plan as instructed.
Assessment of progress toward your goals is completed during each visit. This may include clinical observation, objective measurements, reporting pain or difficulty with daily living activities.
Care plan advancement: By consistently participating in your SELF CARE PLAN, you will show readiness to advance to new and more challenging activities to replace the easier ones.
When you’ve reached your short term goals (think of them as "stepping stones"), we will advance your therapy activities and your goals.
Once you meet your “long term goals”, you’ve likely overcome your limitations, or you are satisfied with your progress and may be discharged from hand therapy.
During discharge planning, your therapist will answer any questions, take final measurements, review your goals and discuss your progress. We may equip you with upgraded self care strategies. By now you should already be doing advanced techniques.
Some people request MAINTENANCE VISITS after their formal discharge. Maintenance visits can help people who are concerned about backsliding, want a little more guidance, or want someone to help keep them accountable for doing their self care plans.
A NOTE ABOUT INSURANCE
If you're using insurance or Worker's Compensation, your insurance company will request status reports periodically. Monthly progress reports are sent to your referring provider and insurance company or Work Comp analyst.
In today’s world of high deductible plans, co-pays and co-insurance, you may experience a delay in authorization for additional therapy visits. They may take several weeks to come back with authorizations, and occasionally deny paying for further services altogether. To avoid delaying therapy, you may sign a waiver allowing you to pay up front, and we will issue the documents your insurance company or Worker's Comp will need to process your claim.
Insurance companies and Worker's Comp may end payments once you’ve reached certain benchmarks, or if you’ve exceeded the amount your policy agreed to pay. If you haven’t overcome the limitations resulting from your injury or condition, you may pay out of pocket for therapy services as long as your therapist determines you would benefit from additional services.