Recovering at Home After Rehab Stay or Surgery: Always Best Care’s Transition to Independence Specialty Program

Surgery or a rehabilitation stay post-hospitalization can be a major milestone in your health journey—whether it’s a joint replacement, heart procedure, or another operation. But the surgery itself is just the first step. The real work begins during recovery. For many older adults, the comfort and familiarity of home can be the perfect setting to heal, provided they have the right support in place.

Always Best Care’s Transition to Independence Specialty program in collaboration with Medicare covered Home Health offers a bridge between hospital/rehabilitation and home, combining skilled medical services with personalized attention to help you or your loved one regain strength, mobility, and confidence. We even measure your improvement.

Here’s how Always Best Care’s collaborative care approach can make a significant difference after surgery.

Professional Wound Care to Reduce Complications

Post-surgical wounds require careful monitoring and treatment to prevent infection and promote proper healing. Home Health Nurses are trained to:

• Clean and dress wounds according to the physician’s orders
• Monitor for signs of infection such as redness, swelling, or unusual discharge
• Manage stitches, staples, or surgical drains
• Educate the patient and family on how to care for wounds between visits

Receiving wound care at home means you avoid unnecessary trips back to the clinic, which can be tiring—and risky—during early recovery. Skilled wound management also reduces the likelihood of complications that could delay healing or require hospital readmission.

At times, Medicare’s Home Health wound care coverage isn’t enough. It generally covers wound care a certain number of days per week. Always Best Care’s Nurses can supplement that coverage, so you or your loved one has daily care when necessary for timely and effective healing of the wound.

Physical Therapy to Regain Mobility

After surgery, especially orthopedic or cardiac procedures, regaining movement and strength is essential. Medicare approved and covered Home Health agencies bring licensed physical therapists right to your door. They can help you:

• Restore range of motion
• Strengthen muscles
• Improve balance and coordination
• Learn safe ways to move, walk, and navigate your home
• Use assistive devices such as walkers or canes correctly

Physical therapy at home ensures exercises are tailored to your real-life environment, making it possible to continue progress independently between sessions.

Always Best Care’s Transition to Independence Specialty Program Advantage

Recovering at home doesn’t mean you’re on your own. Our structured 30 day (5 days a week for 4 weeks) Transition to Independence Specialty program includes:

• Assisting with activities of daily living (ADLs) like transferring, bathing, dressing, etc.
• Encouraging Physical Therapy exercises are done daily for progress to continue independently between Home Health therapy sessions
• Ensuring medications are taken correctly
• Watching for warning signs that require follow-up with your physician
• Preparing customized nutritious meals, which is crucial to timely healing

This regular support, monitoring and encouragement helps detect potential problems early, avoiding setbacks or complications, and more importantly enabling effective transition and continued stay at home.

Emotional and Family Support

Post-surgical recovery isn’t just physical—it can also take an emotional toll. Always Best Care and Home Health professionals not only care for the patient but also offer reassurance and guidance for family members. They can answer questions, share progress updates, and help coordinate with your healthcare providers.

For many seniors, knowing they have compassionate support can ease anxiety and promote a more positive outlook during recovery.

Why Choose Healing at Home After Surgery?

Healing at home allows you to rest in familiar surroundings, stay connected with loved ones, and maintain more independence. Combined with professional medical and non-medical care, this setting often leads to:

• Faster recovery times
• Lower risk of infection
• Reduced stress
• Fewer hospital readmissions
• Reduced future out of pocket costs

Your Recovery, Our Priority

At Always Best Care, our skilled nurses and home health aides are committed to helping you heal safely, comfortably, and confidently after surgery and rehabilitation stays. From wound care to health monitoring to assistance with activities of daily living, we provide the right level of support at every stage of your recovery.

Contact Always Best Care today at (919) 600-2620 to learn more about our unique Transition to Independence Specialty program and how we can help you or your loved one recover and continue to live at home.