Complex Continuing Care
Admission Information for Patients and Families
Complex Continuing Care (CCC) is a specialized program of care providing programs for medically complex patients whose condition requires hospital stay, regular on-site physician care and assessment, and active management by specialized staff. A province-wide scoring system is used to determine patient’s needs for our services. CCC is not a final destination. This is a transitional unit; assistance will be provided for alternative living arrangements (Home, Retirement Home, Nursing Home). CCC is a resource to assist the patient move towards an improved level of functioning and personal independence. The team consists of Physicians, Registered Nurse Team Leader, Registered Nurses (RN), Registered Practical Nurses (RPN), Personal Support Workers (PSW), Physical Therapists (PT), Occupational Therapist (OT), Speech Language Pathologist (SLP), Nurse Practitioner (NP), Dietician (RD), Social Worker (SW), Physiotherapist Assistant (PTA) and other health professionals.
Health Care Team
Expectations of the Health Care team:
The patient will have specific goals of care with assistance of the health care team which may include:
- OT, PT, SW and SLP as available
- Assessment for swallowing and appropriate dietary choices if required
- Social worker support to patients and family as they adjust to an altered health status, changes in roles and family dynamics, financial issues and discharge planning
- The program includes individual and/or group therapy sessions Monday to Friday excluding holidays.
- Therapies provided for patients will be based on patient’s needs and abilities to attain goals as well as resource availability.
Expectations of the patient and family:
- Monthly co-payment fees are assessed for each patient.
- Active participation with the team to both set and work toward achieving goals (i.e. stand, transfer, strengthening, endurance, toileting, use of devices) and linkage with community resources.
- Purchase/rental of mobility aids/assistive devices as required (i.e. special wheelchairs/walkers)
- Goals will be reassessed on a regular basis.
- This is a transitional unit with an average length of stay of 90 days; assistance will be provided for alternative living arrangements (Home, Retirement Home, Nursing Home)
- Involvement in the Interdisciplinary Conferences with team members.
- You and your family are expected to participate with the team at family conferences.
- Family members are invited to participate in care and therapy.