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More than 193,000 hip replacement surgeries are performed each year in the U.S. The most common cause is progressively worsening arthritis often associated with aging, congenital abnormality of the hip joint, or prior trauma.

Approximately every 40 seconds, someone in the U.S. has a stroke. Maintaining your self-esteem, connections to others, and interest in the world are essential parts of recovery.

Current organs transplanted include kidney, liver, heart, pancreas, lung and small bowel. Tissue transplants include bone marrow, bone, and cornea. In 2014, 29,532 people received organ transplants; the average 5+ year survival rate is over 77%

Prosthetic and Orthotics Patient Care

Whether through trauma, disease, or other circumstances, the loss of a limb or use of a limb is a life-altering event. Patients experience a broad range of emotions including grief, blame, self-doubt, and depression. The recovery process can also offer many challenges as patients manage post-surgery pain and relearn daily living activities such as getting out of bed, personal hygiene and grooming, and household chores. The experienced Premier Point team can help.

The Premier Point Approach

Our nurses, occupational therapists, and physical therapists have extensive experience working with complex amputation cases, and work as team with referring physicians and the prosthetist, when applicable, to develop customized medical care and therapy plans that address pain and proper wound healing, prevent muscle weakness, contracture, and other immobility-related problems, and help the patient to establish a new normal, healthy, and active lifestyle. Our coordinated medical care and therapy plans include:

  • Closely monitoring the wound for signs of infection, scrapes, cuts, sores or any other abnormalities that could compromise the healing process
  • Monitoring swelling, fluid build-up, and indicators of poor circulation; administrating medications; and helping the patient to manage post-surgery phantom pain
  • Teaching the patient desensitizing techniques to loosen any scar tissue that might have developed
  • Teaching the patient how to manage bathing, shaving, toileting, dressing, hair care, oral care, and other daily living activities
  • Teaching family members and caregivers how to maintain a supportive role without enabling patient inactivity
  • Teaching lower limb amputee patients to walk on different terrains, climb stairs, enter and exit a vehicle and other coping skills to support independence
  • Teaching upper limb amputee patients to safely manage various objects, prepare meals, and perform job-related tasks
  • Coordinating with a medical social worker to assess the home environment, and secure community-available support for adaptive tools and home modifications; identify referrals for crisis intervention, if necessary, and assist with long-term planning.

To learn more about our available services, click here to schedule a personalized consultation. You can also download or electronically submit a patient referral form.

Joint Replacement Patient Care

Joints can be damaged due to diseases, injury, arthritis or simply years of use. Patients suffering from damage inside a joint often experience pain, stiffness, swelling and potentially limited blood flow to bones, resulting in additional health complications.

Partial or full hip or knee replacement - the most common types of joint replacement surgeries, can relieve pain, and also improve gait, balance and overall quality of life.

Although thousands of joint replacement surgeries occur every year, the risk of complications should not be overlooked. In fact, many patients- especially seniors, are readmitted to the hospital within 30 days of discharge due to surgical site infections and cardiovascular events.

The Premier Point Approach

Premier Point clinicians can help joint replacement patients manage daily living activities and minimize the risk of infection during the recovery process. Our customized care plans, developed with your medical provider, could include:

  • Inspecting the wound site for signs of infection, taking size and depth measurements, and monitoring the healing process
  • Teaching the patient how to care for the surgical staples or steri-strips including cleaning and changing the dressing
  • Appropriate deep breathing exercises to prevent a respiratory infection and how to use a spirometer, if instructed to do so by the physician
  • Techniques for reducing swelling around the surgical site including elevation, ice packs and compression stockings
  • Ensuring strict compliance with anti-coagulant medication dosages to avoid improper blood clotting, instructing patients on how to properly take all prescribed medications, and how to recognize the side effects of improper dosages
  • Performing blood tests to monitor medication levels, if appropriate
  • Working with the dietician to develop a customized dietary program to avoid drug interactions and promote healthy healing
  • Pain management techniques
  • Supporting patients in incorporating their occupational and physical therapy training into their daily routine including standing, sitting, walking and performing grooming tasks
  • Identifying and removing trip hazards and other safety concerns that could impact rehabilitation progress, and reinforcing instructions provided by the therapist to allow proper joint healing

To learn more about our joint replacement services, click here to submit an online request. You can also download or electronically submit a patient referral form.

Stroke Patient Care

The American Heart Association estimates that approximately 795,000 persons in the United States experience a stroke each year, and nearly one-third suffer permanent disability.

Stroke-related impairments tend to fluctuate, especially during early recovery, however, research studies indicate comprehensive care during the first four weeks after a stroke improves rehabilitation results.

The Premier Point Approach

Premier Point clinicians understand that every stroke patient has a unique path to recovery. We work with referring physicians to stabilize and control life-threatening medical conditions and reduce stroke-related complications. We also work with patients to implement preventative measures to reduce the risk of future strokes and associated chronic diseases, and help patients relearn daily living skills, regaining their sense of independence.

Premier Point’s team of on-staff nurses and occupational, physical, and speech therapists allow us to develop comprehensive and fully coordinated stroke rehabilitation solutions, improving our patients’ opportunities for positive results. Our customized care plans can include:

Teaching patients to manage loss of body functions and structures

  • Hemiparesis or weakened muscles on one side of the body
  • Bowel and bladder complications
  • Muscle contractures and pressure ulcers due to immobility

Teaching patients how to compensate for the loss of mobility functions

  • Constraint-induced therapy to strengthen muscles
  • Range-of-motion therapy to improve muscle tension
  • Speech therapy to improve swallowing and other impairments that impact communication skills
  • Assessment for walking aides and other support tools to reduce the risk of fall or bone fractures
  • Techniques for incorporating skills learned in physical, occupational and speech therapy into patients' daily living routines

Educating patients about lifestyle modifications

  • Monitoring blood pressure, blood glucose, and blood cholesterol and maintaining a log for review with medical providers
  • Developing a specialized diet program with the assistance of our dietician, when necessary
  • Managing the wide range of mental and emotional changes that often accompany strokes
  • Utilizing our on-staff medical social worker to identify community resources to support additional rehabilitative needs

In-home care is often the best option for stroke patients with moderate impairments because it supports the delivery of dedicated, high-quality health care in a familiar, non-threatening environment. Contact us to learn more about our stroke rehabilitation care programs, or download a referral form to initiate services.

Transplant Patient Care

Pre and post-transplant patients oftentimes experience a great deal of uncertainty – trying to remain fit and healthy while waiting for the availability of an organ, and after discharge with follow up care.

Home care clinicians are critical members of the transplant team, and can greatly influence the short and long term success of an organ or tissue transplant by averting problems through meticulous observation, assessment, early intervention and evaluation.

The Premier Point Approach - Pre-Transplant Services

Premier Point nurses are well-trained in managing complex transplantation cases. Our team of infusion nurses have an average of ten years of infusion experience, and are certified in the safe delivery of infusion therapy for pre-transplants including:

  • Anti-infectives
  • Inotropic therapy
  • Parenteral and enteral nutrition
  • Immunotherapy
  • Transplant therapy

We also monitor lab results to ensure patients maintain the chemistry balance as defined by their medical team to safely undergo organ or tissue transplant surgery.

The Premier Point Approach - Post-Transplant Services

Patients can also face many challenges when discharged from the hospital after surgery, and often need intensive medical support to avoid infections, rejection, or complications.

Premier point clinicians work with the transplant team to offer continuity of care post discharge to maximize the long-term outcome. Our team:

  • Monitors the patient’s oral history and behaviors for the typical signs of acute and chronic rejection including:
    • Weight gain
    • Low grade temperature
    • Lethargy/general malaise
    • Palpitations
    • Shortness of breath
    • Soft heart sounds/S3 gallop
  • Monitors the patient’s wound and vital signs for indications of bacterial, viral or fungal infections including:
    • Redness or discoloration around the wound
    • The temperature of the skin around the wound
    • Visible drainage, color, and odor
    • Swelling
    • Help the patient to manage pain, and encourage early mobility to reduce the risk of deep-vein thrombosis or blood clots

We work with our patients to incorporate a medication management program into their daily routines to ensure they know the name and purpose of each medication, dosage schedule, and main side effects.   We also provide 24/7 nurse and pharmacist availability with complete access to each patient’s specific medical records to answer questions, and provide guidance on when to contact their primary care physician.

To learn more about our pre and post-transplant care programs, click here to contact us. You can also download or electronically submit a patient referral form.