Visiting Nurse Services

DSFHS is a certified, Joint Commission-accredited agency focused on helping people in all stages of life get access to highly skilled nursing care. We enable patients to receive the benefits of at-home recuperation and recovery by providing comprehensive medical services. We work with those patients who are:

  • In need of medical management such as: blood pressure checks, respiratory assessments, blood sugar testing, oxygen saturations, monitoring of medication changes, catheterizations, and physician consults.
  • Need observation for complications and pain management
  • Require intravenous and intramuscular injections

All nursing care provided in the home is done by DSFHS Registered Nurses (RN) and Licensed Practical Nurses (LPN), and is often paired with other supportive services and therapies, as determined by a patient’s physician or surgeon.


Rehabilitative Services

Under a doctor’s supervision, our dedicated team of experts helps patients with the following therapeutic services:

Physical Therapy helps patients regain functional mobility, increase strength and improve range of motion. Focus is on balance, moving about, range of motion, muscle strength, and sensory integrity. DSFHS physical therapists provide specialized treatment, as prescribed by a patient’s surgeon or doctor.

Occupational Therapy assists the patient in performing daily life functions by teaching adaptive methods and the use of special equipment to increase independence at home.

Speech Therapy provides patients assistance with speech, swallowing and cognitive issues which may have been impaired following an illness, trauma or accident.

Falls Reduction & Joint Replacement Therapies include exercise related to loss of function or the utilization of adaptive equipment to aid in rehabilitation. Exclusive to DSFHS, joint replacement patients discharged from the hospital receive upfront visits by physical therapists, according to their Plan of Care — and visits immediately following discharge. Our approach is built on evidence-based best practices which include:

  • Risk Assessment/Evaluations
  • Proactive Fall Interventions
  • Patient/Caregiver Education
  • Continuous Improvement/Program Modifications

Care Transitions Program

Our Care Transitions Program is a patient-centered self-management program designed to give patients, families and caregivers more knowledge and confidence in managing their own care, after they have been discharged from a hospital, rehabilitation or skilled nursing facility. Our program is funded by the Centers for Medicare and Medicaid Services (CMS) and offers Certified Nurse Coaches, who minimize the likelihood of readmission and empower patients and family caregivers.

Intervention

  • Pre-discharge hospital visit
  • Certified Home Care Nurse Coach
  • Coaching Phone Calls

Patient Care

  • Medication Self-management
  • Personal Health Record
  • Primary Care and Specialist Follow-Up
  • Knowledge of Red Flags

Skin, Wound and Ostomy Care

We are committed to providing the highest quality wound and ostomy care available in the home care setting. Our front line clinicians receive advanced education and consultative support from certified Wound Ostomy and Continence Nurses (CWOCN’s), assuring expert assessment and ongoing clinical evaluation.


Pediatric Services

We provide comprehensive nursing and rehabilitative care to medically fragile children whose parents want them to live at home. We also provide comfort and care to children with acute and chronic illnesses.


Maternal/Child Services

DSFHS’ dedicated Maternal Child Infant and Child Health Team teach expectant and new mothers how to care for themselves and their babies. Our team provides:

  • High-Risk Pregnancy Management
  • Breast Feeding Support
  • Post-Partum Care
  • Early Intervention Assistance/Services
  • Care for Children with Complex Needs
  • Care for Low Birth Weight Babies
  • Skilled Nursing and Rehabilitation Services
  • Bilingual Social Work

Social Work Services

Services are provided by a Medical Social Worker. Services may include short-term counseling, referral to and coordination with community resources, assistance with living arrangements, long-term planning and caregiver support.