Personalized Support and Stabilization Plus (PSS+) - Reablement Care for Seniors
Home Health Care and Seniors Services
Provided by Vancouver Coastal Health
Provides up to eight weeks of community/home support and “reablement care" to increase self-reliance and optimal functionality for the frail elderly.
In support of timely transitions from hospital to home, applying a reablement and team-based approach to care, PSS+ provides rapid access to short-term comprehensive, coordinated and client-centred care in the home for individuals with high priority time-sensitive care needs to improve health outcomes and prevent unnecessary Emergency Department visits and / or hospital admissions.
The PSS+ team focuses on clients who are at high risk of potential adverse health events or experiences during the transition from hospital to home. These are clients who have some combination of the following:
The PSS+ team focuses on clients who are at high risk of potential adverse health events or experiences during the transition from hospital to home. These are clients who have some combination of the following:
- Change in their clinical or functional baseline during or following their acute care experience
- Clinical risks such as: potential for mismanagement of medications, falls, issues accessing healthcare supports when they return home, issues understanding their care plan during the transition from hospital to home
- Non-clinical risks such as: living alone, lack of formal support such as primary care provider, lack of informal support to assist through the transition at home such as a family member or close friend
The PSS+ team will work with the client to develop a plan of care to:
- Prioritize activities that enable them to recover and increase their ability to be independent
- Build on individual strengths and goals
- Focus on activities that are important to them
- Connect them to ongoing community support services as required
604-499-2565
Service is available in English.
Cost: No cost
Brochures and Info
Associated Programs/Services
Also offered by Vancouver Coastal Health:
Just the closest matches listed. Click to see more!- Transition Services Team (TST) - For Seniors Transferring from Hospital to Community
- OASIS - Online & In-Person Classes for Managing Osteoarthritis
- Health Services for Community Living - G.F. Strong Rehabilitation Centre
Availability
Service area: Vancouver Coastal Health Area
Service Types Provided
Home Health Care
Seniors Services
Ways to Access
- Provided at home
The listing of this service in Pathways is not a recommendation or endorsement by Pathways.