It bothers me and I never understand why we send young people to complete physical rehab at a nursing home.

SNFs are skilled nursing facilities, their intention was for skilled nurse needs not primary rehabilitation.

An able bodied person experiencing an acute change deserves the focused therapy of an IPR. IPR is also so much better at getting appropriate DME that is tailored to them for better success once home.

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School I love to learn more about BRYMAN in Manila . Which has harder and as a RN surgery a lot of students pass lol. No idea nursing school by green belt . Republic of Philippines, Manila city love always Joe Naraja thank you.

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Sometimes it has to do with insurance authorization, that may be the only thing that insurance will cover.

That I could understand, but even that can be challenged with a request for a doctor to doctor conversation. However, too many times I'm seeing youg sent to a SNF. SNFs have their place but an able bodied young person is not going to get the therapy there needed to get anywhere close to baseline and the amount of downtime/unskilled service time while there is sooo much.

I wish the train of thought would switch, we should be thinking of IPR first for rehab needs and only falling to SNFs for those incapable or unlikely to benefit from the more intensive therapy times.

IPRs are required to have a certain patient mix and are meant for the more medically complex. They (and insurance) have to look at age, diagnosis, comorbidities etc. When I first became a therapist, the hospital I worked at was referring all these younger orthopedic patients to IPR because they “could handle the 3 hrs of therapy”. Those days are long gone. Also, as unfortunate as it may be younger people tend to have private insurance. These companies will fight to get them out of that setting as quickly as possible. Even if your in your 40s, had a stroke, and have limited use of one side. It’s sad and just a part of our broken system.

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