1633 S. Court Street
Visalia, CA 93277
Kaweah Delta's Transitional Care
Services is a 24-bed unit that supports short stay patients with specific
therapy needs. Such patients can include patients in need of extensive wound care
who use devices to facilitate wound healing, patients in need of long-term
antibiotic intravenous therapy, patients in end stage renal disease that
require dialysis, diabetic support, cardiovascular/stroke support, cardiac and
post open-heart support.
Transitional Care Services emphasizes:
- Occupational therapy
- Restorative nursing
- Activity/recreational therapy
- Speech therapy
- End-Of-Life Care
Many patients transition to
the TCS to prepare and gain strength to return home. A specialty area for TCS is our end-of-life/palliative
care or hospice care. Many patients and their families come to us to take their
last journey at the end of life with the Palliative or Hospice care concept. This
is supported by the nursing staff with open arms and is beautifully applied
throughout this continuum of care. Family is provided education and support
through the process by the nursing staff and Patient and Family Services.
At TCS, we encourage family involvement
in caring for their loved one. Communication with interdisciplinary team is
frequent to keep the patient, family and all staff up to date with improvements
and changes. Our patients are encouraged and assisted with acquiring habits
that they would have at home such as getting dressed in their own clothing
daily and performing their own hygiene (all with respect to the patient’s
ability). This is also done with the
patient’s goal in mind, which is often go home soon and manage on their own if
Patient and Family Services
While the medical needs of the patient are given top
priority, often the emotional, logistical, and spiritual needs of our patients
and their families also need attention.
When families are in a health crisis, it is sometimes difficult for them
to process all the complicated components which make up the total of their
At the Court Street facility, PFS has a licensed marriage,
family therapist and social work assistant on staff to assist patients and
families with their special needs. These
can range from composing letters for family medical leave or obtaining
humanitarian parole to bring out of country family to the bedside of patient to
finding housing and tapping into community resources such as the Victims of
In hospice work, the social worker is available to patients
and their families, helping them to process and understand chaotic and
uncertain feelings, or just sometimes sitting quietly with a dying patient at
bedside when there is no family available.
The social worker is also available as needed to facilitate family meetings aimed at exploring and resolving family crises related to
problems which illness brings. In this instance, the social worker is one member of an interdisciplinary team working together to help the family achieve understanding and resolution of difficult issues.
PFS is also available to residents as an advocate or voice. Sometimes a resident needs support in dealing with an outside agency, a roommate, or even another staff person. It is reassuring to residents that they have readily available help when they are not feeling their best to handle it themselves.