Transitional Care Services Inpatient ServicesServices

Services

559-624-6037
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:

  • Physical therapy
  • 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.

Family Involvement

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 possible.

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 lives.

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 Crime program.

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.