Long Term Care Services: Transition Unit

Transition Unit care services are available to individuals being discharged from hospital, and who are possibly returning to the community. A SWADD Coordinator or Social Worker in hospital assesses whether admission and placement in the Transition Unit is the most appropriate option, based on program criteria. Admission is determined prior to discharge from hospital.

The Region has a twelve bed Transition Unit located in one special care home. Care is provided twenty-four hours a day, seven days a week. The average length of stay in transition care is between thirty to forty-five days, with a maximum stay of three months.

An interdisciplinary team, consisting of SWADD, the individual and their caregiver, family physician, physiotherapist, a facility Social Worker, nurses, licensed practical nurses, special care aides and other facility staff provide:

• assessment services,
• nursing care,
• physical therapy,
• client and caregiver teaching and support,
• pastoral services (optional),
• recreation and socialization opportunities,
• nutrition, laundry and housekeeping services,
• medical services in collaboration with the family physician, including confirmation orders, health assessments, referral to specialists, and diagnostic services,
• community based care planning and institutional care plans

The Transition Unit fees are the same as all other residents' fees in the special care home. Other costs not covered by the accommodation fee include: transportation, clothing, personal grooming items, medications and medical supplies, incontinence supplies, supplies for oxygen therapy, mobility equipment, dental and prosthetic devices, costs for marking personal belongings.

SWADD will assist in arranging transportation from hospital to home, or to the transition care unit in the special care home. Costs for transportation are the responsibility of the individual.

Information on this service is available twenty four hours a day, seven days a week. For more information contact SWADD in Regina at (306) 766-7200, or outside Regina at 1-800-667-1242.