Intermediate Care

The vision of the Tygerberg Hospice Intermediate Care Facility is to provide inpatient transitional care enabling patients to regain skills and abilities in daily living, with the ultimate discharge destination being home or an alternate supported living environment. We aim to provide post-acute-, rehabilitative- and end-of-life care which includes comprehensive assessment, care plan, active therapy, treatment and/ or an opportunity to recover.

The care we offer allows for a seamless transition between acute care and the living environment, particularly where the person’s ability to self-care is significantly compromised. Our service is essential in alleviating the pressure on acute hospital beds.

We offer a 40 bed, 24 hour, 7 day a week facility with an average length of stay between 14 – 42 days. Our program strives to relief suffering, enhance comfort, promote quality of life and recuperate/restore patients to a functional status. Care and support is provided in a calming, clean and safe environment were the patient can rest and be cared for by a Professional Multidisciplinary Team.

Criteria for Admission:

  • Referral forms need to be completed before admission
  • Admission is based on functional need not diagnoses and targets users who meet the following criteria:
  • Clients must be over 18 years of age
  • Clients must be known at a state health facility and folder number
  • Medically and mentally stable (including stable dementia patients), with compromised functional status
  • Complex discharge planning is required to resume living at home
  • Recent decline in functional status requiring a short period of enhanced care
  • Requires a short term rehabilitation or recuperation (respite)
  • Clients requiring care following acute hospital admission
  • Patients requiring rehabilitation with a fair to good prognosis.
  • Patients requiring palliative care including symptom and pain control
  • Patients with complex and or chronic wounds

Exclusions:

  • Patients on ventilators
  • All medical emergencies
  • Patients who are pregnant
  • Patients arriving for admission outside of admission hours
  • Patients with active TB not yet on 2 weeks therapy (Excluding XDR and MDR)
  • Highly infectious diseases
  • Acute psychosis
  • Patients on intravenous therapy
  • Patients still requiring special laboratory investigations

Requirements by Referrer:

  • Completed standard referral form for admission to Intermediate Care facility.
  • Referrer to prepare an appropriately detailed and comprehensive care transfer plan/discharge summary
  • Patient must arrive between 08.30 – 15.00 on day of admission
  • Referrer to provide all prescribed medication for 28 days
  • Specialist-initiated and re-boarded medication to be supplied post 28 days
  • Referrer to provide assistive devices as required by patient, if not yet available, to be delivered when issued
  • Referrer to provide specialist surgical requirements for wound dressing or other care e.g. stoma care and all dressing packs
  • Transport is the responsibility of patient and family
  • No admissions over weekends

Referrals:

  • Patients are referred by State Hospitals, Community Health Centers and Community Based Services.
  • Referral forms to be completed before assessment and admission.
  • All relevant sections of the form to be completed, advice can be obtained from the Intermediate Care Facility in case of any uncertainty.
  • The patient’s own medication is brought from home to the facility and goes home with the patient on discharge.
  • Transport is the responsibility of patient and family.

Contact Details:

Grounds of Karl Bremer Hospital UNIT M7&M8
c/o Mike Pienaar Boulevard and Frans Conradie Drive, Bellville
Telephone:  021-9480340/021-9480786
Fax:  021-9480837

E-mail: 

michelle@tygerberghospice.org (Admissions Clerk) or carol@tygerberghospice.org (Administrator)

Visiting hours are from: 15h00 – 16h00 and 19h00 – 20h00 daily