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    Long-Term Care/Transitional Care Unit

    Sometimes a child's ongoing health condition requires both medical and nursing care, and special equipment or services. In those cases, the transitional care unit provides a friendly, supportive and comfortable environment for both children and their families.

    Depending on the child's condition, levels of care can include:

    • Long-Term care – rehabilitative, restorative or skilled care provided over an extended period, assisting patients with daily living activities
    • Transitional care – aimed at improving a child's health status to aid the transition to home, a rehab facility or adult long-term care when the child reaches age 21
    • Palliative care – relieving pain and other symptoms of life-threatening medical conditions, to maximize quality of life when a cure is not possible
    • End-of-life care – provided when death is near

    Admissions

    To be admitted to the unit, a child must require...

    • At least weekly physician visits
    • Coordinated multidisciplinary care
    • Licensed nursing services 24 hours a day

    ...and at least one of the following:

    • Care for a terminal illness
    • Daily respiratory therapy treatments from a licensed nurse or respiratory therapist
    • Ostomy care to be provided by a licensed nurse
    • Special equipment such as mechanical ventilator or cardio-respiratory monitoring
    • Two of the following: physical therapy, occupational therapy or speech pathology

    (Note: therapy must be provided at least 1.5 hours per day, five days per week. The child must demonstrate progress with the overall plan of care on a monthly basis)

    Neighborhood Care Team

    The unit has 2 neighborhoods designed specifically for children and their families. A team of specialists provides care that is unique to each child and promotes collaboration, planning and education among all family members.

    Families are involved through newsletters, monthly family care conferences, family dinners and family fun days. Ronald McDonald Houses and the Hospital Hospitality House, Inc. are available for overnight lodging when needed.

    Specialized Services

    Depending on the child's condition, additional related services are available, including:

    • Assistive technology
    • Certified rehabilitation nursing
    • Chaplain
    • Clinical laboratory services
    • Education (special education teachers on site)
    • Feeding program
    • Motion analysis
    • Nutrition services
    • Occupational, physical and speech therapy
    • Pediatrician and physiatrist on staff
    • Physician specialist services
    • Psychology and neuropsychology
    • Radiology
    • Respiratory therapy (24-hour in house)
    • Skilled nursing care
    • Therapeutic recreation

    More Information 

    How to "Be There" for Families During a Child's Illness

    Taking Care of Siblings

    Virtual Tour: Transitional Care Unit

    Referrals and Location

    For information on referring a child to the transitional care unit, call the unit social worker at (804) 249-8620 or e-mail.

    Services are provided on the Brook Road Campus.

    ›› Meet the Team

    A physician specialist directs the team, which typically includes nursing, respiratory therapy, recreation therapy, social work, pastoral care, nutrition and physical, occupational and speech therapy.


    This program is not accredited by The Joint Commission.  It is surveyed by the Department of Health, Long Term Care Division.



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    For Appointments,
    Call 1.804.828.2467.

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