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TREATMENT AND SERVICES

Clinical Departments

Leeway, an integral part of the continuum of AIDS care, is committed to being a center of excellence in providing inpatient rehabilitative and palliative care and creating new treatment options so that those with AIDS can live as independently as possible. This expert care is respectfully provided with compassion and without regard to race, national origin, age, religion, handicap, gender or sexual orientation with a focus on the integration of body, mind, and spirit. We are committed to promoting quality of life and dignity to all those with HIV/AIDS.

Medicine

Leeway’s medical staff includes physicians and nurse practitioners with expertise in primary care, infectious disease, and psychiatry. Care is short- and long-term, transitional and terminal, as well as palliative.

Patient Care Services and Nursing

With a staff which includes practical and registered nurses (two of whom are masters prepared nurse practitioners) and certified nursing assistants, Leeway offers a high standard of care, geared toward the particular needs of each resident, many of whom have daunting co-morbidities.

Wound Care

Because of the nature of HIV, it can be difficult to heal open wounds or ulcers once they appear. Leeway’s staff includes a wound care specialist who conducts a basic assessment of skin so that the medical team can effectively treat any issues. Full-body skin checks are an integral part of care plan at Leeway and are continued on a regular basis for all residents. Risk assessments are done at regular intervals and any time a change in condition warrants (e.g., acute episodes requiring hospitalization, a period of immobility no matter how brief, a change in medication with new onset of side effects, etc.). Once the appropriate medical regimen has been determined and instituted, nursing measures enable us to provide symptomatic relief for our residents with skin concerns.

Physical Medicine and Rehabilitation

The Physical Therapist is an important member of the multi-disciplinary team at Leeway.

Leeway’s Physical Therapy intervention encompasses three major categories of activities:

Management of Pain

We all slow down when we experience pain. The primary focus of pain management and physical therapy at Leeway is its effect on function. Physical Therapists at Leeway custom-tailor a plan for each resident that helps each individual maintain as high a level of function as possible; common activities include: relaxation techniques, massage, and activities that work to maintain joint mobility/flexibility.

Maintenance of Strength and Endurance

Residents at Leeway take part in a physical therapy assessment and then an individualized exercise program is designed for each resident. Activities range from passive range of motion and stretching to progressive resistance exercises. Leeway’s Physical Therapists encourage residents to participate in physical activities appropriate for each individual’s level of tolerance. These activities include progressive resistance therapeutic exercise through the use of cuff weights, dumbbells, and resistance bands to increase or maintain strength and endurance. The ultimate goal is to maximize independence with daily function and activities of daily living.

Independence in Self-Care

Every day we wake, shower, dress, prepare breakfast, and move on with our day. Add a chronic illness to that morning routine and techniques to conserve energy and achieve the maximum amount of care with the least amount of effort becomes a priority. The Physical Therapists at Leeway work with each resident to teach these techniques as well as help residents learn to utilize assistive devices.

At Leeway, we help our residents work toward independence and self-care plays a significant role in achieving that independence. Our Physical Medicine and Rehabilitation department strives to keep up-to-date with the latest technologies and assistive equipment that is available. Many of these items are obtained through the generosity of our donors. To support continued expansion of our rehabilitation program, click here.

Psychiatry

Myriad statistics show that psychiatric disorders can lead to increased risk of HIV, as well as worsen the prognosis of an infected individual. The priority of care in the Leeway program is crisis stabilization and safety with a focus on improvement of the level of functioning for each resident.

Leeway’s medical team includes a Psychiatrist and a Clinical Nurse Specialist in Psychiatric Mental Health who address psychiatric disorders found in HIV/AIDS such as depression, dementia, alcohol, drug, or other substance-related disorders. Psychiatric treatment at Leeway focuses on the mental wellbeing of our residents and works to understand the life history, responses to external conditions, interpersonal and cultural context of existing mental disorders so that the care plan for each resident will effectively work toward management of the often dual diagnosis of substance-related and psychiatric disorders.

Dietary

Leeway boasts an extraordinary Dietary team. With an in-house chef at the helm of the Dietary department and regular visits from registered dieticians, the attainment of nutritional goals and the focus on wellness of our residents is unparalleled. All meals are prepared on-site in Leeway’s kitchen. Great care is taken to custom-tailor a nutrition plan for each resident based on his or her specific needs, conditions, preferences, and cultural traditions.

In addition to providing delicious and healthy meals for our residents, the Dietary staff also presents an educational program focused on nutrition. The goal of the program is to prepare residents for their return to independent living. Residents will be able to make better nutritional choices living on their own, as well as learn how to stay within a limited budget and still consume a healthy diet. Working closely with the Therapeutic Recreation department, the Dietary staff also helps facilitate hands on cooking experiences. As each resident moves toward supportive housing and independent living, it is critical that the Leeway staff help to prepare every individual so that they will find success in their new life outside of Leeway.

The nutrition education program at Leeway is supported by the generosity of our donors. Click here to make a contribution to Leeway and ensure that this essential program can continue to help our residents achieve the highest level of independence possible.

Therapeutic Recreaction

Leeway’s Therapeutic Recreation program provides a variety of opportunities for our residents to develop new leisure skills and interests that may be carried into the community when they return to independent living. The treatment, education, and recreational services are designed to broaden the scope of how residents use their leisure/activity time effectively to enhance their health, functional abilities, independence, and quality of life.

The Recreation staff provides individual, small, and large group activities ranging from arts and crafts, bingo, music entertainment, movies, educational videos, cooking groups, games, pet therapy, and special events/celebrations, through a wide variety of community out-trips.

Residents learn how to better manage their time to help reduce boredom, stress, loneliness, anxiety and depression. The program also creates learning opportunities for enhanced interpersonal skills to improve social functioning, self-esteem, problem solving, and coping skills.

The Therapeutic Recreation department utilizes many of the community’s resources to broaden program offerings, visiting libraries, local parks, museums, performing arts, and seasonal community events. These activities have a significant impact on our residents’ quality of life. Many have never had any access to the arts and the healing benefits they provide until arriving at Leeway. As one of our Alumni stated: Leeway gave me a template for Living. These activities are supported by our generous donors. Help someone find a new template for living a full and meaningful life. For more information on how to support these critical activities, visit our How You Can Help page.

Social Services

Leeway’s mission to help individuals living with HIV/AIDS revive, reclaim, and renew their lives is supported by a strong Social Services department. Case workers at Leeway link our residents and supportive housing tenants with agencies and programs that meet their physchosocial needs, as well as assist our residents and alumni in becoming strong advocates for HIV/AIDS policy and practice development. As part of the care team at Leeway, the Social Services department contributes another significant component of the programs to enhance life skills and improve the quality of life for our residents and alumni. Some of the activities in the Social Services department include:

Assistance with Entitlements:

Leeway works individually with residents to assist with items such as application for State Supplemental Income and Social Security Disability, redetermination for Medicaid and education and referral of community based entitlements upon discharge.

Groups

Leeway’s trained and certified social workers work with residents in experiential group settings to provide psycho-educational programs that are enhanced by the activities of the Therapeutic Recreation department, grief/loss support, activities of daily living, communication sills, budgeting and related life skills, relapse prevention, addiction education, and community resource education.

Substance Abuse Counseling

Of critical importance at Leeway is a focus on Individual and group counseling for substance abuse. These programs assist residents in staying focused on wellness and help to prevent relapse. Leeway is working to expand activities in this area. Contact the Development Office at Leeway to find out how you can help us to expand these programs or click here to make a donation in support of Substance Abuse Prevention programs.

In addition to 24-hour traditional medical care, Leeway care plans include a podiatrist, dietician, and life skills counselors. Monthly Narcotics Anonymous meetings and Relapse Prevention groups are held onsite. Leeway works closely with local drug treatment agencies so that residents with substance abuse challenges may receive continuing drug treatment, such as methadone maintenance, while at Leeway.

Also, in support of Leeway’s mission to promote quality of life and dignity for each resident with a focus on the integration of body, mind and spirit, Leeway has established a holistic wellness program. The Wellness Team, which consists of representatives from each of Leeway’s service areas, including nursing, physical therapy, housekeeping, recreation and nutrition, as well as life skills, substance abuse and mental health counseling, work together with residents to develop individualized wellness plans. These plans address topics important to each resident, and include discharge, end-of-life, nutrition, drug tolerance and spiritual issues.

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