Visiting Nurse Association of Southeast Missouri is committed to providing quality home health therapy services. A patient may qualify for physical therapy, occupational therapy, and / or speech therapy services to maximize their ability to function safely in their home environment. Home health therapy services are typically provided to patients who are considered homebound, meaning they are unable to safely leave their home for therapy services at a clinic. Once a physician orders therapy services, a licensed therapist will evaluate the patient to determine specific areas of decline that may be limiting patient safety and independence in the home. The patient and caregiver help the therapist set rehabilitation goals and establish a plan of care to meet those goals.

All therapy services strive to identify home safety concerns and provide recommendations to decrease risk of injury. Concerns may be related to the patient’s physical abilities, cognitive abilities, and /or environmental setting. Home health services are always focused on decreasing the risk of falls in the home.

Physical Therapy

  • Treatment sessions focus on patient’s strength, balance, and functional mobility.
  • May educate patient on appropriate use of walking devices, prosthetics, and other adaptive equipment.
  • Work with patient on establishing a home exercise program for long-term independence at home.
  • Identify pain management techniques with exercise and modalities as indicated

Occupational Therapy

  • Treatment sessions focus on safety and independence with Activities of Daily Living (ADLs) which include, but are not limited to, dressing, grooming, bathing, toileting, meal preparation, laundry, housekeeping, and hobbies.
  • May educate patient on use of adaptive equipment devices to allow increased independence with ADLs, such as a tub transfer bench, elevated toilet seat, reacher, sock aid, long-handled comb, elastic shoelaces, etc.
  • Address upper body strength and breathing exercises for activity tolerance, along with energy conservation techniques that may be incorporated with ADLs.
  • Work with patient on establishing a home exercise program for long-term independence at home.
  • Identify pain management techniques with exercise and modalities as indicated.
  • VNA also offers a certified lymphedema therapy specialist to assist patients suffering from debilitating fluid retention in the arms or legs.

Speech Therapy

Treatment sessions focus on a patient’s ability to communicate and/or swallow, along with cognitive functions.

  • May educate patient on appropriate liquid/food consistency for safe swallowing, modify and progress swallowing techniques.
  • Identify alternative techniques for communication if verbal communication limited, and work with patient on verbal and non-verbal communication exercises.
  • Work with patient on establishing a home exercise program for long-term independence in the home as related to speech therapy deficits.
  • Address memory/cognitive deficits and compensatory techniques.
  • VNA also offers a speech therapist certified in Vital Stim to strengthen swallowing muscles in the throat.

Payment Methods

Medicaid (Title XIX) and some Private Insurances are used to pay for services for these clients of VNA Community Services.

Eligibility Requirements

Medicaid guidelines require a Level of Care assessment and prior authorization from DHSS before any In-home services can be reimbursed under the Medicaid benefit. Long term care insurances may also require limitations in handling Activities of Daily Living (ADLs).

Additional Notes

Private Purchase can be made for any length of time. Call VNA direct at 1-800-286-5892 ext.1157 to request services or ask questions.

Be sure to ask for VNA when the DHSS Caseworker asks which agency you prefer.