VHS Rehabilitation physical therapist shares best part of job is focus on individuals

Nancy Funkhouser doesn’t mind putting 100 to 125 miles on her car in a day. It’s part of the job.

And it’s a job she loves. Funkhouser is a physical therapist with VHS Rehabilitation whose patients are all coordinated through VHS Home Health Care.

“To have the privilege to do something that makes you happy, and that pays your bills, that’s like the best of both worlds. I don’t know why you’d work anywhere else or do anything else,” she says.

Focus on individuals

The role allows her to focus solely on an individual.

“The thing I love about home care is it’s you and your patient one-on-one,” Funkhouser says. “That patient gets 150% of your attention, 150% of your effort and it’s just you and them. No other outside distractions or pull to your focus.”

VHS Home Health Care helps get individuals back to living their best life by providing skilled care in the comfort of their home. The home health team contracts physical, occupational and speech therapists through VHS Rehabilitation as part of Virginia Health Services’ spectrum of services.

The VHS lines of service give individuals the best access to their care needs regardless of where they live in southeast Virginia.

Because of the nature of skilled home health care, time is often determined by insurance. Funkhouser says, “You really need to pack in as much as you can in those sessions to get as much potential and gain and recovery of function as you can.”

The supervisors make an initial visit to open a care plan and create goals with the individual. The treatment plan is rolled out to the clinical team.

“Everybody is focused on giving the patients what they need. You hope that by the end of your time with them, you’ve met the goals for your patient.”

Nancy Funkhouser

The team’s consistency allows individuals to see the same faces, “which is always better for overall patient recovery,” Funkhouser said.

Status changes can be identified and dealt with quickly when you and your team members know a patient. And the more you see them, the more they get to know you.

“When I’m with them, I give them as much as I can in the time we have,” she says.

Being a PT

Funkhouser knew she wanted to be a therapist since she was a teenager. She observed the therapists who worked with her father after he had major open-heart surgery.

That exposure to therapists in the hospital inspired her to be a therapist. She volunteered in high school and then went to school for therapy.

She spent 20 years in a hospital setting before working in home health settings a decade ago. She joined VHS Rehabilitation about six years ago and started with VHS Home Health Care a few months after it launched in 2015.

Working with VHS Home Health Care and VHS Rehabilitation put Funkhouser “in an optimal position to do what I do best, and that’s get wrapped up with the patient and get them better.”

It’s rewarding. There is independence and autonomy for the clinical team in providing quality care to the individuals VHS Home Health Care and Rehab serve.

“Here, everybody is focused on giving the patients what they need,” she says. “You hope that by the end of your time with them, you’ve met the goals for your patient.”

The passion for patients and for the job come through in Funkhouser’s voice.

“At the end of the day, I feel like if it’s a job you really like a lot, you tend to give a lot of yourself to it,” she said. “It’s just a win-win.”

Healthy lifestyle begins with ‘power-half hour’ of chair exercises

The Residents at The Arbors Independent Living are getting an assist in staying active.

VHS Rehabilitation tech Kim Kutscher leads a chair exercise class with a group of Residents daily in The Arbors community room.

“It’s a head-to-toe program with cardio,” she says. “A true power half-hour!”

Hamilton residents do leg lifts during chair exercise class

Hamilton residents do leg lifts during chair exercise class

Kutscher, who has been with Virginia Health Services for 17 years, also leads a class twice a week at The Hamilton Assisted Living in York County.

“It’s booming right now,” she said. “There’s quite a few who come to class on a regular basis.”

There are about 10 for Kutscher’s class at The Arbors on a recent weekday morning. Some arrive early to chat with her and get their pick of seats in the community room.

Kutscher said the benefit of group classes is a camaraderie develops among the participants. Some participants who have caregivers are sometimes assisted as they go through the exercises.

The Arbors Residents, since the COVID-19 pandemic began, hang onto their equipment: a theraband, ball and hand weights. Kutscher said some Residents use the equipment and exercise sheet she provides to continue their work on the weekends.

Residents at The Arbors lift an arm in the air with a hand weight.

Hand weights are a recent addition to chair exercise classes at The Arbors Independent Living.

If one-on-one therapy is needed, participants are encouraged to use VHS Rehab and VHS Home Health Care. Kutscher strictly provides group sessions, seeking the advice of VHS physical therapists about adding certain exercises to the program when needed.

She says that if someone is seated for long periods of time, even if they aren’t in class, they should focus on ankle and leg work “to keep them strengthening and prevent atrophy.” Muscles can get weak, making it difficult to move from a seated to a standing position.

Her class works from the feet up, all the way through finger movement, shoulder rolls and deep breaths to close out the class.

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