Rehab or not to rehab

Whilst on my neuro placement I was treating a patient who had been an inpatient for a long time they had multiple impairments, had a VP shunt inserted and they also had bilateral amputation one above knee the other below following an accident, concurrently they were experiencing vestibular disturbances.
Treatment consisted of vestibular habituation exercises, postural retraining and U/L strengthening exercises. As it was a neurosurgical ward the patient was only being seen once a day (twice if time permitted, which it rarely did) due to priority of more acute patients however the patient was stable and really needed intense rehab to improve their current function level as they were currently a hoist transfer. Not being a rehab facility and due to the ward we were just not capable of providing the rehab the patient required. Although the patient was wait listed for a rehabilitation facility he was continually being reviewed to determine his rehab potential and it didn't seem to be getting anywhere.
After speaking to my supervisor who was very aware of the situation we came to the decision that the patient would benefit most from treatment which was directed towards transfers the most appropriate being a slide board transfer. The patient had a great loss of strength in his upper limbs due to his immobility so it was devised that it would be of great importance to increase his U/L to strength help his rehabilitation.
The treatment continued and the patient progressed well throughout the sessions, it was also quite rewarding as on the last week of my placement there the patient was transferred to a rehab hospital, and due to the rehab we could provide he was getting closer to the prospect of self transfers

DEALING WITH THIS SITUATION I FELT I LEARNT A VALUABLE LESSON IN TERMS OF REHABILITATION AS EVEN THOUGH WE WERE NOT ABLE TO PROVIDE THE INTENSIVE REHAB, WE WERE ABLE TO WORK ON ONE OF THE PATIENTS MAIN ISSUES TO HELP THEM ON THERE WAY TO THE GOAL OF BEING ABLE TO TRANSFER INDEPENDENTLY. AS WELL IT HIGHLIGHTS THE LACK OF REHABILITATION FACILITIES OUT THERE, AS EVEN THOUGH THE PATIENT WAS REQUIRING INTENSIVE REHAB, IT JUST WASN'T POSSIBLE IN AN ACUTE SETTING.