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Rehabilitation
Our Team
You and Your Family
You and your family are at the top of our list! YOU are deemed the most
important members of this team and are active participants in the rehabilitation
program. At the time of admission to the Rehab Unit, you will be asked
to share your goals for your rehab experience. In cooperation with the
Rehabilitation Team, goals will be set to help you become as independent as
possible. You are expected to participate in your program to the best
of your ability, which includes attending all scheduled therapies and carefully
following the recommendations of your physician and therapists. Your family
members will participate in various ways by helping to set goals, observing
and participating in therapies, attending specific educational programs, attending
team conferences (if indicated), participating in a home evaluation (if indicated), and
actively taking part in your care after you are discharged. Other requirements
may be necessary based on your specific needs.
Physiatrist
A Physiatrist is a doctor specializing in Rehabilitation
Medicine. He/she
will direct the team to help improve your functional abilities. The physiatrist:
Your family physician or surgeon may continue to see you during your stay on the Rehabilitation Unit. The physiatrist interacts with other physicians involved in your care on an ongoing basis.
Rehabilitation Nursing
Upon admission, patients work with a registered rehabilitation
nurse to plan and coordinate care from admission to discharge. The nursing staff assist
patients with medications, self-care and to reinforce what has been learned
in therapy. The nursing staff consists of RN's, LPN's and Certified Nursing
Assistants who assist in patient care. We have nurses certified specifically
in rehabilitation.
Neuropsychologist
The Neuropsychologist specializes in the areas of brain-behavior
relationships, psychological aspects of medical diseases including visual spatial
organization, social and emotional adjustment, building self-esteem, personal
relationships, and emotional well-being. In addition, for those patients who have sustained
a brain injury the Neuropsychologist may conduct specialized testing to help
identify problems and recommend treatment. Emotional adjustment to a
disability can be difficult for both patients and their families. Your
Neuropsychologist is available to you and your family to provide education
and counseling specific to your injury and unique challenges.
Physical
Therapist & Physical Therapy Aide (PT)
The goal of physical therapy is to
promote mobility. Physical therapists
carefully evaluate their patients and implement individual treatment programs
with assistance from Physical Therapy Aides to help optimize movement, flexibility,
and muscle control, build strength and endurance, and improve balance. The
Physical Therapist will determine equipment needs and follow-up therapy services
upon discharge, as well as provide a home therapy program.
Occupational
Therapist (OT)
An occupational therapist helps patients to regain their
highest level of independence with daily activities such as bathing, grooming,
dressing eating, household activities (e.g., cooking, money management, and
doing laundry). The
OT also evaluates and treats cognitive difficulties or thinking abilities such
as orientation, attention, memory, problem-solving, sequencing, organization,
etc. The OT also evaluates visual issues affecting the ability to complete
activities of daily living.
Speech Pathologist
A Speech Pathologist evaluates and treats problems patients
may experience associated with understanding and using language, reading and
writing. They
also work with motor speech disorders, fluency and phonation issues as they
relate to brain injury. He/she will also evaluate and treat swallowing
function and make recommendations for the safest food textures and liquid consistencies,
if indicated. Speech Pathologists also, similar to Occupational Therapy,
evaluate and treat disorders of Cognition or thinking skills such as orientation,
attention, memory, problem-solving, sequencing, organization, etc.
Recreation
Therapist
A Recreation Therapist gives patients the opportunity
to pursue leisure and recreation activities while in Rehab. Saint Al's licensed recreation
therapists help patients return to independent leisure and community lifestyle
after discharge by helping patients learn new ways to do the activities they
enjoyed before. Recreational therapists also introduce patients to new
activities they might enjoy doing. Individual and group activities are
provided to improve social skills, self-confidence, community living skills,
and acceptance of illness and disability. Recreation therapists provide patients
with aquatic therapy if appropriate during their rehabilitation stay.
Social
Worker/Case Manager
The social worker will provide patients and family members
with supportive counseling regarding coping with impairments and provide brain
injury education to you. He/she also works with you on discharge planning
options and community and financial resource identification. As your
case manager, the social worker will help to co-ordinate patient care and facilitate
communication between the patient's physiatrist and therapy team. The
social worker co-ordinates and facilitates a brain injury support group that
meets in the 4th floor conference room in the Rehabilitation unit on Thursdays
from 5 to 6 p.m. Patients and families are always welcome and encouraged
to attend.
Neurological
Case Manager
Your admission to the program was coordinated by the
Neurological Case Manager. The
Neurological Case Manager coordinates your rehabilitation program, ensures
that you receive quality care, and is there for you if you have any questions
or concerns about your rehabilitation program.
Chaplaincy Services
A chaplain will assess and respond to patient spiritual
needs, as well as those of the family. The chaplain is an active part of the rehabilitation
team and will support spiritual concerns regardless of denomination. Your
own pastor/chaplain is welcome to visit any time. A chapel is located
on the fourth floor of the hospital at the end of the Rehab unit.
Dietician
Because good nutrition is important in gaining strength
to meet a rigorous program of rehabilitation and recovery, SARMC's Dietician
and Nutritional Services focus on the preparation of appetizing, well balanced
meals. Our staff
works with patients and families in meeting nutritional and dietary educational
needs. A restaurant style menu and/or "Cuisine-on-Call" are
provided for patients. Meals and snacks are available to family members
in the cafeteria on the second floor of the hospital. There is also a
coffee bar on the first floor near the main entrance. If family would
like to bring in special food for patients, meal by meal is preferred, if approved
by the nursing staff. There are refrigerators and microwaves available
for patient and family use on the Rehab unit. If food is in larger quantities,
it must be taken directly to the refrigerator. Dishes must be labeled
with the patient's name and dated. Food cannot be put in the refrigerator
if it has been in the patient's room previously. Food also cannot be
left in the refrigerator longer than three days.
Others
In addition to the treatment team members listed above,
others involved in your care might include your employer if work reentry is
your goal or school personnel if return to school is your goal. Sometimes we include in our
team the people who sent you to us (e.g., your prior rehab team, doctors, payers,
etc.). We also like to include any people who will be helping you after
discharge (e.g., the Outpatient Brain Injury Program at STARS, Home Health,
Vocational Rehabilitation, etc.). It is possible that these individuals
will come to our weekly team conferences to hear about your progress or to
better understand the challenges you face. These same people may be invited
to attend any family or discharge conference that is held on your behalf. If
direct attendance is not possible, they will, with your permission, be informed
of your progress and needs as you progress through the continuum.