a case manager is developing a discharge plan for a client who has a spinal cord injury This is a topic that many people are looking for. passionistsisters.org is a channel providing useful information about learning, life, digital marketing and online courses …. it will help you have an overview and solid multi-faceted knowledge . Today, passionistsisters.org would like to introduce to you Neurorehabilitation Program Orientation. Following along are instructions in the video below:
Everybody here is your friend or is here to help you and if you keep keep that positive attitude. The better off you are well soon enough youll be home and out in the community and facing life and seeing that there are lots of possibilities. Were all survivors and and and with that positive spirit you will get back what you lost.
Its its a good place to be it really is at the end of it all were going to want them to certainly stick with the therapy. It takes time. And it is really like a full time job you need to stick with it and try to attend all their therapies.
You know in spite of tiredness and fatigue. Which sometimes seems overwhelming. Im sure and and think of the long run because we only really get to be on the rehab.
Ward once and better give it a good shot. While youre there music. It is the nursing staff who reinforced what all the other disciplines teach during the day as one of the nurses said the rehab.
Patients taught me how to be a good nurse music. The tertiary neuro rehab unit is a 45 ed unit. And its basically a closed unit.
And by that i mean the patients have to be assessed by the pathologist when theyre on the acute side of the hospital to come to our unit. The whole goal of our unit is to help you to learn and to encourage you to be independent again dealing with your disability. The other people that would be involved or the whole interdisciplinary team plus.
The reporters there will be spiritual care. There will be the aboriginal liaison person. There will be home care and of course all of your nurses change your caregivers that are on the unit.
Our length of stay. Varies on this unit. You may be here for a week.
Or you here for two months and that again depends on your progress. And what the team thinks about when youre ready to go home. And when youre ready to be able to start coming in as an outpatient or moving on the continuum of care tasks are encouraged done on the rehabilitation unit.
And the reason for that is to practice. What youve been taught while youre in therapy here and what the nursing staff have taught you so you can continue that at home and practice all those techniques come back and tell us where youve run into problem. So i just want to reinforce again that rehab.
Doesnt stop at this church when youre ready to go home the chemo decide and theyll discuss the date that youll be going home. If you will become an intro patient therapy or if we have to look at alternate plans for you but rehab. Does not stop it discharge just so you know that every little game is the positive for you in your family.
The podiatrist is the medical physician on the rehabilitation team once patients complete rehabilitation unit podiatry. The medical specialty with the rehabilitation of patients after major neurologic or musculoskeletal problem their neuro rehab unit. Some of the common problems you will see is a stroke traumatic brain injury or spinal cord injury.
We particularly deal with a lot of common issues that arise. After neurologic injuries. Such as pain muscle.
Spasticity. Bowel and bladder problems or musculoskeletal. Complaints.
And part of the process. While patients are on the rehabilitation unit is often to do them forward to transition. Home and with that we often have multiple meetings as a multidisciplinary team working with patients and their families towards that goal.
We follow both patients during their stay on the acute care units as well as their state inpatient rehabilitation units. We also continue with all of them as outpatients often for many years after a neurologic event. The key is they know whats in your best interest music.
The department of nutrition and food services. Provide the menus meals and snacks in the hospital be sure you know the schedule for filling in the menus and returning them on time. So your selections can be served.
If you need help or extra time to complete the menu arrangements can be made for this be sure to ask your nurse or dietician. If you have any questions or concerns. Well nutrition is as important as taking a medication is as important as attending therapy that a person eats enough food and drinks enough fluids all right so orange juice.
So im involved mostly when people are not eating enough theres poor intake for a variety of reasons or a person is eating more than they need to and if they have modified texture. Diets. And if they are on to xena this one okay.
Its important for patients when theyre on a modified texture. Diet or a tube feed to be aware that it can be unsafe for them to be eating or drinking foods that arent recommended food from home is fine as long as its the right texture and as long as its within any of the medical limitations. And its just important for patients to be aware that they are they havent been forgotten that we are watching how theyre doing and making sure that we progress them as soon as theyre ready.
I try to make sure that theres a good understanding of the fact that good food choices are appropriate for everyone and trying to minimize the amount of effort thats needed or seem to be needed in terms of providing a you know an appropriate nutritious meal for the patient and try to mesh that as closely as possible with what the family is already doing give the doctors just two hell you properly because were all here for that reason music so when people come to speech language therapy. I think sometimes theyre a little confused about why theyre there because they may be thinking that they dont have a speech. Problem now.
I guess i would like people to know that speech therapy is a little bit broader than that where were looking at communication. Not just the speech. But were looking at reading writing your ability to comprehend what people are saying to you if a balloon is not going down.
Its going up good and were also looking at your thinking skills and how they interact with language. So when people tell you a story are you able to remember it or do you lose the details of it when people are talking to you about a problem are you do you have the ability to solve that problem to come up with solutions if its not dirty. Its tiny hi.
Good so the different word theory. The other thing that people may not know about speech therapy. Is that we are the the main person right.
Now that focuses on swallowing difficulties and people having difficulty swallowing or food or liquids is very common after a stroke. Were there to try and help get you back onto a regular diet again and to do it safely. We also if we were suspecting.
Theres difficulty that maybe some of the food or the liquid is going into the lungs or theres a risk for choking. We may take you for an x. Ray.
Where we can actually see where that food or liquid is going we want the therapy to be personalized. We want it to be relevant to peoples lives. We want we want to try and make sure that we try as much as possible to meet the patient family needs in terms of what problem areas are a priority.
What are the skills that we really really want worked on right now so for each patient because the impairments. The difficulties after their injury are always going to be different the therapy is meant to be custom fit. Its a personalized program set of goals with a lot of input from patient and family.
Its an all inclusive environment. You know family plays a key role in in your recovery. The staff of the unit are there to to help you along the way and you know theyll assist you wherever you need theyll step back.
Wherever you need that kind of thing. Theyve got a lot of strategy. Thats useful music physiotherapy is the art and science underlying movement in function on the rehabilitation unit.
A physiotherapist will assess and provide an individualized program to achieve your specific needs. I think that a patient should know when they come to our rehab unit that they need to be involved theyre going to be involved in therapy. Throughout the day usually up to three to four hours a day.
Really you know if youre on your side you can get up in time care. Not as time you can start we can start with that very and in physiotherapy. We really are working a lot of mobility and some of our patients may leave here and they still may not be completely independent and everything that they can be but we try and maximize their mobility as much as possible to decrease the caregiver burden and hopefully get them as independent as possible we have patients that come in that have been very independent in their lives.
And this can be a huge change for these people they are very dependent on others. And that can be very difficult for them. And its very important to have the family involved as well because often times.
Theyre really involved theyre going to be there upon discharge to make sure that the whole plan goes well so you rehab stays not the end of your rehab. Its not the end of your recovery process youre going to be continuing to improve even beyond your rehab state. But when you leave here.
We know that you have the support set up and your independence to be out in the community and you no longer need to be an inpatient in the hospital. No matter how hard you push your body heals and only one speed. So just so just be thankful for your for the forest whatever steps you will you need music occupational therapists promote independence in everyday activities they focus on everything from dressing and cooking to being able to function again at home and at work overall.
We look at ones ability to increase their independence to enable them to go back to those daily life roles prior to coming into the hospital. I find to stretch your arm a little bit for your body back right. So.
The plan of treatment is individualized to work towards the things and the games that they want to make again. Everybodys different and everybody has different goals that theyre working on so you know we really focus on client and their goals. And what they want to achieve and looking at the strides.
They have made rather than comparing them to other clients on the force how do you to cover its out zi7 to be high you are handy. We also encourage clients you know to go out into the community is a big important part so the skills theyre learning inside this environment. But they get a chance to go out with their families or other members and use them in the community.
So they get to try you know all that all the skills theyre learning here in the real world and then that really helps us know and then to have successful experiences and to know they can manage a lot of life rules again and if they tell you to do something do it no matter how hard it is do it. Its for your best interest in it pays off in the long run recreation therapists play an important role in your rehabilitation. By helping you to learn new ways of participating in leisure activities that you enjoyed prior to your hospital admission.
They will introduce and teach you new leisure activities for a healthy leisure lifestyle. Recreational therapists will also help you learn about what is available in the community and how to access these social and recreational programs. When you leave the hospital in recreation therapy.
We focus on a few things. The first one being the development of leisure skills. The second one is that when somebodys in the hospital.
They do have blocks of time and in recreation therapy. We can help them use that time in a productive way the third thing that we focus strongly on is that which we call community reentry or community integration and we do that by suggesting activities that people can do out in the community. Once theyve been discharged home so the recreation therapists.
Her primary role would be to assist somebody in introducing them to that idea as well as actually facilitating them to attend a program thats available in the community that would assist them in developing or relearning that skill again. We do that with a multitude of kind of activity. Skiing is one of them gulf swimming.
Whatever you can imagine usually in calgary. And in the rural areas as well weve got good contacts that allow us to integrate that person back into that activity that they used to pursue for their future. The other area that we may focus on is from a financial perspective.
If there are some money issues happening at home. We can also look for programs that are a low fee cost or in some cases no cost at all with some backup from the therapists in terms of the relevance or the need for that program in the community. Its all manageable.
You just define different ways. Sometimes its frustrating lots of times. Its very maddening.
But you still get to do what a lot of other people can do psychology. Provides help with evaluating strengths and weaknesses. In thinking.
They are also there to provide strategies to help with stress and life changes well. We know that patients dont come to neuro rehab. Chomping at the bit to see a psychologist.
But our patients are facing extraordinary circumstances and stress and changes and we are here to help them work with that for a lot of people they have to be able to offer their time when they take off their brave face and they can express what it is that theyre really feeling those kinds of thoughts and feelings that they have in the middle of the night. We know that its not just the patient thats going through these stressors. Its family members as well making that transition to life outside.
The hospital has its challenges. Too and we like to be available to the patients and family members to help them to make that transition as smoothly as possible and to deal with those challenges as they come up i got frustrated you betcha theres days that you get very frustrated. If you dont give up social workers help patients and family to navigate through all the financial and insurance forms.
They are there to advocate to support and to teach they begin your discharge plan. Very early so that youre ready to go when the time arrives. I think when a patient comes to them to the neuro rehab unit.
They they need to know that for a little while social work is going to be their new best friend. I couldnt stop crying. Im like i sat there for a few minutes people going by and and i think its so important to communicate.
We are there to coordinate an awful lot of details that can be quite a headache for the patient in the family. Helping with finances. Helping with equipment and contacting resources.
We started right away when they come so that whenever. Its time for them to get home everything is in place. We do a lot of adjustment.
Because its a the whole family needs some help coping we have support groups and success is adjusting so that you know your life is is not a mess that you carry on and and take your life back. Thats that success well the one thing. That that we like to remind people is that each each of the therapies has their own program and yet.
The single goal is to try to do all the little things that add up to enhancing the the healing that mother nature can allow and of course. There may be limits to that and we cant always predict how much healing or recovery. Somebody will have whether its a stroke kocher other injury.
But each each part of therapy has a goal to sort of enhancing that recovery. And so if people sort of understand that and try to cooperate as much they can with each of the therapists. Um.
I think you know their progress will be at least enhanced as much as it can be gotta have the right attitude or its just going to make twice as hard for you its a great place to be sometimes. It doesnt seem so. But theyre all there to help you and get you better and get you back on your feet.
So to speak the more you put into your recovery. The more you will get out. But as time goes on and as experiences you know accrue you realize that theres still lots of things that you can do out there.
No matter. How tough things got here we had some good times. I had some good times.
You know some good laughs. And you got to stuff like that we we had some good times you music. .
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