Inpatient Rehabilitation

Services Offered

• Physical Therapy
• Occupational Therapy
• Speech Therapy
• Therapeutic Recreation
• Case Management
• Nursing
• Pharmacy
• Dietary
• Neuropsychology

Goals

• Increase functional independence: dressing, self feeding, homemaking, ambulation, wheelchair mobility, leisure skills and cognitive/communication skills
• Communication system assessment/recommendations
• Training for use of communication device
• Community Re-entry
• Orthotic splint need assessment, recommendation and assistance with fabrication
• Recommendations/training in home exercise/therapeutic activities
• Caregiver/ family training
• Referrals to dysphagia service, spasticity clinic and neuropsychology

Populations Served

• Stroke
• Traumatic Brain Injury
• Anoxic Encephalopathy/ Coma Stimulation
• Spinal Cord Injury
• Multiple Sclerosis/Guillain Barre
• Total Hip/ Knee replacements
• Laminectomies
• Amputees

Physicians

• Richard Adams, MD
• Ann Vasile, MD
• Fred Batkin, MD
• Hassan Moinzadeh, MD

Special Attributes

• Joint Commission on Accreditation of Healthcare Organizations (JCAHO) accredited
  
• Center of Excellence
  
• Specialized Neuro-rehabilitation Team
  
• California Children Services paneled therapists
  
• Accept Medi-Cal and Medicare contracts

The Rehabilitation Team

Physiatrist
The physician specializing in physical medicine and rehabilitation is called a physiatrist. The physiatrist assesses and treats individuals with rehabilitation needs. The physiatrist prescribes different treatment programs recommended by the team, and medically manages all phases of recovery and rehabilitation.

Case Manager
The case manager is the patient and family advocate. The case manager collaborates with the medical team, client served, family, and insurance company in planning and facilitating the achievement of expected outcomes for clients served. The case manger also monitors health care services (eligibility) though progress reporting of patient progress. The case manager works collaboratively with payers in the management of client resources and provides timely reviews.

Physical Therapy
The physical therapist (PT) evaluates physical abilities and motor control. The PT works towards improving the person's functional movements such as walking. The PT helps train families in exercise programs, safe transfer techniques, and in the use of any equipment that the patient may need.

Occupational Therapy
The occupational therapist (OT) evaluates and treats upper body strength and mobility, visual functioning, and the ability to safely perform activities of daily living (such as bathing, grooming, cooking). Recommendations regarding appropriate devices and modifications for the home as also given by these therapists.

Speech Language Therapy/Dysphagia
The speech language pathologists are state licensed and certified by the American Speech and Hearing Association.

Services consists of evaluation of:

• Receptive language
• Expressive language
• Speech production
• Reading comprehension
• Written language skills
• Attention
• Memory
• Problem solving
• Executive functioning

The clinician also may evaluate and manage swallowing (dysphagia) problems.

Neuropsychologist
A neuropsychologist is a psychologist who specializes in addressing behavioral / cognitive impairments and issues of adjustment to disability as seen in brain injury, spinal cord injury, and stroke. A neuropsychologist evaluates behavior and cognitive status, assists in the survivor's adjustment to the long-term effects of the disability, helps the team manage behavior problems in a consistent manner, and provides family counseling and support as needed. The neuropsychologist also conducts education groups for patients.

Therapeutic Recreation
Each patient is assessed in regard to his/her leisure interests and abilities then may participate in group and/or individual recreation activities and outings, which address rehabilitation goals. The ultimate goal is for patients to return to the leisure pursuits they previously enjoyed, as well as to learn new activities they may enjoy after discharge. The Therapeutic Recreation Department also plans and organizes community recreation events to help facilitate the rehabilitation patient's transition for hospital to home to community.

Nursing
A nurse specializing in rehabilitation takes charge of health care needs and helps carry out the physician's orders. The rehabilitation nurse works from a primary nursing care model and is an integral member of the rehabilitation team. Nursing personnel also initiate patient independence with bladder and bowel programs, medication management, and provide individualized patient and family education on issues pertinent to their diagnosis.

Social Worker
The social worker is typically the primary contact person between the person with the illness or injury, family members, and the team. In addition to offering support and counseling to patient and family, the social worker helps to coordinate the recommended discharge plans and provides suggestions for financial services. The case manager may also work closely with the social worker to help with the transition from rehab to home and community.

Dietician
The dietician assesses the individual's nutritional needs, monitors the daily intake of foods and liquids, and provides for any special dietary needs. Dieticians counsel families about these nutritional needs and, along with the dysphagia clinician, make specific diet recommendations.