Stroke and other neurological injuries/conditions can impair sensation, movement and intellectual processes. Our program addresses physical, cognitive, behavioral and socialization needs as well as identification and management of risk factors to help prevent future strokes. It is structured around the severity of injury, the location and type of injury, and the unique needs of every patient. The team develops individualized treatment plans aimed at assessing risk, promoting functional gains and teaching the patient/family effective coping skills for life after stroke.
The team provides the necessary training to achieve those skills while focusing on the medical, social, emotional, spiritual and vocational needs of the patient and their family. As the patient achieves his/her goals, the team modifies the program to promote as much functional independence as able while ensuring the patient’s safety and well being. Rehabilitation psychologists, other clinicians and peer visitors (stroke survivors) assist patients and their family members/support system with learning techniques for coping and adapting to life after a stroke. Stroke affects the whole family and so involvement of spouses, children, and others in the patient’s support system is a vital part of recovery. Our stroke program supports this through involving them in education/training as well as peer support, involvement in support groups, and through counseling. There are monthly support group meetings that are open to the community.
The neurological rehabilitation program at Allied Rehab and Heinz Rehab offers a comprehensive approach to treating the complex physical aspects of stroke and neurologic injury, including:
- Behavioral and social judgment problems
- Memory Loss
- Cognitive deficits
- Muscle weakness or paralysis
- Speech and language problems
- Difficulty swallowing
- Emotional issues
- Difficulty walking
- Visual perceptual problems
After a thorough assessment, and in consultation with the patient/family, the team establishes realistic goals for the patient to achieve. Therapy uses the latest technology as appropriate in stroke rehabilitation, such as the following:
The Neurocom Equitest
The Ness H200
The Ness L300
The Stroke Rehab Team has a dedicated team of experienced professionals. Each individual’s treatment team is made up of a physiatrist (a doctor who specializes in physical medicine and rehabilitation therapy), a physical therapist, occupational therapist, speech therapist, recreational therapist, and respiratory therapist, a psychologist, rehabilitation nurses, a medical social worker, a dietician and a rehab technologist, as required. They work together with the patient and their family/ support system to meet the unique physical, cognitive, social and emotional needs of the patient. Patients receive at least 3 hours of Physical Therapy, Occupational Therapy and/or Speech Therapy, 5 days per week.
Weekly team meetings are held to discuss each patient’s individualized plan of care and discharge plan. Patients and their families are encouraged to be active participants in the care and discharge planning process. The Medical Social Worker updates the patient and his/her caregiver to ensure full understanding of the current treatment plan and to address each patient’s concerns and challenges. Upon discharge, patients continue with treatments designed to continue the transition toward an active, independent lifestyle. Allied Rehab and Heinz Rehab remain a lifetime resource for the patient and their family. The Rehab team also maintains communication with each patient’s physicians to ensure the complete coordination of care throughout the recovery process.
The ability to resume one’s life role and participate in the community to the extent desired is another goal of the Stroke Program. Community integration skills are taught as part of therapy and activities are practiced during the rehabilitation process.
Patients and their caregivers are provided with a self-care training program based upon principles of self-advocacy and self-direction. Patients, with or without their caregivers, are taught how to direct their care and what to do if emergencies arise. They are provided with opportunities to practice these skills in the transitional apartment. This apartment helps the patients and their families get ready for the challenges they will face at home. When appropriate, the team may perform evaluations of the home, school or work site to identify barriers and make recommendations for accessibility. The family works closely with the Occupational Therapist to assess the home and make accessibility changes as recommended.
At discharge, patients and families are provided with instructions to ensure appropriate follow up care. Discharge plans may include additional services from home health or out-patient. All pertinent discharge information is forwarded to the patient’s primary care physician and therapists to facilitate a smooth and safe transition to the next care provider. After discharge, patients receive surveys and follow up phone calls to assess their satisfaction with their service, assess their functional status and determine if there are any on-going needs.
At Allied Rehab and Heinz Rehab, rehabilitation does not end when a patient is discharged. In addition to inpatient rehabilitation, we offer a wide range of post-acute care services to meet the needs of the patients we serve including: Transitional Rehab, Home Health, In Home Services, Outpatient Rehab, Long-Term Care, and Personal Care. After discharge, patients receive physiatry follow up appointments.
Our inpatient rehab hospitals are committed to providing our stroke program patients with quality rehabilitation health care services, and we believe our results demonstrate our fulfillment of that commitment.
Does Allied Services inpatient stroke program achieve results?
Our inpatient stroke program patients make significant improvements in important functional activities like being able to walk, get around, and take care of themselves. We measure our patients’ improvement in functional activities using a tool called FIM™. The charts below show FIM™ improvements achieved by our inpatient stroke program patients relative to national benchmarks.
How long will I stay?
The average inpatient stroke program patient stays with us for about 12 days. Patients receive at least 3 hours of therapy, 5 out of 7 days. The chart shown below compares the average length of stay for our stroke program patients compared to national benchmarks.
What happens after rehabilitation?
Upon discharge, about 72% of our inpatient stroke program patients return to their homes. However, whether a patient is able to return home depends upon the type and severity of each patient’s diagnosis and other unique circumstances. The next chart shows the percentage of patients who returned home immediately after their stay at one of our rehab facilities compared to national benchmarks.
Patients are admitted to the stroke and other neurological disorders program at Allied rehab when they are medically stable and determined appropriate for a rehabilitation program. Referrals may be made by a private physician, general hospital, family member, or those who have been injured themselves. To initiate a referral or for additional information, please call (570) 826-3885 (Wilkes-Barre) or (570) 348-1359 (Scranton).
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LocationsThis program is available at the following inpatient facilities:
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