Acute Rehabilitation Unit
Our mission is to provide a comprehensive rehabilitation stroke program of the highest quality in order to improve the functional independence of those we serve. The Acute Rehabilitation Unit is dedicated to treating individuals who have experienced a disabling injury or illness. Our goal is to provide our patients every opportunity to return to productive lives, attain their personal goals, enhance their self-esteem, improve their quality of life, restore their hope for the future, and ultimately reach their fullest potential.
Acute Rehabilitation Unit
Our Acute Rehabilitation Unit has board-certified rehabilitation specialists and is designed to assist patients who have suffered from a stroke and still need 24-hour physician management and nursing care in addition to rehabilitation services.
Our Stroke Program Provides:
- Ongoing medical assessment will be completed daily by the rehab physician and the ancillary medical team including but not limited to cardiology/telemetry monitoring, neurology, endocrinology, oncology, and urology.
- Patients will receive three hours of individualized therapy daily for 5 out of 7 days a week which includes a combination of physical therapy, occupational therapy and/or speech therapy.
- All patients must have the expectation of returning to the community after their rehab stay (i.e. their own home, home with family or friend, or to independent living or assisted living).
An individualized treatment plan is developed focusing on promoting the patient’s highest level of functional independence. The treatment plan is based on the patient’s medical, physical, nutritional, functional, spiritual, and psychological needs. Treatment plans include physical therapy, occupational therapy, speech therapy (if needed), case managers/social services, round-the-clock rehabilitative nursing, recreational therapy and other ancillary services specific to the patient’s needs.
A Team Environment
The patient and family are vital members of the team, and participate actively in the development of the treatment plan and goals. Other team members and their roles are:
Our physiatrists offer specialized treatment for neck and back pain, stroke, and other disabling conditions. They have sub specialty certifications in areas such as pain management, spinal cord injury and acupuncture therapy
Specialty trained rehabilitative nurses’ focus on physical care, pain management, skin and wound care, bowel and bladder management, prevention of complications that may occur post stroke, and patient education including but not limited to: lifestyle changes such as smoking cessation, diet modification, medication management and education regarding reducing re-occurrence of a stroke.
Physical therapy assists the patient in returning to a maximum potential function in the following areas:
- Muscle strength
- Use of assistive devices such as canes, walkers or braces
- Lite Gait Training
- Electrical Stimulation/Bioness
The physical therapist will assess each patient for both prior and present functional capacity and then work with the patient to achieve maximal level of independence. Family training and home exercise programs are an integral part of this therapeutic approach.
Occupational therapy focuses on helping each patient achieve the maximum level of independence and function in activities of daily living. These areas can include
- Self-care skills
- Personal hygiene
- Homemaking skills (e.g. meal preparation, housework, etc)
- Work-related skills
- Adapting to lifestyle changes
- Electrical stimulation/Bioness for the upper extremity
The occupational therapist may also work with patients on sensory/motor components and cognitive integration.
Speech and language therapy focuses on helping patients with impaired communication skills. These may result from
- Swallowing disorders
- Articulation Disorders
- Cognitive deficits secondary to stroke
- Voice disorders
- Receptive/Expressive language delays
Therapeutic recreation is designed to meet the leisure and psycho-social needs of each patient. The therapist assists the patient with modifying leisure activities due to new functional limitations as a result of their stroke. The therapeutic recreation specialist is responsible for various individual and group activities. The therapist coordinates Stroke Club and Stroke Panel. The Therapeutic
Recreation Specialist also participates in an innovative community re-entry program designed to help patients transition from a hospital setting back into their community.
Case managers (social workers) are available to help patients and their families with post stroke care and address psychological and social coping issues. These case managers assist with discharge planning as well as follow-up medical and rehabilitation recommendations so that patients are able to find satisfactory solutions or adjustments to any physical, social, emotional or economic concerns.
State-of-the-art technology includes adaptive devices, muscle stimulation systems, interactive technology and strength building equipment to improve motor skills and muscle control.
Family Support Education
Family support is an important factor in the recovery process. Caregivers are encouraged to attend therapy sessions with the patient to learn care routines and ways to assist the patient in self-care and mobility activities. Family members receive specific training in stroke techniques to help care for patients at discharge.
A patient’s rehab team may recommend trips into the community to help the patient with reintegration and recreation. These supervised trips can help patients develop physical, social, and emotional skills in order to maximize their post-discharge lifestyles. While this program is voluntary, patients are urged to participate if community entry trips are recommended by the rehab team.
If needed, therapists are available to provide an home evaluation to assess the patients home for safety and accessibility, and to provide suggestions to improve safety.
This program is for stroke patients while they are in the Acute Rehab Unit and their family members. During scheduled presentations on the unit, rehabilitation professionals address topics useful to stroke patients and families.
Services for the Patient and Family/Support
To help patients achieve their fullest potentials once they leave the hospital, St. Anthony’s Acute Rehabilitation offers post-discharge follow-up programs, including:
This group meets at 10:30 a.m. on the second and fourth Wednesday of each month. This is a member-driven club sponsored by the Acute Rehabilitation Unit and overseen by a therapeutic recreational therapist. Meetings typically feature a guest speaker on the second Wednesday. The fourth Wednesday splits stroke survivors and caregivers into two groups to discuss various issues such as changing roles in the household, disability management, behavior changes and coping. The group also plans picnics, fishing trips, and luncheons and produces a Stroke Club Newsletter quarterly. Call 314-525-4561 for more information.
This panel is comprised of survivors and caregivers who are available to answer questions from new stroke patients as well as their family members and friends. It is an excellent opportunity for those who are trying to better understand the effects of stroke. The Stroke Panel meets from 11 a.m. until noon in the Acute Rehabilitation Unit on the fourth floor of the hospital on the first and third Wednesday of each month. Call 314-525-4561 for more information.
This program, which takes place every Thursday at 3:30 p.m. in the Acute Rehabilitation Unit, is designed specifically for patients currently in the Unit as well as their family and friends. Rehabilitation specialists lead the program. They address topics such as: how strokes affect mobility; communication and daily living; medical management; recurrent stroke prevention; and cognition and swallowing, among other topics.
Home Care Service/Outpatient Therapy Services
Upon discharge from Acute Rehab, home care and outpatient therapy services are available as needed.
Please contact our Acute Rehabilitation team to see if you/your family member can benefit from inpatient stroke rehabilitation services: 314-525-7226.
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Stroke Specialty CARF Accreditation
For the first time, St. Anthony's Medical Center's acute rehabilitation department has received a stroke specialty inpatient rehabilitation accreditation from the Commission on Accreditation for Rehabilitation Facilities (CARF). St. Anthony's stroke specialty adult inpatient program is one of only nine in Missouri to have earned certification from CARF International. This international, not-for-profit organization accredits human services providers, based on quality of services. The process is an extensive and arduous one, with a book-long array of more than 200 compliance measures required to meet CARF standards. Before it is accredited by CARF, a provider must show that it focuses on continuous quality improvement, driven by input from all stakeholders, to achieve the best possible outcomes and customer satisfaction.