What to Expect

All patients who come for rehabilitation have:

• Initial assessment to determine the extent of physical, cognitive, and communication impairments.
• Development of an individualized treatment plan based on individual needs and goals.
• Physical therapy to restore mobility, strength, and balance through exercises and specialized techniques.
• Use of assistive devices to support mobility and activities of daily living.
• Occupational therapy to improve daily activities and promote independence.
• Speech therapy as needed to address communication, cognitive, and swallowing impairments.
• Neuropsychological evaluation and treatment as needed to support emotional, psychological, and social challenges.
• Emotional support and encouragement to address emotional challenges and promote participation with all therapies.
• Collaboration between a multidisciplinary healthcare team, including physicians, physical therapists, occupational therapists, speech therapists, and social workers.
• Patience, dedication, and consistent effort from both the healthcare team and the individual for successful rehabilitation.
• Caregiver education and training
• Long-term commitment and persistence from both the healthcare team and the individual.
• Supportive environment to maximize recovery and improve quality of life.

Stroke

Rehabilitation after a stroke may also involve:

• Speech therapy to address communication difficulties and swallowing issues.
• Stroke specific risk factor modification and education in accordance with The American Heart Association and American Stroke Association guidelines¹.

¹Guidelines for Adult Stroke Rehabilitation and Recovery. American Heart Association, Inc. 2016

Traumatic Brain Injury (TBI)

Rehabilitation after a traumatic brain injury (TBI) may also involve:

• Speech therapy to address communication difficulties.
• Neuropsychological evaluation and treatment for cognitive rehabilitation and managing behavioral and emotional challenges.

After Orthopedic Surgery

• Post-operative evaluation by all team members upon admission to unit.
• Pain management strategies to control discomfort and promote healing.
• Gradual progression of weight-bearing activities and functional movements as indicated by surgeon and rehabilitation doctors.
• Education on proper body mechanics and movement patterns to prevent strain or re-injury.
• Close collaboration with the surgical team and regular follow-up appointments to monitor progress and make adjustments to the rehabilitation plan as needed.

Amputee Rehabilitation

• Coordination of care with the surgical team.
• Coordination with prosthetic providers.

Medically Complex Rehabilitation

Montefiore Inpatient Rehabilitation specializes in addressing the cognitive and physical impairments of individuals with medically complex needs including transplant, cancer, and cardiopulmonary disease.

• Coordination with your specialists
• As required:
  • Advanced monitoring
  • Provision of dialysis
  • Availability of respiratory support
• Disease specific education and secondary prevention

Recovery at Montefiore

Patients admitted for acute rehabilitation at Montefiore Wakefield Campus will be cared for by a multidisciplinary team, led by one of our expert physiatrists, also known as doctors of Physical Medicine and Rehabilitation. There is a rehabilitation medicine doctor on site 24 hours a day, 365 days a year in order to ensure the highest level of care is always immediately available for our patients.

Therapy sessions will include hands-on activities and use of different kinds of equipment. Sessions will be provided for a minimum of three hours per day, five days a week depending on your tolerance and ability to actively participate. Therapists are available seven days a week.

Your care plan may focus on:

• Training for activities of daily living such as transfers, standing and/or walking
• Building endurance through strength and conditioning exercises
• Adaptive strategies to improve communication and safe swallowing
• Strategies to improve memory, concentration, judgment and problem solving
• Medication management
• Disease specific education
• Strategies for returning home and to community life
• Caregiver education and training

List of services

We provide all services appropriate for an Acute Rehabilitation unit. Most services are provided directly from Montefiore staff.

• Rehabilitation physician
• Physical Therapy
• Occupational Therapy
• Neuropsychological Therapy
• Speech, Language, Cognitive, and Swallowing Therapy
• Medical Consultation
• Surgical Consultation
• Nutrition Consultation
• Social Services
• Respiratory Therapy
• Audiology
• Prosthetic and orthotic evaluation^*
• Durable Medical Equipment and supplies^*

^* Equipment provided by a contracted and approved vendor