Hamilton Health Sciences
Stroke Rehabilitation Program
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Inpatient Stroke Rehabilitation Program


Director: 
Jennifer Kodis 
 

Administrative Assistant: Lucy Caruso
Phone Number:
905-521-2100    ext: 40821
E-mail: caruso@hhsc.ca

Clinic Phone Number:
905-527-4322 ext. 46049
Clinic Fax Number: 905-577-1455
Email: rsp@hhsc.ca

Location:
Regional Rehabilitation Centre
300 Wellington St. North
Hamilton, Ontario
L8L 0A4
Map

Patients Served:
The program was established in the late 1960's.  As an integral component of Specialized Rehabilitation, the program provides holistic and comprehensive care to adult survivors of stroke  and their families.

The program is based out of the Regional Rehabilitation Centre.  Our patients are referred from a physician and come to us primarily from other HHS sites and local community hospitals.

In addition to our responsibilities to our clients and their families, our team is actively involved in research and student education.

Services Provided:

A multi-disciplinary team assesses our patients.  The patients' program is customized to meet their individual needs.  Patients and families are encouraged from the very beginning to be actively involved in the rehabilitation process.  Our program emphasizes education and functional retraining to help patients and their families to manage independently upon discharge.  The team assists patients and their families determine the most appropriate discharge location.  We will provide recommendations for home modifications where appropriate.  Day and weekend passes are encouraged once the patient is able to manage safely outside the hospital environment.  Length of stay varies according to individual patient need but is generally 2 - 6 weeks.

Some of our unique services include on-site learning resource center, respiratory therapy, hydrotherapy and prosthetics and orthotics clinic.  There are ADP authorized therapists on staff who can make application to government funding for mobility equipment for eligible patients.

The Team:

Community Care Access Centre Case Manager - assess immediate home services required upon discharge and assists with Long Term Care applications.

Neuropyschology:  assess neurocognitive and emotional functioning and provides education and support to patients and families.

Nutrition: assesses nutritional status and dietary requirements. Provides nutritional education and support.

Occupational Therapy: assesses and makes recommendations to patients and families regarding strategies to manage self care issues, environmental modification, equipment needs, transfers and mobility.

Pharmacy: provides consultation to the physician and education to patients/families on medication issues

Physiotherapy: assesses and provides treatment programs to assist with functional retraining, conditioning and strengthening of the patient's physical function. A variety of evidence-based techniques and modalities are used to meet individualized patient goals.

Physiatrist: our onsite physician specializes in assessing and treating individuals who have had a stroke and is responsible for the patient's medical management.

Recreation Therapy: assesses patients leisure roles and assists with community reintegration.

Rehab Nursing: assists with training patients and families to manage a variety of personal care issues including: medication, skin integrity, incontinence and daily care routines.

Rehab Nurse Clinician: A member of the Rehabilitation Intake Team who reviews and assesses patients suitability for the stroke rehabilitation program prior to admission, and follows their course until discharge into the community.

Social Work: provides psychosocial support to patients and families, assists with accessing .government and community resources and discharge planning including application to long term care.

Speech Language Pathology: assesses patients' communication needs and develops an individualized program.  Also assesses swallowing and makes recommendations for management of swallowing difficulties.

Support Personnel: a variety of specially trained assistants (ie. Physiotherapy and Occupational, Nutrition, Speech) work under the supervision of the therapists in helping clients achieve their goals.

Discharge planning is an important focus of the program.  Skills learnt while in rehabilitation and practiced on weekend passes are designed to ease the transition from hospital to the community. The team encourages the patient and family to continue to maintain a healthy lifestyle and physical activity upon discharge.  When appropriate, referrals to adult day programs, outpatient therapy programs (i.e. Specialized Outpatient Rehabilitation Services) and/or Community Care Access Centre are initiated.

Contact Info

Stroke Rehabilitation Program, Regional Rehabilitaiton Centre, Level 2 North

905-521-2100 ext. 40925

fax:  905-577-8237

Hamilton Health Sciences • Hamilton, Ontario • 905.521.2100

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