RehabWorx In-patient Therapy Programme

According to the Cochrane Review Rev (2007), stroke patients who receive inpatient care within a designated stroke facility are more likely to be alive, independent and living at home one year after their stroke.

At the Groenkloof Hospital we have a designated stroke and neurological unit, whereby a multidisciplinary team of specialised professionals provide a full spectrum of care which extends from admission to the Intensive Care Unit (ICU), progressing to our neuro-ward (St Francis Ward) and then extended therapy care on an out-patient basis or the high care within 24 hours.

Neuro-therapy approaches commence from day 1 as we aim to use the brain’s plasticity following the neurological event to maximise recovery.

Typically the patient is admitted to:

Intensive Care Unit (ICU)

Within 24 hours of admission to our high care hospital, our dedicated team of therapists begin with therapy. This is irrespective of whether the patient is in the ICU, where the main focus would be lung treatment, basic mobilisation, positioning and safe feeding, or in the ward where re-integration into the community commences.

It is essential that intervention occurs within 24 to 48 hours following admission.

Once medically stable the patient is transferred to our neuro ward, St Francis ward.

St Francis Ward

St Francis is the acute, neurological ward of Groenkloof Hospital. Here the trained therapists work in collaboration with the nursing staff to enable the patient to regain independence.

Rehabilitation Gym and Therapy Rooms

Patient's are brought from the ward to our friendly, sunny gym. It is here where our dedicated therapists begin to reshape the patient's functionality, endeavour to lift the patient's morale and motivate them during their rehabilitation. The benefit of peer support has proven to be very positive and encouraging.

Key Therapist

Each patient is allocated a team member as their key therapist. The role of key therapist is to liase with the patient, their family and other team members, since communication is vital in the rehabilitation process.

Family meetings

For patients staying longer than 2 weeks, a formal family meeting is arranged with the family and the relevant therapists to discuss progress, future treatment goals, equipment needs and discharge planning. These meetings are preferably held in the mornings since it is imperative that all members of the team are present. It also gives families the opportunity to ask questions and express their concerns.

Discharge Planning

Outlining a plan for discharge is essential in developing each rehabilitation programme and setting an appropriate date for discharge. Collaboration with the patient and their family occurs from admission to identify any potential difficulties and to ensure that all ongoing care, support and therapy needs are met. Discharge plans home, with or without a carer, to a rehabilitation or step-down facility is carefully arranged.

Family and carer training

When patients are discharged home from our unit, family and carer training sessions are provided. Carers and families are trained in every aspect of the patient’s care needs, including feeding, positioning, rolling, transfers,mobility, self-care tasks and communication guidelines.

The focus is always to optimize and maintain the patient’s independence and to reduce the burden of care for both patient and caregiver. Practical sessions include transfers (including car transfers), mobility (including wheelchair mobility) and self-care tasks.

A home exercise and stretching programme is provided and practised.

Weekly Goal Directed Team Meetings

Team meetings are held bi-weekly.

On a Monday morning, the entire multidisciplinary team meet. The team includes our 3 treating neurologists, physiotherapists, occupational therapists, speech-language therapists, psychologist, dietrician and the nursing manager of the St Francis ward.

Thursday’s Therapy meeting serves to set individualised and team goals for the coming week as we aim to treat all patients holistically.