SAANS Neurological Rehabilitation
What is
Neurological Rehabilitation?
Neurological
Rehabilitation provides specialised management for people who have impairments
as a result of brain or spinal cord injury, stroke or other neurological
condition. Neurorehabilitation is an integral part of medical management and
continues longitudinally through acute care, post-acute care until community
integration.
Services offered at SAANS Foundation for Neurological
Rehabilitation
The neurorehabilitation
programme is divided into four services as per primary impairments and
functional needs:
·
Neurocognitive Service: Brain
injury, tumour & aneurysms and anoxic brain damage with primary cognitive /
behavioural / speech / swallowing issues and minimal physical and medical
needs.
·
Neurophysical Service: Parkinson’s
disease, multiple sclerosis, anoxic brain injuries, motor neuron disease,
Guillain Barre Syndrome, peripheral neuropathy, and muscle diseases with
primary sensory / motor dysfunction with disability in performing activities of
daily living and mobility.
·
Stroke Service: Ischemic
/ hemorrhagic stroke with multiple disabilities in mobility, self care,
balance, coordination, speech & language, swallowing, cognitive and sensory
/ perceptual skills.
·
Spinal Cord Service: Traumatic
and non-traumatic spinal cord injury, spinal tumour, transverse myelitis &
related conditions with paralysis and bladder / bowel / sexual disability.
What are facilities for Neurological Rehabilitation at SAANS
Foundation?
Multi-disciplinary Team
The multi-disciplinary team is lead by rehabilitation medicine
specialist (Physiatrist) and includes rehab nurses, physical & occupational
therapist, speech & language pathologist, psychologist, biomedical
engineer, orthotist & prosthetist, nutritionist and medical social worker.
The rehabilitation medicine specialist evaluates and makes a comprehensive
management plan, provides medical management and performs therapeutic
procedures. The rehab plan provides optimal environment for recovery,
functional improvement, reduction in secondary complications, impairments &
disability, teaching compensatory strategies, appropriate equipment &
modifications and continuity of care.
Type of
Service: Inpatient / Outpatient
Average
Stay: 6-8 weeks
Criteria for Admission to Inpatient Neurorehabilitation
Programme:
·
Medical monitoring
·
Stable neurologic
status / persisting neurologic deficit
·
Identified
disability affecting at least two of the following:
·
mobility, self-care
activities, communication, swallowing, bowel or bladder control
·
Adequate cognitive
function / communicative ability
·
Reasonable physical
ability and endurance
·
Achievable
therapeutic goals
·
Able to tolerate
three hours or more of active involvement per day
Criteria
for Outpatient Neurorehab Programme:
·
Stable medical
status
·
Unable to tolerate
more than one hour of active involvement a day
·
Require minor
degrees of assistance in any one of the following: Self-care, mobility, speech,
cognition, swallowing or bladder/ bowel
Highlights
The neurorehab programme provides a full continuum of
specialised care, including inpatient services, out patient services and
follow-up clinics. Patients can enter the system at any point, or move through
the system from beginning to end.
Family
conferences are held during the first week of service, and throughout the
patient’s rehabilitation, so that the patient and his/her family can work with
the team to set goals, discuss progress and plan for discharge.
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