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Canadian SCI Rehabilitation Introduction

Hamilton | Site Profiles Spinal Cord Injury Rehabilitation Program, Hamilton Health Sciences, Regional Rehabilitation Centre This program comprises 13 inpatient rehabilitation beds dedicated to individuals with SCI, as well as outpatient services, specialized clinics and weekly educational sessions. Members of the SCI program include a physiatrist, rehabilitation nurse clinician, dietitian and dietitian assistant, education clinician, pharmacist and pharmacy assistant, OT and OT assistants, recreational therapist, social worker, PTs and PT assistants, nurses and respiratory therapists. Consultation is available for respirology, urology, psychiatry, psychology, chronic pain, chaplaincy, otolaryngology (Ear, Nose and Throat), orthotics, seating clinic, speech language pathology, surgery, audiology, anesthesiology, geriatrics, infectious disease, obstetrics and gynecology, internal medicine, neurology, orthopaedics, plastic surgery and thrombosis. A hallmark of the program is that it provides – at one site – emergency and trauma care, acute and surgical care, and inpatient and outpatient rehabilitation. This geographical proximity facilitates individuals’ transition between phases in their continuum of care. Strategic, community and research partners include the Rick Hansen Institute, the Canadian Paraplegic Association, the Ontario SCI Solutions Alliance, the YMCA of Hamilton/Burlington/Brantford and McMaster University. The program’s practice highlights include: • A close working relationship between the physiatrist and rehabilitation nurse clinician, who facilitates access to inpatient rehabilitation services through screening, assessment, triage and coordination of individuals with SCI in acute care, rehabilitation and the community. • A hydrotherapy program. • SCI navigators integrated into rehabilitation and acute care teams to work with individuals from ICU to the community, helping them to navigate the system, advocate for change, adjust to life with a physical disability and to achieve goals. The SCI Rehabilitation Program is involved in several multi-centre research studies. These include the Rick Hansen Spinal Cord Injury Registry (RHSCIR), the Rick Hansen Institute Access to Care and Timing Project, the RHI Rehabilitation Environmental Scan and the Graded and Redefined Assessment of Strength, Sensibility, and Prehension Responsiveness. Previously, the program participated in the Ontario SCI Registry and the Ontario SCI Solutions Alliance’s SCI Pilot/ Navigators Program evaluation. Future research initiatives will include a collaboration with the YMCA of Hamilton/Burlington/Brantford and McMaster University to develop a community-based exercise program for individuals with SCI. HAMILTON | SITE PROFILES 27


Canadian SCI Rehabilitation Introduction
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