Page 31

Canadian SCI Rehabilitation Introduction

Kingston | Site Profiles Physical Medicine and Rehabilitation Program, St. Mary’s of the Lake Hospital, Providence Care Providence Care St. Mary’s of the Lake Hospital focuses on Complex Care, Physical Medicine and Rehabilitation (PM&R), Specialized Geriatrics and Palliative Care. The PM&R program includes acquired brain injury, SCI, amputee, musculoskeletal and stroke populations through inpatient and outpatient services. The Spinal Cord Rehabilitation program comprises seven beds with 55 admissions in 2010/11 and an occupancy rate of 118%. There were 194 visits to the Spinal Cord Program Outpatient Clinic, and approximately 290 current and former clients are followed annually, through the outpatient program. While there is limited access to outpatient services, an adapted fitness program (Revved Up) operates twice a week at two separate sites, through a partnership with Queen’s University. The SCI team includes a physiatrist, PT, OT and assistants, part-time social worker and TR, and (on a consulting basis) provides access to psychology and psychometry, a dietitian, spiritual care, audiology, speech language pathology and seating clinic services. In addition, a vocational counsellor therapist is part of the inpatient rehab program. The SCI program maintains a strong affiliation with CPA of Ontario. During their inpatient stay, all individuals are introduced to resources available through the CPA and its Peer Support program, and CPA invites current and former clients to monthly SCI dinners and education or leisure events. The SCI team (including a supportive group of former clients) also hosts an annual SCI BBQ, in partnership with CPA and the Revved Up program. At this event, current and former clients and families enjoy a half day of connecting with others, educational displays, obstacle course competitions and wheelchair basketball games. Practice highlights include: • A clinical pathway for initiation of breath stacking • One of the first institutions to introduce transanal irrigation for managing neurogenic bowel dysfunction • Highest national scores for rehabilitation patient satisfaction • A strong emphasis on maintenance of physical exercise for health promotion • 100% of clients achieving their goals (National Rehabilitation Reporting System data: 2010/11 report) Research highlights include: • Access to primary care for individuals with disabilities • Knowledge translation – to primary care physicians – of best practice in SCI care • Exercise promotion and prescription • Development of a research program in neurogenic bowel function Providence Care was one of the first institutions to introduce transanal irrigation for managing neurogenic bowel dysfunction. KINGSTON | SITE PROFILES 29


Canadian SCI Rehabilitation Introduction
To see the actual publication please follow the link above