Brain Injury Rehabilitation Program
A specialized, interdisciplinary, coordinated, and outcomes focused program designed for individuals with an acquired brain injury, including strokes. The program addresses the unique medical, physical, cognitive, psychosocial, behavioural, vocational, educational, and recreational needs of people with acquired brain injury. The program encompasses care that enhances the lives of the people served within their families/support systems, communities, and life roles.
Who Can Enroll?
- Diagnosis of non-progressive mild-moderate-severe brain injury
- Requires rehabilitation and support based on individualized functional goals
- Medically stable, NOT hospitalized
- Ability to transfer and mobilize independently (with or without mobility aids)
The above eligibility criteria exclude people who have significant red flags such as Neurological deficit (major motor weakness, disturbance of bowel or bladder control), Infection (fever, urinary tract infection (UTI), intravenous (IV) drug use, immune suppression), Fracture, Tumour.
What Can I Expect On My First Visit?
An initial assessment for treatment planning is conducted by a Health Care Provider at the start of the Program of Care. The assessment includes the taking of a complete history, subjective evaluation of the primary complaints related to the injury, a thorough physical examination including range of motion evaluation, orthopaedic testing, muscle testing, and neurological testing. The Health Care Provider will also administer outcome measures to obtain baseline measures of pain and function. These may include, but are not limited to the Numeric Pain Rating Scale (NPRS), the Oswestry Disability Index, the Neck Disability Index (NDI), the Lower Extremity Functional Scale (LEFS), or the Upper Extremity Functional Scale (UEFS).
The Health Care Provider will also assess for possible yellow flags, which can indicate psychological risk factors that may have an impact on their recovery as a result of behaviour, expectations and recovery from injury. Discussions on achievable goals from the treatment program, the responsibilities of the person served and the Health Care Provider will be held through the duration of the program.
What Is The Duration Of The Program?
The duration of the Program of Care is determined after the initial assessment and is dependent on the needs of each individual.
To be discharged from the Brain Injury Rehabilitation Program, one or more of the following criteria must be met:
- The person served has achieved the goals that have been established with the rehabilitation team.
- The services of the Health Care Providers are no longer necessary or appropriate.
- The person's progress has reached a plateau and he/she is no longer benefiting from the services of the program.
- The person served is unable to tolerate the demands of the program and appropriate referrals have been made.
- The person served is deemed medically unstable (including psychiatric illness) and/or requires acute medical care resulting in an inability to return to therapies within a 30-day period.
- The rehabilitation program is "put on hold" due to prosthetic fittings, resolution of medical problems, pending surgical intervention, or the arrival of specialized equipment.
- The Health Care Provider recommends an alternate and more appropriate program or level of care for the person served.