Programs

Neurological Rehabilitation Program

 

Neurological Rehabilitation Program Description

The goal of Burke’s Neurological Rehabilitation Program is to help you achieve the highest level of independence possible as you recover from impairments caused by a neurological condition. We serve adolescent through elderly patients, with diagnoses such as Multiple Sclerosis (MS), Parkinson’s disease, Guillian-Barre syndrome, Myasthenia Gravis and peripheral nervous system disease.

Within a safe, secure and structured environment, Burke offers intensive therapy seven days a week. Your schedule will be determined by your individual needs and goals. As a patient in any of Burke's inpatient programs, you will receive a minimum of 3 hours of therapy a day, 5 days per week, generally Monday through Friday, and additional therapy on Saturday and/or Sunday for at least 1.5-2 hours. Skilled therapy will be provided in a combination of physical therapy and occupational therapy and/or speech therapy as needed.  Rehabilitation nursing and access to a physician are available 24 hours a day, seven days a week.

 

Scope of Services
Burke’s Neurological Rehabilitation Team is committed to:

  • Providing comprehensive, patient-focused rehabilitation through an interdisciplinary approach based on communication, collaboration and cooperation
  • Maximizing recovery from the physical, cognitive, and psychological impairments caused by neurological conditions
  • Removing or lessening restrictions to participation in life activities and providing counseling on alternative possibilities for life participation as necessary
  • Preparing the individual and family or caregiver for transition to the next stage of the rehabilitation process

Cultural and religious needs are respected for each patient by the entire team. Accommodations to the patient’s schedule, dietary needs and requests, and the provision of appropriate equipment are provided to enhance the patient’s experience and support full participation in the rehabilitation program. All staff members participate in annual cultural diversity and sensitivity training.  Patients’ preferences are shared throughout the team to ensure that patients receive individualized care.

The Neurological Program serves patient populations from adolescence through geriatric. Over the past year, the ages for the persons served has ranged from 25 to 94. Some diagnoses of patients served include Multiple Sclerosis (MS), Parkinson’s Disease, and Guillian-Barre syndrome.

In 2017, the Neuro Program:

  • Had 129 discharges
  • Discharged patients went to the following environments: 
  • 62% (80) of the patients returned home to the community.
  • 5% (29) of the patients continued therapy at a sub-acute rehabilitation facility.
  • 7% (19) of the patients returned to the acute care hospital.
  • 0% of the patients entered a long term care facility.

Within the scope of the Neurological Program, patient evaluation and care planning are designed around the World Health Organization definitions.  The model assesses levels of dysfunction which stem from the patients’ admitting diagnosis regarding impairments, activity limitations and participation restrictions.

Impairments:  Weakening, damage, or deterioration of function within a specific component of the neurological system, as a result of injury or disease.

Examples:  Decreases in strength, active range of motion, passive range of motion, cognition, impulse control, balance, and/or activity tolerance along with increases in pain.                                                                                    

Activity Limitations:  The inability to perform a specific task as a consequence of the impairments mentioned above. 

Examples:  Difficulty with ambulation, stair negotiation, reading, eating or self-care.

Participation Restrictions: The cumulative effect of impairments and activity limitations on the ability of a person to participate in life roles. 

Examples:  Inability to perform duties as a parent, caregiver, employee or participant in social and leisure activities.

Team Description
The interdisciplinary rehabilitation team consists of you and your family or caregiver, as well as medical, nursing and other rehabilitation specialists. The professionals on the team will assess your medical and rehabilitation needs and work with you to establish your individual goals. In close collaboration, the team designs and implements your treatment program. Throughout your treatment, the entire team meets formally once per week to discuss your progress. 

The philosophy of the Neurological Program is that the program’s mission can best be accomplished by providing rehabilitative care through an interdisciplinary team approach. The team consists of the following:

  • Individual with the neurological condition
  • Individual’s family and/or caregiver(s)
  • Physician
  • Rehabilitation Nursing
  • Social Work/Case Management
  • Neuropsychology
  • Physical Therapy
  • Speech and Language Therapy
  • Occupational Therapy
  • Recreation Therapy
  • Nutrition
  • Respiratory Therapy

Additional services available to meet the needs of each individual patient may include:

  • Medical consultations (Optometry, Psychiatry, Podiatry, Urology, Plastics, ENT, Dermatology, etc.)
  • Pastoral care
  • Orthotic services
  • Pharmacy
  • Radiology
  • Laboratory services
  • Complimentary therapy
  • Brain injury support groups for patients and families

From admission through the discharge planning process, team members work collaboratively with each other, the individual with the brain injury and the family and/or caregiver(s) to ensure that the specific needs of each individual are addressed. Patient and family and/or caregiver involvement and participation is strongly encouraged throughout the entire rehabilitation process.

Patient and Family/Caregiver Education
Ongoing education of the individual with a neurological condition and the family and/or caregiver is essential in order to maximize recovery from the physical, cognitive and psychological impairments and effectively prepare for the transition to the next stage in the rehabilitation process.

Individuals with a neurological condition will receive ongoing education from each discipline throughout his/her stay in order to maximize achievement of their goals. Much education focuses on the fact that, for many patients, their injuries and resulting conditions are life-changing and lifelong. Coping, resources, and the need for lifelong follow up to deal with changing needs are provided.

Family members and/or caregivers are encouraged to attend and participate in treatment sessions and patient care activities as appropriate. A series of educational lectures and discussions for families and other caregivers on various topics related to neurological conditions is conducted by team members once a week. Providing education and training for the family and/or caregivers is an essential component of the patient’s rehabilitation stay and provides an opportunity to successfully transition the patient to the next phase of rehabilitation.

Admission Criteria
Every potential patient who may benefit from our care is discussed with the screening staff, physician, and/or program director. The rehabilitation potential for every patient is evaluated prior to admission. 

Candidates for admission include patients who have a neurological condition, are medically stable and able to participate in 3 hours of therapy per day.

Exclusions:

  • Patients who are in a coma or vegetative state.
  • Patients who require ventilator support.

Screening Process
Referrals to Burke are usually made by physicians, social workers, discharge planners or case managers. A reasonable medical and functional profile must be provided and appropriate sections of the medical record from the acute care process are included. A rehabilitation nurse may also perform a detailed evaluation at the referring institution. Recommendations are then made to the appropriate member of the medical staff who renders a final decision with regard to admission.

Discharge Planning
The discharge planning process begins when the patient is first admitted to the program. The social worker/case manager leads the planning process, coordinating information from all members of the interdisciplinary team and acting as the primary liaison between the team and the patient and family. Based on the individual’s functional status for self-care, mobility and other daily life skills, family/caregiver support, medical needs, pre-morbid living situation and level of function, and available health insurance, the team, in collaboration with the patient and family, makes recommendations for the most appropriate and suitable discharge plan for the patient. At the team or family’s request, a meeting with the team and patient/family is scheduled to discuss available discharge options. The patient’s and family’s preferences are of primary concern and the team will make recommendations for a safe discharge when options for continued care and rehabilitation are considered. 

Recommendations may include, but are not limited to:

  • Home with home care services
  • Home with outpatient services
  • Sub-acute rehabilitation services
  • Long term care services
  • Hospice services

Financial Information
For information regarding fees and insurance, please click here.

Location
Located in White Plains, New York, Burke Rehabilitation Hospital's Neurological Rehabilitation Program attracts patients from Westchester County, New York City, Long Island, Northern New Jersey, and Connecticut. Burke also welcomes patients from across the country and around the world who have been diagnosed with Multiple Sclerosis (MS), Parkinson’s disease, and other nervous system diseases.

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Neurological Program Outcomes

See how our Neurological programs have impacted patients' lives.

What Our Neurological Rehabilitation Patients Are Saying

Read about the experiences of former neuro rehab patients.

Heath Baker
Loretta Nelson