Neurology Day Program

The Neurology Day Program is an interprofessional, goal-orientated service focusing on assessment, individualized treatment, education, therapy and as a time limited service, linking clients to community resources will be a priority.

Based on the nature of the neurological illness, the goals are to help the client maximize their abilities and cope with the remaining challenges. As a time limited service, linking clients to community resources will be a priority. Location: Main Floor - Rehabilitation wing, North corridor.

Admission Criteria

General

• Clients must be 15 years of age or older and must be residents of Northwestern Ontario.
• The client must have a neurological diagnosis such as, but not limited to:
  • Stroke, Head Injury
  • Multiple Sclerosis
  • Polyneuropathies (i.e., ALS)
  • Parkinson’s Disease
  • Brain & Spinal Cord Trauma

Specific

• The client required integrated services from a minimum of 2 professionals on the interdisciplinary team.
• Client is able to actively participate in therapy and the goal setting process.
• Client is expected to attend consistently, according to their individualized schedule.
• Client is able to tolerate a minimum of half a day.
• Referrals must be made by a physician.

Approach

• Active client-centered goals.
• Length of stay determined by individual clients’ needs and goals.
• Attendance based upon individual client needs and availability.  Scheduling ranges from 1 to 5 days per week.
• An interdisciplinary approach with active participation of the client and family/ caregiver(s).

Team Members

• Client
• Occupational Therapist
• Psychologist
• Physician
• Social Worker
• Therapeutic Recreationist
• Family or Caregivers
• Physical Therapist
• Psychometric Technician
• Rehabilitation Assistant
• Speech Language Pathologist

** If a client does not require an integrated team approach, professionals may be accessed individually in Outpatient Neurology.

Goals

• To improve the quality of life among clients diagnosed with neurological conditions currently living in the community.
• To maximize participation by establishing leisure, work, support group and physical wellness links.
• To attain community inclusion by providing clients with the opportunity and resources to improve physical, behavioral, social, emotional, communication, functional and vocational skills.

Discharge Criteria

• Client goals accomplished or addressed
• Plateau greater than 1 month
• Client's progress delayed as a result of acuter undercurrent medical conditions will be evaluated, over a defined period of time, as to their potential to benefit from further rehabilitative interventions on an individual basis.
• Admission to acute care
• Clients not capable or willing to participate in 75% of the therapy sessions will be considered for discharge and given the opportunity to be readmitted at a time when they are able to participate fully.
• Client's unable to comply with the Hospital Act Regulations and hospital policy will be considered for discharge
• Greater than 3 visits missed without justification.
• No longer require a coordinated team approach to service delivery and needs can be met through admission to an alternate program.
• Client goals can be accomplished or addressed through the Follow-Up Clinic.