Winchester Medical Center Inpatient Rehabilitation | Cork Street

How Does Admission Work?

• Medically stable with medical work up completed and treatment plan in place
• Can fully participate in and benefit from 3-4 hours per day of physical, occupational and/or speech therapy
• Require close medical management by a physician and 24-hour rehabilitation nursing care
• Can reasonably be expected to improve their functional abilities
• Have completed a pre-admission assessment by a WRC admissions coordinator
• Have a plan to discharge to a home setting from rehabilitation

Patient and Family Education

• Provide educational materials and training to fam­ily members and caregivers on health and disabil­ity issues
• Hold family conferences to communicate to the patient’s condition and progress
• Make recommendations for equipment and sup­plies to assist patients following discharge
• Evaluate and suggest home modifications to prepare for discharge
• Plan recreational activities and outings to include families and caregivers
• Provide support groups for patients and family members to participate in during and after their rehabilitation stay

Patients are encouraged to bring:

• Comfortable clothing that the patient typically wears to last one week (including shirts, slacks, jeans, or sweatpants, socks, underwear, pajamas, robe and slippers)
• Comfortable walking or tennis shoes
• Personal toiletries (including deodorant, sham­poo, toothbrush, toothpaste, a shaving kit, make-up and hairbrush)
• All clothing and personal items should be labeled. A washer and dryer are available to use for the patient’s laundry during his or her stay.

The Rehabilitation Team

Nursing specializes in providing skilled care to patients with multiple physical and medical issues. Nurses provide education about the disease processes underlying disabilities and teach techniques to help patients and their families develop the self-care skills necessary to successfully manage when discharged regarding the patient’s medical management including:

• Medications
• Skin care
• Disease/diagnosis
• Diet
• Bowel and bladder care
• Family training

Occupational Therapy (OT) assists patients in regaining independence in their daily activities including:

• Eating
• Dressing, bathing, grooming, toileting
• Home management
• Equipment recommendations for bathroom, kitchen and bedroom
• Home exercise program for the upper body
• Adapt/modify patient’s past and present leisure interests
• Develop and experience new interests to improve physical, cognitive, social and emotional status
• Address community re-entry skills

Physical Therapy (PT) is provided to individuals who have difficulty with functional mobility and may address:

• General conditioning
• Transfers, walking, stair climbing, wheelchair mobility
• Assessment and recommendations regarding safety of mobility activities
• Education/adaptations to maximize mobility independence
• Home exercise program for long-term mobility management
• Address community re-entry skills

Speech & Language Pathology (SLP) is provided to patients having illnesses which may cause a communication or swallowing impairment. Speech therapy is available Monday through Friday and rotating weekends. We use the latest technology and evidenced based practice to deliver intense swallowing treatment via Vital Stim therapy. Therapy is individualized and offered in a private treatment setting.

• Evaluation of communication and swallowing needs
• Treatment plan design
• Assistance to family and staff in communicating with severely impaired patients
• Address community re-entry skills

Advanced Technology

• RT300-SLSA (Functional Electrical Stimulation machine)
  • The RT300 is an advanced functional electrical stimulation (FES) rehabilitation therapy system that utilizes a combination of 16 channels of stimulation. This can be used as standalone electrical stimulation or with UB/LB cycling. This can help to reverse muscle atrophy, improve local circulation, increase range of motion, reduce muscle spasms, and provide electrical stimulation in a functional manner for neuromuscular reeducation. Many types of diagnoses can benefit from use of this system including and not limited to: SCI (complete & incomplete), CVA, MS, Joint Replacements, and TBI.
• SAEBO System
  • SaeboReJoyce
    • The SaeboReJoyce is an upper extremity rehabilitation workstation designed for orthopedic and neurological patients who exhibit impaired function of the arm and hand. The computerized task-oriented training system provides standardized upper limb exercises representing activities of daily living (ADL).
• SaeboMAS
  • The zero gravity SaeboMAS mobile arm support is specifically designed to facilitate and challenge the weakened shoulder during functional tasks and exercise drills.
• Saebo Myotrac Infinity
  • The Saebo MyoTrac Infiniti is a comprehensive, portable biofeedback electrical stimulation system designed for orthopedic and neurological patients.
• Saebo AvivaStim
  • The Saebo AvivaStim is a portable electrical stimulation device that strengthens weakened muscles and incorporates a unique trigger mode which allows for timely stimulation during functional tasks.
• SaeboGlove
  • The cutting edge SaeboGlove helps clients suffering from neurological and orthopedic injuries incorporate their hand functionally in therapy and at home. The proprietary tension system extends the clients fingers and thumb following grasping.
• SaeboStep
  • The SaeboStep consists of a lightweight, uniquely designed foot drop brace that provides convenience and comfort while offering optimum foot clearance and support during walking.
• SaeboStretch
  • The revolutionary SaeboStretch dynamic resting hand splint helps neurologically impaired clients maintain or improve motion while minimizing joint damage and pain. Saebo's energy-storing technology allows individuals suffering from spasticity to stretch comfortably and safely resulting in increased motivation and compliance.
• SaeboFlex and SaeboReach
  • The SaeboFlex and SaeboReach allows individuals suffering from neurological impairments, such as stroke, the ability to incorporate their arm and hand functionally in therapy and at home. These unique orthoses position the wrist and fingers into extension in preparation for object manipulation. The user is able to grasp objects by voluntarily flexing his or her fingers. Once the fingers relax (stop gripping), the extension spring system assists in re-opening the hand to release the object.
• Saebo Orthoses Treatment Kit
  • Kit containing a multitude of SaeboFlex and SaeboReach components to optimize fitting and utilization of systems.
• Saebo Arm Training Equipment
  • Includes specific activities designed to utilize the SaeboFlex and SaeboReach during treatments.

Additional technologies include:

• Outdoor grill
• Sewing Machine
• Indoor car to practice transfers in controlled environment
• ADL room with mock toilet and tub
• LiteGait
  • LiteGait® is a gait training device that simultaneously controls weight bearing, posture, and balance over a treadmill or over ground. It creates an ideal environment for treating patients with a wide range of impairments and functional levels. LiteGait provides proper posture, reduces weight bearing, eliminates concerns for balance, and facilitates the training of coordinated lower extremity movement.
• DynaVision
  • The DynaVision is a light-training reaction device, developed to train sensory motor integration through the visual system. Full kitchen for meal preparation activities and cooking groups
• MOTOmed
  • MOTOmed Movement Therapy allows a patient to train either their arms or legs sitting in a wheelchair or from a chair utilizing either a passive therapy mode or motor driven mode. The passive mode is used for regulation of muscle tone, loosening stiff muscles, and for early mobilization after long rests. Passive training also stimulates blood circulation, digestion and joint flexibility. The motor supported mode enables easy transition from passive to active training. A motor-supported movement stimulates strength and endurance even with minimal muscle strength.
• Nintendo Wii
  • Nintendo Wii gaming system is used for training patients in a number of therapeutic areas including memory/cognitive skills and physical skills including arm and leg coordination, strengthening, and balance training. Working on balance, coordination and cognitive tasks while playing a Wii game is much more fun and engaging than some of the exercises or therapeutic activities used in rehabilitation.