HIGHLY SPECIALISED NEUROLOGICAL REHABILITATION
Person in charge: Mauro Colombari
Nurse coordinator: Manuela Fusconi
The highly specialised neurological rehabilitation service (neurorehabilitation as defined by the ministerial coding) is aimed at adult patients with acquired impairments and amendable disabilities due to severe cerebrovascular injuries or similar complexities. It carries out its activity in close collaboration and continuity with semi-intensive specialised rehabilitation, of which frequently (but not exclusively) relates to patients’ conditions whose vital functions stability allow it. The department is equipped with facilities, personnel and expertise which are appropriate for taking in all-encompassing patients with acquired serious brain injury, with the organisational coordination specifically dedicated.
“Severe acquired brain injury” refers to brain damage due to brain injury trauma or other causes (anoxia – insufficient oxygen in the tissues – etc…), resulting in a coma condition, protracted in time and sensory impairment, motor, cognitive or behavioural, which involve severe disability. A person suffering from this disease firstly needs hospitalisation for neurosurgical or resuscitation treatment in intensive care, the duration may vary from a few days to a few weeks. After this phase, hospital medial-rehabilitation interventions are also usually necessary which can last from a few weeks to a few months.
Often after the hospitalisation phase, health intervention conditions remain (which can continue being treated within the day hospital operating unit) and long term social interventions dealing with persistent impairments and disabilities as well as difficulties to re-integrate within the family, socially, at school or work. For this reason regular meeting are held from the initial admission phase between the Sol et Salus rehabilitation team and the competent local services. In these meetings environmental adaptations and the necessary aids for returning home are also discussed then defined and proposed by the Sol et Salus Occupational Therapy service.
The highly specialised neurological rehabilitation team is made up of:
- Rehabilitation medical specialist (or equivalent)
- Nurse expert in rehabilitation
- Social health worker
- Occupational therapist
- Speech therapist
- Social worker
Following the individual rehabilitation project definition (drawn up within 7 days from department admittance),which indicates the patient and families’ prognosis, expectations and priorities by applying the impairment parameters, activity limitation and participation restriction listed in the International Classification of Functioning, Disability and Health (ICF), the team develops the rehabilitation programmes from this derivative.
The department is an integral part of the GRACER network with a Spoke function and a regional Hub area.
The GRACER project (Emilia Romagna Severe Brain Injuries), aims to ensure adequate rehabilitation interventions to all people with severe acquired brain injury who reside in the local territory or who are admitted to health facilities in the Emilia Romagna Region, through an integrated service network system which allows admission promptness, guarantees an adequate level of care and care continuity, access and use equality.
(…) The organizational model to which we refer to is the regional integrated network service model like the “Hub and Spoke”. In this model, within the system activities between Hub and Spoke, the creation of personal care methods are defined which try to concentrate on the cases that require the more complex assistance in centres of excellence (hub) by dispatching the organisation systems from the peripheral centres (spoke) and therefore the new spoke takeover once the hub intervention is no longer required.
These modalities have to be characterised from a strong orientation to subsidiarity and partnership during the entire care process by all the system nodes rather than being taken over exclusively by an individual centre.
The adopted model in fact tends to ensure a uniform clinical governance of the system as a whole and quickly making available technical and professional skills and resources anywhere in the network (outreach), limiting patient’s transfer between the clinical situation and temporary phase centres for periods in which this is really necessary according to the overall rehabilitation project.
In this perspective the connections between the centres are of course of crucial importance in regards to sharing operational methods and equipment, specific knowledge and skills and information collection and management.
Department description and location
The highly specialised neurological rehabilitation department is on the first floor of the Sol et Salus hospital and has 25 beds. From the reception area take the elevators which also allow access to the department in stretchers or wheelchairs. Each room has two beds and a bathroom equipped for disabled patients. The department has air-conditioning in all of its rooms. The room lockers are provided with a key which is kept by the patients. Each room has a TV which can be paid for at the hospital bar. The department has two gyms, ‘Sun’ and ‘Moon’; The gym ‘Sun’ is about 400 square meters and is equipped for rehabilitation activities; the gym ‘Moon’ is about 200 square meters and in addition to rehabilitation activities also specialises in occupational therapy.
Switchboard: 0541 725111
Department: 0541 725137
Nurse coordinator: 0541 725289 (from 8.00 am to 2.00 pm)
For admission requests please contact the admissions office 0541 725110