At admission, members of the patient care team provide comprehensive assessments of patient needs.
They then work together to create an individualized treatment plan and provide ongoing care designed to help the patient regain his health and work toward his rehabilitation goals.
The patient care team holds weekly team conferences to discuss and re-evaluate the patient's progress and goals. In addition, the services of an audiologist, vocational counselor, home medical equipment vendors, driver education instructor, and wheelchair/orthotic-prosthetic technicians are provided on the unit through referrals to outside agencies.
We encourage family participation and are dedicated to educating and supporting family members whose lives are impacted by their loved one's medical needs. The patient care team holds regular family conferences to involve them in the rehabilitation process and to prepare them for meeting the patient's discharge needs.
Ongoing patient and family support is available through the Stroke Club's monthly meetings which provides education and resource information in a social forum.
University of Maryland Rehabilitation & Orthopaedic Institute's Academic Advantage
A part of the University of Maryland Medical System since 1985, University of Maryland Rehabilitation & Orthopaedic Institute has full access to the vast resources of a major academic medical center, benefiting through an exchange of clinical expertise and research opportunities. All physicians on the Stroke Unit are faculty members of the Department of Neurology at the University, ensuring continuity of medical care.
The Role of the Case Manager
The case manager is the link between the family and the members of the patient's care team. The case manager keeps family informed about patient progress and helps them make discharge plans and preparations. In addition, the case manager serves as the point of contact for insurance issues, working closely with the family and the insurer to identify and address any potential problems.
Outpatient Follow-Up Care
Upon discharge, patients participate in our follow-up recovery program, which promotes a continuation of progress toward independence. The Outpatient Follow-up Program at University of Maryland Rehabilitation and Orthopaedic Institute may include the following:
- Medical evaluation and treatment
- Occupational therapy
- Physical therapy
- Speech-language therapy
- Rehabilitation nursing
- Recreational therapy
- Referral for vocational rehabilitation.