WakeMed Rehab [PATIENT/FAMILY EDUCATION] WakeMed Rehab is a strong link in the world-class WakeMed health system. All WakeMed rehabilitation services – including in-hospital medical care, inpatient rehab, day treatment, outpatient rehab and home health – are connected, forming a smooth, well-defined path to your recovery. We call this a continuum of care. For our patients, this means we’ll be with you every step of the way on your journey to maximum rehabilitation and independence. RESTORING YOUR STRENGTH AND SPIRIT Inpatient rehabilitation is an important part of the full range of rehabilitation services provided by WakeMed Rehab. Once you enter our doors, we will work to increase your independence, so you can return to doing the things that are important to you.
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Wa k e M e d R e h a b[ P A T I E N T / F A M I L Y E D U C A T I O N ]
WakeMed Rehab is a strong link in the world-class WakeMed health system. All WakeMed rehabilitation services– including in-hospital medical care, inpatient rehab, daytreatment, outpatient rehab and home health – are connected,forming a smooth, well-defined path to your recovery.
We call this a continuum of care. For our patients, this meanswe’ll be with you every step of the way on your journey tomaximum rehabilitation and independence.
R E S T O R I N G Y O U R
S T R E N G T H A N D S P I R I T
Inpatient rehabilitation is an important part of the full rangeof rehabilitation services provided by WakeMed Rehab. Onceyou enter our doors, we will work to increase yourindependence, so you can return to doing the things that areimportant to you.
WakeMed Rehab Hospital is a 98-bed,state-of-the-art inpatient rehabilitationprogram that will help you if you haverecently had a stroke, brain injury, spinalcord injury, orthopaedic condition, otherphysical trauma or medical complication.Our goal is to help you become asindependent as possible so that you canreturn to daily life. WakeMed Rehab offers ateam of experts (what we call aninterdisciplinary team) to lead you throughyour rehabilitation program. This teamapproach works to make sure you are gettingthe best possible care.
WakeMed Rehab Hospital welcomes theinvolvement of your family members andencourages you to ask questions and to getto know the staff. We are eager to help youwith your concerns or needs. If you or yourfamily members have any questions orconcerns regarding your treatment program,please feel free to discuss them with yournurse, therapist or case manager.
We want to create a comfortable, homelikesetting for you and your family. Please let usknow what we can do to improve your stay.
W A K E M E D R E H A B A N D
H O W I T B E N E F I T S Y O U
As a patient in the rehab hospital, you willshare in designing a recovery program to helpyou return to as normal a life as possible. Youand your interdisciplinary team will planactivities and treatments that will best helpyou during your recovery period.
You will participate in a daily schedule oftherapy consisting of a minimum of threehours of physical, occupational, and, ifappropriate, speech therapy services. You willreceive nursing services around the clock. Youmay also be involved in neuropsychology,therapeutic recreation, community reentryactivities, counseling and education programs.The staff may coordinate community outingsthat may include shopping, visiting a park,swimming or bowling.
Your therapies are all offered on-site in theWakeMed Rehab Hospital. We havecomprehensive rehabilitation gyms where youwill go for occupational and physicaltherapies. Our speech and language therapyprogram will help you with any speech,language, cognitive, eating/swallowing, orfacial movement problems you may have.
Most of our rooms are semi-private, so youwill more than likely have a roommate andyou will be invited to eat with other rehabpatients in one of our dining rooms. Yourfood will be prepared according to yourspecific dietary needs.
Your therapy program will formally begin the day after admission. You will get a dailytherapy schedule to carry with you to yourtreatment sessions. The nursing staff andtherapists will help you to scheduledappointments.
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This education notebook is provided to help organize writtenmaterials you may get from various members of your treatmentteam. We are committed to meeting you and your family’seducational needs so that you can actively participate in theoverall rehabilitation plan.
We encourage you to share these materials with your family tohelp them learn more about your rehabilitation. They may takethese materials home to read, but you will want to keep thenotebook with you in the hospital so that materials can be addedthroughout your stay.
This notebook is for you to keep, so feel free to add your owninformation. We hope that it will be a resource for you and yourfamily during and after your stay at WakeMed Rehab.
W A K E M E D R E H A B I L I T A T I O N H O S P I T A L
3000 New Bern Avenue
Raleigh, NC 27610
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At WakeMed Rehab, you can be sure ourprograms and staff adhere to the higheststandards of health care. WakeMed isaccredited with commendation by The JointCommission. WakeMed Rehab Hospital isalso accredited by CARF, the AccreditationCommission for Rehabilitation Facilities.
We employ a select group of therapists andstaff. Along with extensive experience, ourteam has solid credentials, specialized trainingand advanced certifications.
Specializing in rehab requires more thanclinical qualifications. It takes a uniqueperson with patience, the ability tocommunicate well, and the ability tomotivate. These are the people who help youreach success, one step at a time.
G R I E V A N C E P R O C E D U R E
WakeMed Rehab encourages you to askquestions and to get to know the staff. We areeager to help you with your concerns orneeds. If you or your family has any questionsor concerns regarding your treatmentprogram, please discuss them with yourclinical case manager (the staff memberassigned to work with you and your familyand act as a liaison between your family andyour treatment team). If you have acomplaint, please share your concern with anyteam member. If your complaint cannot bepromptly resolved, WakeMed Rehabmanagement will conduct an investigationand respond to you in writing within
10 business days. If you would like to file aformal grievance, you may call or write to:Elaine Rohlik, Executive DirectorWakeMed Rehab 3000 New Bern Ave., Raleigh, NC 27610(919) 350-8852
Ms. Rohlik will respond through a scheduledappointment or in writing within 10 businessdays of receiving your grievance.
You may at any time contact the NC Divisionof Health Service Regulation Attn:Complaint Intake Unit, 2711 Mail ServiceDelivery Center, Raleigh, NC 27699-2711.
E T H I C S C O M M I T T E E
There may be a time when you have to makea difficult health care decision for yourself ora loved one. WakeMed has an EthicsCommittee to help you. This group is madeup of physicians, nurses, a hospital chaplain,representatives from social work,administration and the community.Committee members are trained andprepared to listen to your case objectively.They will never come up with a final answeror tell you what to do. The Ethics Committeeexists to help everyone involved make thebest decision possible. For a more detailedbrochure, ask your nurse or clinical casemanager, or call the Department of SpiritualCare at (919) 350-8556.
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P A T I E N T S ’ R I G H T S
Access to Care and Communication –Patients are admitted to WakeMed facilitieswithout regard to race, religion, sex, nationalorigin, disability, or source of payment forcare. Patients have the right to accessprotective services (i.e., guardianship,advocacy service, child or adult protectiveservices) with support from the hospital.The hospital shall not impose restrictions onvisitors, mail, telephone calls, or other formsof communication except for therapeuticreasons that are fully discussed with thepatient or their authorized representative.The patient has the right to have a familymember or representative of his/her choiceand his/her own physician notified promptlyof his/her admission to the hospital.
Respect and Dignity – All patients have theright to care that is respectful andconsiderate of personal values and beliefs,paying attention to psychosocial, spiritual,and cultural needs as they relate toindividualized patient care. Patients have theright to refuse to be observed or cared for byany person or group other than thosedirectly responsible for their care. Patientshave the right to expect treatments andprocedures to be explained to them usingthe language or method of communicationthey best understand. They have a right topastoral counseling. Patients have the rightto be free of restraints of any form that arenot medically or behaviorally necessary.
Information and Participation in DecisionMaking – Patients are encouraged tobecome involved in all aspects of their care.They have the right to be informed of theirdiagnosis and course of treatment. Patientshave the right to ask their doctor, nurse, orother health care professional forclarification. Patients have the right to refuseany prescribed course of treatment after theyhave been informed of the possibleconsequences of that decision, and theirrefusal will not affect access to care. Patientsand families are educated about their role inhelping to facilitate the safe delivery of care.Patients, and when appropriate, theirfamilies are informed about the outcomes ofcare, including unanticipated outcomes.Patients have the right to access informationin their medical record in a reasonable timeframe.
Informed Consent – Patients (legallycompetent adult, parent/guardian of minor)have a right to have proposed treatments orprocedures explained to them in a mannerthey can understand. Only after they givetheir voluntary consent will the procedure ortreatment for routine, non-emergent care beprovided. Patients asked to participate in aresearch project are given information onexpected benefits, risks, alternatives, theprocedure itself, and the right to refuse toparticipate without compromising theiraccess to services.
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Conflict Resolution and Ethical DecisionMaking – Patients have the right to voicecomplaints about their care, and to have thecomplaint reviewed, and when possible,resolved. Patients have a right to expectassistance in resolution of dilemmasregarding their care and treatment. Patientshaving a conflict or complaint shouldexpress their concern to the staff deliveringcare, the department manager, or the ChiefOperating Officer of WakeMed at 350-8104. Patients can expect a written responsefrom the hospital within 10 business daysfollowing the failure to resolve a complaint.They also have the right to lodge acomplaint with the North CarolinaDepartment of Health and Human Services,Division of Facility Services at 1-800-624-3004. The address for patients wishing tosend a written complaint to Division ofFacility Services is: Licensure andCertification Section, Acute/Home Care,2712 Mail Service Center, Raleigh, NC27699-2712. In addition, for grievancesrelated to quality of care or prematuredischarge, patients have the right to requestreview by the North Carolina Peer ReviewOrganization.
Security, Privacy and Confidentiality –Patients have the right to expect to be caredfor in a secure environment free from allforms of abuse and harassment. Personalprivacy will be respected in care delivery.Patients have the right to privacy andconfidentiality regarding their treatment,care and medical record.
Advanced Directives – Patients of legal agehave the right to express their wishesregarding treatment at any point in the careprovided. Advanced Directives can includeself-directed anatomical gift donations. Inthe absence of advanced directives, thehospital will offer information and educationand will offer assistance in completing awritten advanced directive.
Pain Management – Patients have the rightto have their pain recognized and addressedappropriately. This includes informationabout pain and pain relief measures, aconcerned staff committed to effective painprevention and management, health careprofessionals who believe and respondquickly to reports of pain, and state-of-the-art pain management.
P A T I E N T S ’ R E S P O N S I B I L I T I E S
Respect and Dignity – All patients have theresponsibility to follow all rules andregulations established by the hospitalsystem concerning patient care and conduct.If they have questions related to these rules,they should ask their care provider forclarification. All patients have theresponsibility to respect the rights of otherpatients as well as hospital staff in both theirconduct and the behavior of their visitors.
Information and Participation in DecisionMaking – All patients have theresponsibility to provide complete andaccurate information with respect to theirmedical history, present complaint, and any
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other health-related issues that may have aneffect on their course of treatment. They areexpected to become partners in thedevelopment and implementation of theirplan of care.
Once their treatment plan has beendetermined and communicated by the healthcare providers, all patients have theresponsibility for following the plan oftreatment. They are responsible for reportingto the responsible practitioner unexpectedchanges in their condition and perceivedrisks in their care. They should notify thehealth care provider if they have concernsabout their ability to follow the treatmentplan so the hospital can make every effort toadapt to the patient’s specific needs andlimitations. Where such adaptations are notrecommended, the patient and family shouldunderstand the consequences of failing tofollow the recommended course oftreatment, or of using other treatment.
All patients have the responsibility to askquestions when they do not understandwhat they have been told or what they areexpected to do. If a patient or family refusestreatment or fails to follow instructions, theyare responsible for the consequences of thatdecision.
Pain Management – Patients have theresponsibility for participating in their painmanagement. This includes communicatingwith the health care professionals about painrelief options, a pain management plan ofcare, measuring the pain, and what to expectregarding pain and pain management. Theyshould ask for pain relief when pain firstbegins and tell the doctor or nurse if thepain is not relieved.
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The staff of WakeMed Rehab havedeveloped and abide by a code of ethicalconduct. This code of conduct is intended toguide staff behavior and interactions with allcustomers of the rehabilitation hospital. Ithas as its primary goal, the welfare andprotection of the individuals and familieswith whom staff work. It is the individualresponsibility of each staff member to aspireto the highest possible standards of conduct.The rehabilitation staff respect and protecthuman and civil rights, and do notknowingly participate in or condone unfairdiscriminatory practices.
C O M P E T E N C E
All staff strive to maintain high standards ofcompetence in their work. They recognizethe boundaries of their particular abilitiesand the limitations of their expertise. Theyprovide only those services and use onlythose techniques for which they are qualifiedby education, training or experience.
I N T E G R I T Y
Staff is honest, fair and respectful of others.In describing or reporting theirqualifications, services, products or fees, theydo not make statements that are false,misleading or deceptive. Staff strive to beaware of their own belief systems, values,needs and limitations and the effect of theseon their work.
P R O F E S S I O N A L
R E S P O N S I B I L I T Y
Staff uphold professional standards ofconduct, clarify their professional roles andobligations, accept appropriate responsibilityfor their behavior and adapt their methodsto the needs of different populations. Staffconsult with, refer to or cooperate with otherprofessionals and institutions to serve thebest interests of their patients.
R E S P E C T F O R P E O P L E ’ S
R I G H T S A N D D I G N I T Y
Staff respect the fundamental rights, dignityand worth of all people. They respect therights of individuals to privacy,confidentiality, self-determination andautonomy. Staff are aware of cultural,individual and role differences, includingthose due to age, gender, race, ethnicity,national origin, religion, sexual orientation,disability, language and socioeconomicstatus.
M A I N T A I N I N G E X P E R T I S E
Staff who engage in assessment, therapy,teaching or other professional activitiesmaintain a reasonable level of awareness ofcurrent evidence-based and professionalinformation in their fields and undertakeongoing efforts to maintain competence inthe skills they use.
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D O C U M E N T A T I O N , R E C O R D S
A N D D A T A
Staff appropriately document theirprofessional work in order to facilitateprovision of services later by them or byother professionals, to ensure accountabilityand to meet other requirements of thefacility or the law. Staff create, maintain,disseminate, store, retain and dispose ofrecords and data relating to their practice inaccordance with hospital policy andapplicable law.
F E E S A N D B I L L I N G
Staff do not exploit recipients of services orpayers with respect to fees. Charges are setand authorized by the department ofreimbursement and budget.
C O N F L I C T S B E T W E E N E T H I C S
A N D O R G A N I Z A T I O N A L
D E M A N D S
If the demands of the organization conflictwith this Code of Ethics, staff clarify thenature of the conflict, make known theircommitment to the Code of Ethics and, tothe extent feasible, seek to resolve theconflict in a way that permits the fullestadherence to the Code of Ethics.
R E P O R T I N G A N D R E S O L U T I O N
O F E T H I C A L V I O L A T I O N S
When staff believe that there may have beenan ethical violation by another staff member,they attempt to resolve the issue by bringingit to the attention of that individual if aninformal resolution appears appropriate andthe intervention does not violate anyconfidentiality rights. Staff exerciseprofessional judgement in notifyingmanagement of their perceptions. If anapparent ethical violation is not appropriatefor informal resolution or is not resolvedproperly in that fashion, staff may takefurther action through the organizationalmanagement structure, human resourcedepartment and/or hospital grievanceprocedure.
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We are committed to providing you withexcellent care and quality service. We areconstantly monitoring our system andprograms and looking for ways to improvethe service you receive. Throughout yourstay, the staff will ask about your satisfactionwith the care you are getting. We encourageyou to be open and honest about how thingsare going and what you would like donedifferently.
Within 30 days after you leave, you may becontacted by our patient satisfactionconsulting group, called PRC or ProfessionalResearch Consultants, who will ask youquestions to see if you were satisfied withour program. You may also receive atelephone call from an organization calledMedTel Outcomes. WakeMed contractswith them to gather both satisfaction andfunctional outcomes information. These callsare generally made 90 days after discharge.Our management team uses thisinformation to plan our programdevelopment as well as improve our servicedelivery.
Members of WakeMed Rehabadministration are available at any time toaddress concerns you may have throughoutyour hospitalization or after discharge. Anystaff member will be able to direct you tothe administrative office area.
S M O K I N G
WakeMed Rehab is a smoke-free facility.Smoking is not permitted inside the buildingor on any WakeMed property.
L A U N D R Y
We encourage your family to take your clothinghome to wash. The nursing staff may be able towash any clothing that becomes soiled due tospills or bowel/bladder control accidents. Youmay be encouraged when appropriate to doyour own laundry as part of your therapy. Yourtherapist will make the necessary arrangements.
T E L E P H O N E
You will have your own phone in your room.To make calls within the hospital, you do notneed to dial the 350-prefix, simply dial zeroand the four-digit extension number. If youneed assistance, dial “08000” to reach thehospital operator.
To make outside local calls, dial 9 + 919 + thelocal number. There is no charge for localcalls.
We welcome you to use your cell phonethroughout most of WakeMed. If you areunsure about using your cell phone in aparticular area, please ask the nurse.
To make long distance calls, dial 9 and thenyou will need to use your calling card.
M E D I C A T I O N S
Your attending physician must prescribe allmedications you will use while you are here.They will be dispensed by our pharmacy. Thisensures your medications are coordinated byone health care professional. If you prefer tohave certain medications, supplements orherbs, please discuss this with your nurse.
M E A L S
WakeMed’s Food and Nutrition Servicesprepares all meals. If you would like to bringin outside food, please discuss it with yournurse ahead of time. Family members arewelcome to bring their own food and join youduring lunch and dinner in your room or inthe larger dining area. The dining schedule is:
Breakfast – Served around 7:30 am in the patient dining area or in your roomLunch – Served at noon in the patient dining area or in your roomDinner – Served at 5 pm in the patient dining area or in your room
Y O U R R O O M
Your room is equipped with a telephone andtelevision. Most rooms are shared, so you willlikely have a roommate. A limited number ofprivate rooms are available for patients withspecial needs or whose medical condition mayrequire privacy.
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M A I L A N D F L O W E R S
Your mail and flowers will be delivered toyour room each day. Your mail should beaddressed:
Sunday – Thursday, open 24 hours; Fridays, 5:30 am to 11 pm;Saturdays, 6 am to 10 pm.
C H A P E L
A meditation chapel is located on the thirdfloor of the main tower between 3A and 3B.The chapel is available to you and yourfamily at any time. Please ask your nurse foradditional information on daily services. Inaddition, if you or your family would likespiritual support during your hospital stay,ask anyone on your treatment team to pagethe chaplain. Chaplains are sensitive to thediverse spiritual needs of patients of allfaiths. Spiritual Care will also be happy tocontact representatives of particular faithtraditions upon request.
P A R K I N G P A S S
Visitors or family members may request a 7-day discounted parking pass from theparking attendant. The cost for a 7-day pass is $18.
V I S I T I N G H O U R S
Realizing the important role visits fromfamily and friends play in the recoveryprocess, visitation at WakeMed is open (nodesignated visiting hours). In general, youwill be available to have visitors at any time.However, please expect that the focus ofyour day will be on completing yourscheduled therapy sessions.
We also have Quiet Hours, which begin at 8 pm. During Quiet Hours, lights aredimmed and noise is kept to a minimum tofurther promote our healing environment.
We look forward to your family and friends’involvement in your recovery and welcomeany suggestions that they may haveregarding your stay at WakeMed.
W I F I
Feel free to access the internet usingWakeMed’s guest network. The name of thenetwork is WakeMed.
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With your permission, our clinical casemanagement staff will talk to your familymember regularly for various reasons, whichinclude:• Reports on your progress• Educational information about your
condition• Supportive counseling• Financial information• Discharge planning assistance • Community resource information• Liaison services with interdisciplinary
treatment team
We encourage families to select one person toserve as a contact. We will direct allinformation to that person and ask that he orshe relay the information to other familymembers. Families may contact your clinicalcase manager at any time by phone. They mayleave a message if the clinical case manager isnot available, and their call will be returned asquickly as possible.
Your clinical case manager will also help youand/or your family in arranging meetings orcontacts with other members of yourtreatment team through family observationand training sessions and family conferencesas appropriate.
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A critical aspect of the rehab process atWakeMed Rehab is for patients and families tounderstand the illness or injury as much aspossible. We try to address this through a seriesof family education and training sessions.
We offer family training at various pointsduring hospitalization. The first trainingsession is for observation. This is scheduledearly in your hospital stay and involves yourfamily following you through your therapyschedule. The objective for this session is tofamiliarize your family with your dailyroutine and the treatment team workingwith you.
Another type of training session is forpreparation for pass (a pass is when you arecleared to leave the hospital to go out in thecommunity or home for a day visit). Ifappropriate, this is scheduled for your familyto learn actual hands-on care you may need.It also gives you the opportunity to “showoff ” your progress. The objectives for thissession include family participation in yourcare and preparation so that they may assistyou while you are on a day pass outside ofthe hospital. Your family will again followyour regular schedule. During breaks in yourschedule, other members of your treatmentteam may meet with you and your family asnecessary.
The final, and most critical, type of trainingsession is to prepare you and your family foryour discharge (when you leave the hospitalto return home or go to an appropriatefacility). This training happens near the endof your stay at WakeMed Rehab. The focusof this session is to provide education andassistance to help you and your familyprepare for your discharge. This training willhelp you tie up loose ends and addressquestions and concerns to ensure yoursmooth transition at discharge.
Many times only one training session isneeded. In this case, all of your care needsand any questions your family may have willbe addressed during this visit.
T H I N G S Y O U S H O U L D K N O W
• Your clinical case manager will coordinatetraining sessions with your family andteam.
• Family training is held during scheduledtherapy sessions, so it’s important that your family follow your wheelchair cardschedule and be punctual.
• Family training is scheduled for one-halfday unless otherwise requested by the teamor your family.
Please direct all questions regarding trainingto your clinical case manager.
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T H I N G S F A M I L I E S S H O U L D
K N O W
• Park your car in the P1 visitor parkingdeck. During physical therapy training youmay be asked to bring your car to thecircular driveway to help your familymember practice getting in and out of the car.
• Parking is free on family training days.Please bring your parking ticket with youand the receptionist will stamp your card.
• Please meet your family member in his/herroom or scheduled therapy session,depending on the time of your arrival.
We hope family education will be arewarding experience that will help youunderstand the rehab process and allow youto leave WakeMed Rehab feeling preparedto deal with life at home or at a nursingfacility. If there is anything we can do toimprove this process, please let your clinicalcase manager know.
D A Y P A S S E S
After evaluating you, your treatment teammay recommend that you go home on a daypass. Day passes may be used on weekendsbetween 10 am and 8 pm. A family memberor other caregiver must have successfullycompleted training before a pass will berecommended.
Your treatment team will identify tasks foryou to practice while on pass. You candiscuss the results when you return to thehospital.
WakeMed provides in-room access to educational videos on a variety of rehab topics.
T O A C C E S S V I D E O S
1. Dial 07371 from room phone
2. Listen carefully and follow the prompts- you will need to know the video number (referto list below)
3. If you need assistance please ask your nurse
G E N E R A L T O P I C S
Video 108 Managing Your Pain
Video 109 Relaxing Through the Seasons
Video 130 Nutrition: Healthy Eating for Life
Video 334 High Blood Pressure: An Introduction and Treatment
Video 230 Patient Safety: Stay Safe While You Are in the Hospital
Video 231 Anticoagulant Medications: Taking it Safely
Video 638 WakeMed Patient Discharge Video
Video 712 Exercise: It Can Work for You
Video 831 Preparing for Home Modifications
A M P U T A T I O N
Video 183 Overcoming Adversity after Amputation
B R A I N I N J U R Y
Video 644 Understanding Brain Injury: What you should know about brain injury and recovery
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D I A B E T E S
Video 139 Injecting Insulin
Video 146 Introduction to Carbohydrate Counting
Video 155 Diabetes and Nutrition: Eating for Health
Video 156 Diabetes and Weight Control
S P I N A L C O R D I N J U R Y
Video 643 Understanding Spinal Cord Injury: What you should know about spinal cord injury and recovery
Video 634 Managing Secondary Conditions of Spinal Cord Injury- Part I
Video 635 Managing Secondary Conditions of Spinal Cord Injury- Part II
Video 636 Managing Secondary Conditions of Spinal Cord Injury- Part III
Video 637 Managing Secondary Conditions of Spinal Cord Injury- Part IV
S T R O K E
Video 232 After a Stroke
Video 610 Stroke: What every person needs to know
Video 631 Stroke: Reducing the Risk
P L A Y I N G C O N T I N U O U S L Y
The Channels below play videos continuously without the need to dial in. Turn your TV tochannels listed below to begin viewing.
Channel 77 Relaxation and Worship - Relaxing videos all day
Channel 88 The Stroke Channel - Stroke Education videos repeat throughout the day
Channel 89 The Education Station - Educational Videos Start on the hour
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Education Videos on Channel 89 start on the hour from 8 am – 9 pm.
From 10 pm – 8 am this is a relaxation channel
8 am Patient Safety
9 am Patient Discharge
10 am Managing your Pain
11 am Patient Safety
12 noon Nutrition: Healthy Eating for Life
1 pm Diabetes and Nutrition
2 pm Diabetes and Exercise
3 pm Managing your Pain
4 pm Basic Skills for Diabetes
5 pm Nutrition: Healthy Eating for Life
6 pm Coumadin Information
7 pm Patient Safety
8 pm Diabetes and Weight Control
9 pm Managing your Pain
10 pm – 8 am Relaxation Videos
For a complete list of Videos, please refer to the WakeMed Guide to Services and Amenities.
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As you begin to follow your daily treatmentschedule, you will see that WakeMed has ateam approach to individualized care. Youwill have therapies and treatments specific toyour recovery needs.
During the first week of your stay, there willbe an initial team conference to discuss yourtreatment program, goals for rehab andanticipated length of stay. From that pointon, conferences will be held every weekwhere team members review your progress.Your clinical case manager will report yourgoals and concerns to the treatment teamand keep you informed about the teamdiscussion after each team meeting.
T H E F A M I L Y ’ S R O L E
The most important members of thetreatment team are you and your family.Your input and feedback is alwayswelcomed.
Your clinical case manager will coordinatetraining sessions with members of yourfamily so they can learn about your therapy.We want you and your family to feelcomfortable with your program andprepared when it is time to leave thehospital.
T H E R E H A B I L I T A T I O N
T E A M M E M B E R S
Rehabilitation Physician: A specially trainedphysician, called a physiatrist, is in charge ofyour treatment and progress while you are apatient in the Rehab Hospital. A physiatristhas completed training in the board-certifiedspecialty of physical medicine andrehabilitation. The physiatrist works closelywith your primary care doctor andcoordinates the overall team treatmentprogram, while also consulting otherspecialists as needed.
Physician Assistant/Nurse Practitioner: Thephysician assistant/nurse practitioner isnationally board certified and is licensed bythe state of North Carolina to practicemedicine under the supervision of aphysician. The physician assistants/nursepractitioners at WakeMed Rehab workintimately with the physiatrists to manageyour medical care and rehabilitation needs.
Clinical Case Manager: The clinical casemanager is the team leader and a liaison foryou and your family with the treatmentteam. The clinical case manager helps youand your family with personal, financial,emotional and social concerns that may ariseas a result of your illness or injury. You andyour family will have an initial meeting withthe clinical case manager to discuss yourneeds. Your clinical case manager can alsoarrange individual and group counseling tohelp you and your family learn to cope withproblems. If going home is not an optionafter you are discharged, the clinical case
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manager will help you find an appropriatefacility. The clinical case manager can alsoprovide referrals to community resources thatmay help you and your family during thehospital stay and after discharge. The clinicalcase manager also provides information asappropriate to insurance carriers for their reviewand certification of your hospital stay.
Rehabilitation Nurse: The rehabilitation nurseis a registered nurse (RN) with specializedtraining in caring for patients with disabilities.The nurse works closely with other members ofthe nursing team (Licensed Practical Nurses andCertified Nursing Assistants) to provide youwith nursing care and your family witheducation.
Physical Therapist (PT): The PT works withyou to improve your overall strength, endurance,balance and coordination. The therapist helpsyou redevelop walking skills or learn to moveabout safely in a wheelchair or with otherequipment, such as a walker or cane. If you havelimited range of motion in a joint, pain, loss ofmovement or loss of sensation, you may benefitfrom physical therapy to improve your strengthand long-term physical fitness.
Neuropsychologist: Neuropsychologists arepsychologists with specialized training in brainbehavior relationships. They evaluate and treatcognitive (thinking abilities), emotional andbehavioral effects of disability. Theneuropsychologist may conduct aneuropsychological assessment, providecognitive rehabilitation and behaviormanagement services and education andcounseling to you and your family.
Occupational Therapist (OT): The OT workswith you if you have disabilities that can keepyou from doing daily living activities. Theseactivities may be feeding, dressing, bathing andgrooming, or more complex tasks such asplanning a menu, shopping for groceries,cooking a meal or driving a car. Theoccupational therapist may also design splintsand other adaptive equipment to help youincrease your abilities and decrease furtherdisability. If you have limited range of motion ina joint, diminished muscular strength andcoordination, visual impairments, or limitedthought processing skills, you may benefit fromoccupational therapy.
The Occupational Therapy Departmentincludes a kitchen, living area, bedroom andbathroom where you can work with thetherapist nearby, and simulate at-home activitiessuch as getting on and off of the toilet, into andout of the bathtub, and on and off a bed orcouch. In addition, you may work on laundryskills and meal preparation skills.
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Speech-Language Pathologist (SLP): TheSLP evaluates and treats your speech,language, voice and thought processingdisorders. The speech-language pathologistevaluates and treats swallowing disordersthat may hamper your ability to eat and takemedications by mouth. The primary focus ofspeech therapy is to maximize your ability tocommunicate and swallow.
Clinical Dietician: The clinical dietitian is aregistered dietitian (RD) specially trained inthe field of nutrition. The RD reviews yourdiet, sees what special dietary needs you haveto help you get better, follows your treatmentplan to see that your recommended diet iscarried out and instructs you on theimportance of your special diet.
Therapeutic Recreation Specialist: Thetherapeutic recreation specialist helps youunderstand the value of leisure timeactivities and address lifestyle changes thatyou may need as a result of your injury orillness. In-hospital activities provide youwith a social environment filled with leisureactivities.
Through education and community outings,the therapist helps you increase social skillsand awareness of accessible, affordablecommunity services and activities. As thelink between in-hospital care and the returnto daily life, the recreation specialist usesthese outside activities to evaluate how wellyour physical, occupational, and speechtherapy skills are working in real-worldsituations.
Spiritual Care: Our chaplains are availableto meet with you or your family members tooffer spiritual support.
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Your care plan will be designed just for you.We will focus on every aspect of you as aperson: your lifestyle, relationships,appearance, personality, behavior and physicalabilities.
After an initial evaluation by your treatmentteam, a plan of care will be developed. Theplan of care gives you a written assessment ofyour status and goals, which your clinical casemanager will review weekly with you and yourfamily. Your input into your plan of care isvery important, and your clinical case managerwill work with you and your family to identifyyour specific needs.
S E C T I O N S O F T H E P L A N O F C A R E
I N C L U D E :
• Medical: This is a brief summary of yourcurrent medical status including any acutemedical issues, medical changes, informationrelated to your diet and bowel and bladdercontrol.
• Communication/Cognition: This sectionprovides a summary of your ability to expressand understand language. In addition, asummary of your cognitive abilities includingmemory, problem solving, and safetyawareness is provided.
• Mobility: This section outlines your currentstatus as it relates to your ability to movearound in your wheelchair, walk and transferfrom one surface to another. Discharge goalsfor each of these areas are also included inthis section.
• Self Care: This section outlines your currentability to manage activities of daily livingincluding bathing, dressing and personalcare. Discharge goals for each of these areasare also included in this section.
• Discharge: This section indicates the team’srecommendations for your post-dischargecare. Recommendations for follow-up therapyand equipment will be listed as well as theteam’s recommendation for any supervisionyou may need after you leave the hospital.
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Your clinical case manager will work with you and your family to ensure that you aredischarged to the best possible setting. Whether you’re going back home or to another location,we will help you identify your needs and assist with the transition. To help you and your familywhen you are discharged from WakeMed Rehab, your clinical case manager will work veryclosely with other treatment team members to identify problem areas, continued care needs andequipment needs.
Your case manager will make appropriate arrangements for the follow-up therapy andequipment you may need. Before you are discharged from WakeMed Rehab, your case managerwill give you choices regarding agencies and/or vendors who can provide you services after youleave WakeMed Rehab.
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You and your family members may hearphysicians and hospital staff use words orterms that you may not understand. Beloware some of the most common ones used inthe rehabilitation setting. Please feel free toask if you hear staff members using termsyou do not know. It is important to us thatyou and your family understand yourcondition and your treatment plan.
ADL (Activities of Daily Living) –Dressing, Bathing, brushing your teeth, etc.
Ambulate – To walk
Aphasia – Inability to express or understandideas
• Expressive Aphasia – Inability to expressoneself
• Receptive Aphasia – Inability tounderstand spoken language
• Global Aphasia – Combination of bothof the above
Apraxia – Partial or total inability to move,even though there is no evidence ofparalysis, nerve damage or lack ofunderstanding
Aspiration – When food, liquid or otherfluids enter into the airway/lungs
Assistive Device – Adaptive or rehabilitativeaid
SPC – Single Point CaneSW – Standard WalkerRW – Rolling WalkerPRW – Platform Rolling WalkerHW – Hemi-WalkerW/C – Wheelchair
SB – Slide BoardBSC – Bedside CommodeDABSC – Drop Arm Bedside CommodeSC – Shower ChairTTB – Tub Transfer BenchRSC – Rolling Shower Chair
Ataxia – Inability to coordinate movement
Attention Span – The length of time aperson can concentrate on a task or event
Bed Mobility – Ability to move oneself on amat or bed, by rolling, sitting or lying down
Braces – (a device used to restrict or assist inbody movement)
AFO – Ankle Foot Orthotic PRAFO –Pressure Relieve Foot OrthosisTLSO – Thoracolumbosacral Orthosis Cervical Collar – Neck Brace to restrictmovement
Catheter – A tube for draining urine that isinserted into the bladder, either remaining inplace (foley catheter) or used per episode ( inand out catheter/ I&O)
Clonus – Uncontrolled rhythmic jerks,usually occurring in ankles or wrists, causedby quick stretching of the muscle
Cognition – Understanding and reasoning;the way the brain gathers and usesinformation in problem solving and memory
Comprehension – Understanding what yousee, hear or touch
Concrete Thinking – Interpretinginformation literally; sometimes called“black and white” thinking
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Continence – Ability to control bowel andbladder function
Decubitus – Commonly called a bed sore
Dysarthria – A muscle condition whichcauses slurred or unclear speech
Dysphagia – A swallowing disorder
Emotional Lability – Involuntary,uncontrolled laughing or crying
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[ N O T E S ]
I N P A T I E N T
L O C A T I O N
WakeMed Rehabilitation Hospital3000 New Bern AvenueRaleigh, NC 27610
O U T P A T I E N T
L O C A T I O N S
WakeMed Raleigh CampusOutpatient Rehab Program3000 New Bern AvenueRaleigh, NC 27610
WakeMed Healthworks3000 New Bern AvenueRaleigh, NC 27610
WakeMed Clayton Medical Park555 Medical Park PlaceClayton, NC 27520
Alexander Family Y1603 Hillsborough StreetRaleigh, NC 27605
Banks D. Kerr Family Y2500 Wakefield Pines DriveRaleigh, NC 27614
Cary Family Y101 YMCA DriveCary, NC 27513
Kraft Family Y8921 Holly Springs RoadApex, NC 27539
WakeMed Wake Forest RoadOutpatient Rehab Center3701 Wake Forest RoadRaleigh, NC 27609
WakeMed Physician Practices –Physical Therapy10010 Falls of Neuse RoadSuite 015Raleigh, NC 27614Operates as an independent practice
Home HealthWakeMed Home Health2920 Highwoods Blvd.Raleigh, NC 27604919-350-7990
Wound Care3000 New Bern AvenueRaleigh, NC 27610
To Make a Referral to WakeMed Rehab or WPP-Physical Therapy
Inpatient: 919-350-7876
Outpatient (including WoundCare): 919-350-7000
WPP-Physical Therapy:919-350-1508
WakeMed Clayton Medical Park, Wake Forest Road Outpatient Rehab Center, Kerr Family Y and Alexander Family Y locations are operated byWakeMed Raleigh Campus. WakeMed Apex Healthplex, Kraft Family Y and Cary Family Y are operated by WakeMed Cary Hospital.
R e h a b i l i t a t i o n F a c i l i t i e s [ W A K E M E D R E H A B I L I T A T I O N L O C A T I O N S ]
