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Therapy        

The therapies available to patients at Silvercrest are second to none... anywhere. Whether the need is for post-operative physiotherapy, occupational therapy after stroke , for speech and swallowing remedies or for technological communications support for the paralyzed, Silvercrest therapy services and personnel will provide access to the answer.

Key to the philosophy at Silvercrest is the belief that the goal of rehabilitation is progress. Patients are not expected to maintain their level of function, but to improve it. Our belief is that true quality of life will be achieved for our residents if we direct our energies toward obtaining the highest level of independence for each among them.


Atop the Therapy Division sits an Assistant Vice President, aided by full time Directors of Physical Therapy, Occupational Therapy and Speech Pathology. Each has a dedicated staff as indicated below.

Director of Physical Therapy
RPT
Director of Occupational Therapy
OTR
Director of Speech Pathology
CCC
1 Full-time RPT 1 Full-time OTR 2 Full-time CCC
1 Consulting RPT (3X weekly) 1 Consulting OTR (2x weekly) 1 Consulting Speech Pathologist
5 Physical Therapy Assistants 5 Certified OT Assistants  
Among the factors contributing to the quality of therapy care is a close relationship with The New York Hospital Queens. There has developed an active, intellectual "cross-pollination" between the institutions that directly benefits both Silvercrest and the hospital's programs.
 
 

Each week the Director of Physical Therapy makes orthopedic rounds with the NYHQ Chairman of Orthopedic Surgery or his assistant. Carried out at the bedside and in the rehabilitation unit, these rounds also incorporate the individual therapist working with the patient.

Not infrequently, these rounds are a follow up on plans made prior to hospitalization for the original surgery by Silvercrest's Director of admissions. She meets many patients in the NYHQ pre-admission area and 6 South Neurology unit to acquaint them with Silvercrest and to lay the groundwork for post-hospital rehabilitative care.

This program of coordination has reaped great benefits for the Silvercrest population. Protocols have been developed to address the specific rehabilitative needs of a variety of surgical patients, (including those with total knee and hip replacement). These protocols, and the equipment used to carry them out, are available to all rehabilitation residents, regardless of the hospital or center from which they arrive.
   
 
Occupational Therapy is devoted to the provision of "functionality" for the patient, being focused on what each individual needs in order to perform the tasks required for independence.

This comes first from a concentration on "Activities of Daily Living" (ADLs), wherein the resident is coached back to the ability to do for herself those many and essential things we all do in our daily lives without thinking.

Patients with higher levels of disability may arrive at Silvercrest with limited mobility and even with chronic pressure sores. As essential members of the multi-disciplinary team performing "Wound Rounds," occupational therapists provide insight into the contribution of body positioning and ambulation methods to poor healing, and help to design "work-arounds" that keep the resident moving forward on a plan of ambulation while contributing to progress with healing.

Our OTs also work with our speech/communications team to develop successful strategies for the most severely impaired, designing orthotics and finger positioning tools that allow quadriplegic patients to activate infra-red switches for communication and computer interaction.

   
 
Speech Pathology is involved with a large percentage of Silvercrest's most challenged residents. And, indeed, it has been ground-breaking work at Silvercrest that has promulgated a better understanding of the importance of speech and swallowing therapy to the treatment community at large. Communications maintenance is critical to quality of life and essential to the existence of even the most rudimentary independence.

Among the groups regularly treated in our facility are:

  • Post-CVA (stroke) patients
    • Dysarthria and aphasia
  • Ventilator dependent patients
  • Patients with tracheostomies
  • Cognitive impairment patients
    • Brain Tumors
    • Neuro-trauma
  • Non-verbal, neurologically impaired
    • ALS patients

     

Combining years of experience with the latest in technology, Silvercrest's Speech/Communications team has had extraordinary success and has educated other groups from around the country and the world.

 

 

 

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