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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. |
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| 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. |
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| 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. |
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| 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. |
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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. |
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| 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
- Ventilator dependent patients
- Patients with tracheostomies
- Cognitive impairment patients
- Brain Tumors
- Neuro-trauma
- Non-verbal, neurologically impaired
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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