Conditions & treatments covered

Nursing and medical care is provided 24 hours a day with therapy sessions delivered between the hours of 9am and 5.15pm Monday to Friday, and one therapy session is provided if pertinent on a Saturday morning.

For more information about :

Our assistive technology in the Unit click here
Our Prolonged Disorders of Consciousness Unit click here
Our referral form click here
Our admission criteria click here

The therapies we offer include: 

Physiotherapy

Occupational Therapy

Neuropsychology

Speech and Language Therapy

Dietetics

Head injuries can have a profound effect on a person's functioning. Severe injuries can cause serious physical disability as well as changes in thinking and behaviour. The effects of a head injury are not only confined to the patient themselves but affect the family, friends and work colleagues of an injured individual.

What is a Traumatic Brain Injury?

Traumatic Brain Injury or TBI is an injury caused to the brain by trauma. The effects of a traumatic brain injury can be wide ranging and depend on a number of factors, such as the type, location and severity of the injury. Symptoms may include physical disability, speech problems and cognitive impairment eg memory problems, poor concentration and irritability.

How can our unit help in the recovery from a Traumatic Brain Injury?

All of our rehabilitation programmes are tailored to your needs. You and your family/ carers are considered to be part of the team and your own goals for admission will direct your treatment plans.

You will be thoroughly assessed by all the professionals involved with your care in order to develop your programme, your weekly timetable and your goals and plans for discharge. There is an established care pathway which the team will follow on the Unit to ensure optimal team coordination and the highest standards of your care.

If appropriate we are able to enhance your treatment with the use of specialised equipment and facilities such as Posturography (for balance problems), Hydrotherapy, Splinting (including Saeboflex), and Digital Swallow Assessments.

We also provide exercise groups and advice and education for you and your family, linking you in with support groups eg Headway and your local services as appropriate.

Our specialist unit is able to address issues such as:

  • Balance
  • Bladder/ bowel dysfunction
  • Cognition
  • Communication
  • Discharge Planning
  • Skin integrity
  • Spasticity management
  • Strength and movement control
  • Swallow disorders
  • Vocational rehabilitation

A high percentage of people make a good recovery from head injury but appropriate input at the right time from a multidisciplinary rehabilitation team is vitally important.

 

 

The spinal cord is a collection of nerves which connects the brain to the rest of the body. The spinal cord carries motor messages from the brain to control movement and provide sensation.

A Spinal Cord Injury occurs when there is damage to the spinal cord that results in loss of function such as mobility or feeling. Depending on the where the spinal cord and nerve roots have been damaged, symptoms can range from pain to varying degrees of paralysis and lack of sensation.

How can the unit help in the recovery from Spinal Cord Injury?

All of our rehabilitation programmes are tailored to your needs. You and your family/ carers are considered to be part of the team and your own goals for admission will direct your treatment plans.

You will be thoroughly assessed by all the professionals involved with your care in order to develop your programme, your weekly timetable and your goals and plans for discharge. There is an established care pathway which the team will follow on the Unit to ensure optimal team coordination and the highest standards of your care.

If appropriate we are able to enhance your treatment with the use of specialised equipment and facilities such as Posturography (for balance problems), Hydrotherapy and Splinting (including Saeboflex).

We also provide exercise groups and advice and education for you and your family, linking you in with support groups and your local services as appropriate. The Acute Neurological Rehabilitation Unit has links with the local Spinal Injury Association and a member of the group can visit you and your family whilst at the unit, on request.

Our specialist Unit is able to address issues such as:

  • Balance
  • Bladder/ bowel dysfunction
  • Discharge Planning
  • Skin integrity
  • Spasticity management
  • Strength and movement control
  • Vocational rehabilitation

The Wellington Hospital offers a multidisciplinary approach to maximise functional independence, as well as emotional and family support, in order to facilitate return to previous life roles as much as possible.

A stroke occurs when the blood supply to a part of the brain is cut off and brain cells are damaged or die. Depending on the severity and the area of the brain affected, the stroke can affect both the mind and the body. A person may experience a variety of problems including weakness or paralysis, numbness, visual problems, speech and communication problems and poor balance. For some people their symptoms will resolve within a month or so but for most stroke survivors, specialist intensive rehabilitation will be required.

There are certain common symptoms of a stroke which include:

  • Paralysis or weakness of one side of the body
  • Slurred speech due to weak muscles(Dysarthria)
  • Difficulty in swallowing (Dysphagia)
  • Visual impairment- absent or diminished response to touch, pain, pressure
  • Difficulty in expression and/ or comprehension (Dysphagia)
  • Intellectual impairment- memory loss, poor judgement or reasoning

How can the Acute Neurological Rehabilitation Unit help in the recovery from a stroke?

The Wellington Hospital Acute Neurological Rehabilitation Unit is a purpose built Unit that provides an exceptional level of care for the treatment of stroke.

Many of the problems that we work with post stroke are:

  • Cognitive difficulties (memory, personality)
  • Bladder and bowel dysfunction
  • Poor skin condition
  • Poor swallow
  • Poor communication
  • Spasticity
  • Muscle weakness and poor coordination of movement
  • Poor Balance

We will work together with you to address these symptoms and reduce the impact that they have on your daily life. We consider you and your family and carers to be an integral part of the team and will individualise your programme to address your needs and your goals for the admission.

To achieve this we draw on the skills of our team of Rehabilitation Nurses, Occupational Therapists, Physiotherapists, Speech and Language Therapists and Neuropsychologists. We are also able to bring in experts from other fields of medicine if necessary.

Not one treatment suits all and so we are able to enhance your treatment with the use of specialised equipment and facilities such as Posturography (for balance problems), Hydrotherapy, Splinting (including Saeboflex), and Digital Swallow Assessments.

We also provide exercise groups and advice and education for you and your family, linking you in with support groups and your local services as appropriate.

Despite the seriousness of the condition, there is now much that can be done to improve life after a stroke and much that can be done to help the patient’s family cope longer term. The sooner rehabilitation treatment begins, the better the chance of a good outcome.

After severe or prolonged acute illness such as a long stay in intensive care, patients may suffer from generalised deconditioning and a need to regain fitness and strength. A period of rehabilitation can greatly improve the patient’s strength, endurance, mobility and well being which greatly enhances his or her quality of life.

The Wellington Hospital provides an optimal environment and service to help patients through this tough an often long road to recovery.

Intensive Care Services

In addition to our conventional rehabilitation capabilities, we also offer a Functional Restoration Programme which provides multidisciplinary assessment and treatment of longstanding pain. Our aim is to identify the factors contributing to a patient's pain and the way this restricts his or her day-to-day life and then to reduce these restrictions so the patient can enjoy a better quality of life.

After admission and assessment, every patient has a unique programme of therapy between 9am and 5pm five days a week.

The patient's team will include physiotherapists, occupational therapists, a clinical psychologist, a rehabilitation nurse, a dietitian, a consultant and a pharmacist.

We also treat patients with a range of other neurological conditions such as Multiple Sclerosis, Parkinson’s Disease, Ataxia and Neuromuscular Disease. These patients can gain significant benefits from the specialist, interdisciplinary rehabilitation offered at the Neurological Rehabilitation Unit. A period of rehabilitation can greatly improve the patient’s strength, endurance, mobility and well being which can enhance his or her quality of life.

The Wellington Hospital provides an optimal environment and service to help patients through this tough an often long road to recovery. We also accept patients who do not have a neurological diagnosis but have complex rehabilitation needs such as those following amputation or treatment for cancer as they also have much to gain from an admission to the unit.

The Acute Neurological Rehabilitation Unit has state-of-the-art treatment facilities with two large gym areas, a hydrotherapy pool and smaller consultation area for one-to-one treatment sessions.

In addition to this we have access to a wide variety of therapy equipment and aids to daily living which promote independence and support best practice guidelines.

Advanced Assistive Technology

In 2011 we invested in some of the most technologically advanced assistive technology equipment available. We are now able to utilise this equipment within our rehabilitation programmes to optimise recovery.

Lokomat

The Lokomat is a new piece of technology for 2012 and is used to promote walking using a body weight support harness, treadmill and visual feedback on a computer screen.

Erigo

The Erigo is a new piece of equipment in use from 2012 and is used to achieve an upright standing position and exercise both legs.

Armeo

The Armeo is a new piece of technology for 2012 and is used to support the arm and promote activity using visual feedback using a computer screen.

Adjuncts to Treatment

Hydrotherapy

We have a state of the art hydrotherapy pool with hoist. Hydrotherapy can be used for muscle strengthening and to practice activities that they are unable to perform on dry land. The aim is to progress to a point where these activities can then be performed outside of the pool. The warm water can also aid relaxation and relieve pain.

Functional Electrical Stimulation

This can be used to stimulate muscle activity to assist with walking or arm function and recovery.

Orthotics

It may be that your therapists recommend specialist splints and orthoses. Some of these can be supplied directly but others may need to be custom made. We work closely with external Orthotists who are able to provide this service. Different options and funding for splints or orthoses will be discussed with you as appropriate. Several therapists are also trained in the use of the Saeoboflex splints.

Computerised Dynamic Posturography

This is used in the treatment of vestibular and balance disorders.

Fibreoptic Endoscopic Evaluation of Swallowing (FEES)

The speech and language therapists use this to assess swallowing, view the larynx and to measure tongue pressure and movements during swallow and speech.

Group sessions

There are a number of group sessions available on the Unit, which include, independent exercise group, upper limb group, spinal group, communication group, social group, making sense of it, breakfast group and a stroke education group.

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Our Acute Neurological Rehabilitation Unit was awarded Patient Centre of the Year in 2015 and maintains our CARF accreditation since 2011.

 

 

To talk to the Rehabilitation team please call 

To talk to the Rehabilitation team please call 

Portland Acute Neuro RehabPaediatric Rehabilitation