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REHABILITATION SERVICES

BWH
Director: Linda Arslanian MS, PT
Medical Directors: Matthew H. Liang, MD, MPH; L. Howard Hartley, MD

Inpatient Service (PT, OT, Ortho Tech) 617-732-5301
Triage Beeper 11459
Outpatient Service (PT, Hands, Ortho Tech) 617-732-5304
Triage Beeper 11712
Cardiac Rehabilitation 617-732-5315

Inpatient Rehabilitation provides services 7 days a week, 7:30 am - 6 pm; reduced coverage on weekends; there is no coverage on Thanksgiving or Christmas.

Initiating a referral
A doctor's order is required for a Rehabilitation Services referral. Once the referral is entered into the computer it is put on a queue, logged in and assigned to a therapist. The patient is seen within 24 hours of referral receipt.

Physical Therapy assesses the patient's level of function by evaluating strength, ROM, coordination, balance, mobility and safety awareness; gears treatment to maximize patient's safety and mobility; makes recommendations for discharge plan (need for rehab, chronic placement, home services) including an exercise program, ambulation status and positioning; provides a variety of equipment to optimize safe mobility and positioning.

Occupational Therapy assesses the patient's level of function by evaluating self-care skills (such as bathing, dressing, feeding, transferring), upper extremity status and positioning needs, cognitive-perceptual skills and their impact on function and safety; gears treatment to maximize patients' functional independence and safety level; makes recommendations for discharge plan (i.e., need for acute rehab, chronic placement, home services), including safety at home and splinting; provides equipment to optimize function and safety in the home (e.g., bathroom equipment, adaptive equipment for self care, splints for upper extremity positioning).



OUTPATIENT REHABILITATION
Francis St., ASBII, Level 1: Monday - Friday 7:30 am - 6 pm
Boylston St., Suite 130: Monday - Friday 7:30 am - 5 pm

Services provided
* physical therapy (only PT services are currently provided at the 850 location)
* occupational therapy (physical disabilities)
* hand management
* foot orthotics
* orthopedic technology

Initiating a referral
A written physician order is required; a Rehab Services referral form is available for your use. Referrals must be made by a medical doctor or dentist. Once a referral is written, the patient or doctor's office needs to contact OPD rehab at 617-732-5304 to schedule an appointment for PT, OT or Foot Orthotics. For questions or concerns, contact beeper 11712, OPD triage.

Physical Therapy evaluates strength, ROM, joint status, soft tissue, pain status, posture, tone reflexes and sensation; provides treatment utilizing modalities, exercise, manual therapy techniques, functional training and patient education; provides a variety of equipment to optimize safe ambulation and positioning; provides back-to-school and worksite assessments.

Hand Management/Occupational Therapy assesses patient's upper extremity function/ROM, strength and sensation; educates patients and family members in wound care, edema control, scar management, sensory retraining, pain management, precautions and progression of activity level/home exercise program; fabricates splints and scar conformers; educates patients on wear and care of orthotics; assesses ADL status and makes recommendations for adaptive equipment and techniques to maximize role performance, including work hardening and functional activities; instructs patients with cognitive deficits in strategies to enhance performance of daily activities/safety.

Foot Orthotics fabricates and fits corrective and accommodative foot orthotics; fabricates customized footwear to meet the special needs of patients with diabetes, rheumatoid arthritis and other musculo-skeletal problems; fabricates and removes casts; applies and removes bed traction equipment as ordered; applies orthopedic soft goods, such as knee braces, slings, ankle orthotics and cervical collars. Orthopedic Technicians can be reached through beeper 11316.


CARDIAC REHABILITATION CENTER
Hours Monday - Friday 7:30 am - 4:30 pm
Saturday/Sunday and Holidays 10 am - 2 pm
Emergency Room, ETT 5-9 pm, Monday - Friday; beeper 11522 or
732-5315 to schedule ETT
No Coverage on Thanksgiving, Christmas, New Year's Day

Initiating a referral: A physician referral is required for all services and is requested on a staff consult form, the non-invasive request form or by physician narrative letter. Appointments can be scheduled at 617-732-5315.

Services provided: exercise tolerance tests (standard ETTs; Dobutamine stress echos; stress echos; maximum oxygen uptake ETTs).

Outpatient Cardiac Rehabilitation Program
A multidisciplinary Cardiac Rehabilitation Risk Factor management intervention program for patients diagnosed with coronary artery disease and heart failure.


MGH OCCUPATIONAL THERAPY SERVICES
Occupational therapy (OT) is the therapeutic use of purposeful activities designed to improve a patient's function during daily self care, home, work, school and leisure activities. Occupational therapists evaluate and treat patients with a wide variety of diagnoses including but not limited to medical, neurologic, orthopedic, burns, hand and upper extremity injuries, surgical, multiple trauma and cardiopulmonary. Occupational therapy serves all age groups from neonate to geriatric. OT evaluation includes the administration and interpretation of standardized and structured functional assessment tools. The Occupational Therapy Department consists of two services: inpatient and outpatient.

Inpatient Services: Hours 8 am - 4:30 pm, Monday - Saturday
Clinical Specialist: Regina Ferraro Doherty MS, OTR/L beeper 22971
617-726-8537; fax 617-724-0168

This service provides consultation, evaluation and treatment to all units in the hospital. A physician's order is necessary to request on OT consult; this order is then faxed. The inpatient therapist will perform customized evaluation and treatment as indicated. Early referral to OT service can help expedite discharge plans as all OT evaluations include an assessment of the patient's functional level and discharge needs. The following are appropriate reasons for inpatient referrals:

* evaluation and treatment of functional impairment
* discharge recommendations
* home safety evaluation (to determine the patient's ability to be sent directly home)
* cognitive evaluation and treatment
* visual-perceptual evaluation and treatment (including low vision adaptations)
* evaluation and training in ADL adaptations
* hand and upper extremity management
* fine motor training
* custom upper and/or lower extremity splinting (post-surgical or contracture management).

Outpatient Services: Hours 7 am - 5 pm; Monday - Friday; ACC 127


Hand/Upper Extremity/Burns Occupational Therapy
Clinical Specialist: Gae Burchill MHA, OTR/L, CHT beeper 22920
617-724-6575; fax 617-726-3004

The Hand/Upper extremity service provides comprehensive care for any upper extremity dysfunction resulting from trauma or disease. Treatment may include the following:

* static/dynamic splinting
* exercise programs to increase motion, dexterity and/or strength
* control of edema and scar management
* management of open or sutured wounds to aid healing
* desensitization following trauma
* sensory re-education following nerve injury
* training in compensation techniques to maximize independence in daily living skills
* strength and endurance conditioning prior to return to work
* prevention and treatment programs for musician and overuse injuries.

Neurology/Oncology/Arthritis Occupational Therapy
617-724-6575; fax 617-726-3004

This outpatient program provides comprehensive care for patients with functional limitations due to cerebrovascular accidents, brain injury, spinal cord injury, metastatic disease and progressive degenerative conditions. All occupational therapy programs are established in accordance with the goals of the patient and family. Treatment programs address neuromuscular, cognitive, perceptual and functional impairments that affect an individual's ability to safely perform community level tasks. Education in compensatory strategies and functional retraining are emphasized to facilitate successful return to community, work and independent living.

MGH PHYSICAL THERAPY SERVICES
Physical Therapy Services provides physical therapy examination, evaluation and intervention to patients with a wide variety of diagnoses and diseases including those with orthopaedic, neurological, medical, surgical, cardiac, pulmonary, solid organ and bone marrow transplants, multisystem and developmental disorders. Patients range in age from neonates to geriatrics.

The services provided include consultation on any patient regarding the need for physical therapy intervention, primary care involving patient examination and direct intervention and patient and family education.
Inpatient Physical Therapy Service

The Inpatient Physical Therapy Service is organized into four teams:

Neurology/Pediatrics Musculoskeletal/Burns
Medicine/Oncology Surgical

Inpatient hours are 8 am - 6:30 pm, seven days a week. Patients are prioritized by the physical therapists for weekends and holiday intervention. Frequency of intervention is determined by the physical therapist following initial examination and evaluation.

A physician’s order is needed for a consult and intervention as appropriate. The order is faxed to the office by selecting the Physical Therapy button on the floor’s fax machine, or the covering therapist can be paged (unit staff on each floor have the appropriate page number).

The consulting physical therapist will document patient’s level of function and details of the initial evaluation, goals and treatment plan in the patient’s record following the initial evaluation.

Questions may be directed to Susan Riley, MS, PT, PCS, Inpatient Clinical Service Coordinator, 617-724-7490, beeper 22950, e-mail sriley@partners.org.

Outpatient Physical Therapy Services

The Outpatient Physical Therapy Services are located at five sites:

WACC128, 617-726-2962 fax 617-726-2957
Bunker Hill Health Center 617-724-8160 fax 617-724-9332
Chelsea Memorial Health Center 617-887-3586 fax 617-887-4312
Revere Health Center 781-485-6140 fax 781-485-6106
MGH West, Waltham 781-522-7300 fax 781-522-9095

Outpatient services are available Monday through Friday, 7 am - 7 pm and Saturday 8 am - noon. Referrals can be sent through house mail or faxed.

Outpatient physical therapy services are provided for individuals with a wide variety of diagnoses, infants through older adults. Specific programs have been developed for musculoskeletal disorders, neurologic disorders, vestibular deficits, pediatric patients and patients with other medical, cardiovascular and pulmonary disorders.

Questions regarding main campus services may be directed to Michael Sullivan, MBA, PT, Director, Physical Therapy Services, 617-724-0123, or beeper 22984, e-mail msullivan@partners.org.

 
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