Rehabilitation Services

Acute Rehabilitation Unit Program Parameters

Getting Started

Mission Hospital Acute Rehabilitation Unit (ARU) offers comprehensive services to help adults and adolescents reduce physical and mental limitations caused by stroke, neurological disorders, spinal cord injury, head injury, amputation, certain orthopedic conditions, neuromuscular disorders, multiple trauma or other disabling conditions. For admission to our program patients will be evaluated for rehabilitation potential..

Multidisciplinary Team Assessment and Planning

Our highly skilled rehabilitation team focuses on functional, practical outcomes to help you achieve the highest possible level of independence and productivity.

You will work in partnership with a team of rehabilitation experts, which include: physicians who specialize in physical medicine-as well as specialists ranging from cardiologists to surgeons; registered nurses; physical and occupational therapists; speech pathologists; care managers/social workers; therapeutic recreational specialists; neuropsychologists and dietitians. Additional team members are added as needed, such as specialists in audiology, learning disabilities, and orthotics and prosthetics.

Initial Evaluation and Orientation

Within the first few days of admission, the rehabilitation team will conduct evaluations and discuss your functional goals and plan treatment. You and your family will be invited to attend an initial family conference. Other family conferences may be scheduled as needed.

Secondary Conditions

During rehabilitation, it is critical that secondary conditions, such as diabetes, urological issues, or respiratory complications-be successfully managed. With nearly 700 of Southern California's finest physicians on staff, Mission Hospital Regional Medical Center offers virtually every specialty, allowing us to offer patients the right expertise at just the right time.

Family Participation and Education

Family visits and support are essential during recovery and rehabilitation. Your family's input is vital to your treatment. We ask that one family member be chosen as your primary contact for your care and progress reports. The family is expected to participate in the patient's therapy program at the appropriate time to assist the patient and learn the proper methods of caring for the patient. Visiting hours are flexible and are planned around treatment times.

Three Hour Rule

One of the conditions to qualify for ARU is that the patient MUST participate in three hours of therapy each day. The client’s schedule will include Physical Therapy, Occupational Therapy, and possibly Speech Therapy. Rest breaks will be provided throughout the day and are encouraged as an integral part of the recovery process.

If an ARU client is not feeling well enough to participate, the Medical Director must evaluate and approve the non-participation for this day.

If an ARU client is consistently unable to participate in 3 hours of daily therapy, an immediate transfer to a rehabilitation center that provides a less intensive program may be recommended.

Visitors may come after therapy is completed for the day (~3:45 p.m.) or on Sundays when there is a lighter therapy program.

Sample of a Daily Schedule

Although most patients have a set schedule, no two days in rehabilitation are exactly alike. As your abilities and needs change, your treatment and daily activities will change to ensure your continued progress.

7 – 8 a.m. Personal care activities.

7:30 – 8:30 a.m. Breakfast

8:30 a.m. – 11:45 a.m. Individual therapies with rest periods as needed.

A typical morning might include three individual therapies, such as physical and occupational therapy

11:30 – 12:30 p.m. Lunch

12:30 – 3:30 p.m. Individual therapies with rest periods as needed.

Afternoon therapies will typically be different than those in the morning. Each patient will receive three hours of individual therapy daily. If therapy time has been missed, make up therapy sessions will be scheduled no later than the next day.

5 – 6 p.m. Dinner

6 – 9 p.m. Relaxation and personal care activities. An ideal time for family and friends to visit.

Patient Care Conferences

Every week the Rehabilitation Team meets to discuss the progress of each client.

The scheduling of this conference typically occurs the day prior to the conference. Notifications/Invitations to participate will be given to the client and any designated family upon request or as previously determined, the day prior to the conference. Conference calling is an option if previously set up for those who are unable to be present at the designated meeting time.

Members of the Rehabilitation Team will be present including Dr. Cushing (Rehabilitation Physician and Medical Director), Dr. Jenkins-Hall (Neuropsychologist), a Social worker and Rehabilitation Nurse.

The team will be:

  • Asking if there are any questions and/or concerns.
  • Discussing the patients current functional levels in each of the therapies.
  • Setting discharge functional goals and a realistic target date for these milestones to potentially be completed.
  • Discussing the plan for discharge transition to a community setting including where additional therapy will be provided after discharge from the Mission ARU and any equipment needs that have been identified by team members. The coordination of obtaining the therapy and equipment will also be discussed including insurance coverage and vendor choices.
  • Initiating planning for family training. A discussion can occur regarding the potential need for home evaluations and the possibility for community outings and/or weekend passes later in the rehabilitation stay.

Patient Care Conferences are an important component during any rehabilitation program and en-sure that the client and family are prepared for homecoming. We ask that family members designated to be the client spokesperson please make an effort to attend.

Clothing/Toiletries

Do not buy clothes special for the rehab program. Bring in what is available and plan for approximately four days. All patients are to get dressed in street clothes that are easy to put on and take off.

  • Comfortable street shoes, tennis shoes or loafers.
  • Loose fitting pants, sweats or shorts
  • Shirts or blouses
  • Light jacket or sweater
  • Undergarments
  • Pajamas or Gown
  • Robe
  • Slippers
  • Socks
  • Dentures and care items/Hearing Aides/Glasses/Other adaptive devices
  • Toothbrush and toothpaste
  • Battery operated or electric shaver
  • Comb or hairbrush
  • Deodorant
  • Shampoo & Conditioner

Valuables

Whenever possible, please leave all items of value (i.e.: jewelry, expensive watches, large amount of money) at home. If necessary, valuables can be stored with the hospital security staff in a safe location.

Parking

Visitor Parking: Is located in the area between the hospital and the Medical Office Buildings (MOB’s). The first 20 minute period is free and then the cost can increase up to a maximum of $6 per day. Visitors can enter through the doors marked Pavilion East entrance, between 8 am and 5 pm. After 5 pm, the Tower II lobby is the closest entrance to the ARU. Maps are available at kiosks located throughout the hospital campus and upon request.

Long Term Parking: Discount passes may be obtained at the parking booth located at the main entrance to the hospital parking, directly off Medical Center Road.

Requesting Pain Medications

When a patient is moved to the ARU the doctor may have changed the frequency and type of pain medication administration. Also, since going to therapy and performing more activity than done previously is required, one may experience pain.

Please notify the nurse, not only when experiencing pain, but when additional medication is needed prior to scheduled therapy. This will avoid the onset of acute pain during or after a therapy session.

It is important to consult with the therapists and nurses to ensure comfort is achieved and maintained.

Safety

Safety guidelines, Emergency Instructions and Evacuation Routes are posted near the nursing station and in the ARU hallways.

Drills are held routinely to make sure that the staff members are prepared for emergencies. Keeping the ARU safe and quiet is important. If visitors are in conflict with this, they may be asked to leave.

Smoking Policy: This is a Non-smoking facility, smoking is only allowed outside on the designated ARU smoking patio.

To find out more about our outstanding program or to schedule a tour, please call (949) 365-2186.