Acute Rehabilitation Unit Program Parameters
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
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.
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
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.
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
- Pajamas or Gown
- Dentures and care items/Hearing Aides/Glasses/Other adaptive devices
- Toothbrush and toothpaste
- Battery operated or electric shaver
- Comb or hairbrush
- Shampoo & Conditioner
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.
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
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 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.