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Adult General Rehabilitation | Counties Manukau
Public Service, Neurology, Rehabilitation Medicine
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Description
The Adult General Rehabilitation Service provides assessment, treatment and rehabilitation for patients living in the Counties Manukau Health region.
Care is provided by an interdisciplinary team, that develops a patient-focused, goal-based treatment programme, based on the individual patient's needs.
The service includes inpatient care on Ward 23, Middlemore Hospital, an outpatient medical and physiotherapy service based at the AT&R Unit of Middlemore Hospital and a community stroke rehabilitation service.
Consultants
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Dr Subramanya Adiga
Rehabilitation Medicine Specialist
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Dr Ashfaq Larik
Rehabilitation Medicine Specialist
Referral Expectations
Criteria for Admission for an Inpatient Period of Rehabilitation are:
- Reside within Counties Manukau Health catchment area
- Aged 16 upwards
- Medically able with potential for full participation in the rehabilitation programme
- Willing to participate in an individualised rehabilitation programme
- Potential for improvement and good rehabilitation outcomes
Inpatient Adult General Rehabilitation Admission Criteria are:
- 15 years and older
- Rehabilitation Diagnoses: Stroke; Non-traumatic Acquired Brain Injury (those not appropriate for ABI Rehabilitation facility in Rānui); Multiple Trauma; Multiple Fractures; femur fracture; limb amputation; acute inflammatory or active degenerative arthritic conditions and connective tissue disorders; neuro-degenerative disorders and degenerative neuromuscular disorders (i.e., MS, MND, ALS, polio/post-polio); post-TJR (if bilateral or if complications); congenital disability; other acquired neurological disorders (i.e., GBS, Critical Illness Polyneuropathy); severe debilitation due to prolonged complicated hospital course.
- Medically able to participate in up to 3 hours of rehabilitation treatment per day, 5-6 days per week.
- Willing to participate in up to 3 hours of rehabilitation treatment per day, 5-6 days per week.
- Requires 24-hour medical availability, rehabilitation nursing and Interdisciplinary Team assessment and treatment.
- Investigations and treatment complete (Medical & rehab diagnoses, treatment plan & prognosis established).
Cancer-related Neuro or Musculoskeletal Rehabilitation Diagnosis Criteria for Admission:
- Cancer treatment complete
- Prognosis greater than 6 months, per oncologist/radiation oncologist
- Patient and family aware of diagnosis and prognosis
- Medically able to participate in rehab
- Will have appropriate discharge destination and supports
- Chooses to be admitted to rehab with understanding that a safe and supported discharge, rather than maximal return of function, is the goal.
- We recognise that cancer-related rehabilitation may have interruptions due to medical concerns and occasionally for investigations and brief treatment, thus the “3 hour per day, 5 days per week rule” does not strictly apply.
If patients need acute or chronic wound care and bedrest for that reason, then they will not be appropriate for inpatient rehabilitation programme. The same applies for those who are not allowed to weight-bear for a period following trauma management. However, once these situations change (wound has healed, weight-bearing allowed), then inpatient rehabilitation may be considered on a case-by-case basis, after further assessment.
Consideration for inpatient rehabilitation for patients on haemodialysis is on a case-by-case basis.
Persons with severe dementia are not appropriate for inpatient rehabilitation.
For those patients who will not be able to discharge to their prior abode, or who were living in a private hospital setting, inpatient rehabilitation may be appropriate to decrease their level of care after discharge. Appropriateness for inpatient rehabilitation will be assessed on a case-by-case basis.
Appropriateness for inpatient Adult General Rehabilitation is determined by the Rehabilitation Medicine Specialist after consultation/review.
If ACC, private insurance or funding other than MOH, must have funding approval before admission.
Fees and Charges Description
No charge for the service for New Zealand Residents. Non residents are charged a per bed day rate.
Hours
| Mon – Fri | 8:00 AM – 5:00 PM |
|---|
Procedures / Treatments
Patients referred for admission to the inpatient Adult General Rehabilitation service after an acute episode are assessed by a rehabilitation consultant or rehabilitation registrar to determine the appropriateness of their admission to the service. Patients may be referred from other services in Counties Manukau Health, including the community services as well as from other DHBs for CMH eligible patients.
Patients referred for admission to the inpatient Adult General Rehabilitation service after an acute episode are assessed by a rehabilitation consultant or rehabilitation registrar to determine the appropriateness of their admission to the service. Patients may be referred from other services in Counties Manukau Health, including the community services as well as from other DHBs for CMH eligible patients.
Patients referred for admission to the inpatient Adult General Rehabilitation service after an acute episode are assessed by a rehabilitation consultant or rehabilitation registrar to determine the appropriateness of their admission to the service. Patients may be referred from other services in Counties Manukau Health, including the community services as well as from other DHBs for CMH eligible patients.
Inpatient services are provided on Ward 23, Middlemore Hospital. The inpatient interdisciplinary team consists of professionals representing the following disciplines: medicine, nursing, physiotherapy, occupational therapy, speech and language therapy, clinical psychology/ neuropsychology, social work and dietetics. The broad category of patients we care for are: stroke patients patients with other neurological involvement (for example: multiple sclerosis, Guillain Barre, hypoxic/ anoxic brain injury, cancer related neurologic deficits) patients with amputations or other musculoskeletal problems such as fractures, multitrauma, complicated joint replacements patients debilitated by prolonged and/or complicated hospital stays
Inpatient services are provided on Ward 23, Middlemore Hospital. The inpatient interdisciplinary team consists of professionals representing the following disciplines: medicine, nursing, physiotherapy, occupational therapy, speech and language therapy, clinical psychology/ neuropsychology, social work and dietetics. The broad category of patients we care for are: stroke patients patients with other neurological involvement (for example: multiple sclerosis, Guillain Barre, hypoxic/ anoxic brain injury, cancer related neurologic deficits) patients with amputations or other musculoskeletal problems such as fractures, multitrauma, complicated joint replacements patients debilitated by prolonged and/or complicated hospital stays
Inpatient services are provided on Ward 23, Middlemore Hospital. The inpatient interdisciplinary team consists of professionals representing the following disciplines: medicine, nursing, physiotherapy, occupational therapy, speech and language therapy, clinical psychology/ neuropsychology, social work and dietetics.
The broad category of patients we care for are:
- stroke patients
- patients with other neurological involvement (for example: multiple sclerosis, Guillain Barre, hypoxic/ anoxic brain injury, cancer related neurologic deficits)
- patients with amputations or other musculoskeletal problems such as fractures, multitrauma, complicated joint replacements
- patients debilitated by prolonged and/or complicated hospital stays
An outpatient medical and physiotherapy treatment service operates from the AT&R Unit, Middlemore Hospital. Home visits or tele-consultations will be considered on a case by case basis. The community stroke rehab team provides stroke rehabilitation services. Please refer to the CSR site on Healthpoint for more specific information. Community rehab services for Franklin area patients are provided through a Pukekohe Hospital based team.
An outpatient medical and physiotherapy treatment service operates from the AT&R Unit, Middlemore Hospital. Home visits or tele-consultations will be considered on a case by case basis. The community stroke rehab team provides stroke rehabilitation services. Please refer to the CSR site on Healthpoint for more specific information. Community rehab services for Franklin area patients are provided through a Pukekohe Hospital based team.
An outpatient medical and physiotherapy treatment service operates from the AT&R Unit, Middlemore Hospital. Home visits or tele-consultations will be considered on a case by case basis.
The community stroke rehab team provides stroke rehabilitation services. Please refer to the CSR site on Healthpoint for more specific information.
Community rehab services for Franklin area patients are provided through a Pukekohe Hospital based team.
Document Downloads
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Adult General Rehabilitation Information Booklet
(DOC, 506 KB)
Providing information on inpatient adult general rehabilitation
Visiting Hours
2.00 pm - 8.00 pm
Other
Our staff work to ensure that your care and treatment is of the best standard that we can achieve. If for some reason you are unhappy with any part of your care please let us know about it. Happy feedback is also welcomed.
Click here to submit your feedback online.
Alternatively you can download and print the patient Feedback Form pamphlet.
Website
Contact Details
Middlemore Hospital
South Auckland
AT&R unit
Building 31
Middlemore Hospital
Hospital Road
Otahuhu
Auckland
Street Address
AT&R unit
Building 31
Middlemore Hospital
Hospital Road
Ōtāhuhu
Auckland
Postal Address
AT&R unit
Support Building 31
Middlemore Hospital
Private Bag 93311
Ōtāhuhu
Auckland 1640
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This page was last updated at 9:40AM on May 13, 2024. This information is reviewed and edited by Adult General Rehabilitation | Counties Manukau.