In-Patient Rehabilitation Program

Description of the program:

  • Baycrest rehab services provide goal-directed inpatient rehabilitative therapy after an acute event or illness, musculoskeletal injury, surgery or hospitalization, which is key to ensuring that patients can return to community living.
  • Our rehabilitation services offer a comprehensive array of specialized interventions focused on the unique needs of frail seniors with complex needs, including multiple health conditions, physical impairments, recent functional decline and cognitive change.

Goals of the program:

  • The desired goal of rehabilitative care includes the maintenance or sustaining of functionality, the restoration of functionality and/or the development of adaptive capacity.
  • Goals and discharge plans are developed from the patient’s perspective, with caregivers recognized as key to enabling patient/client function.
  • Patients and caregivers are involved throughout the rehabilitative care process to support the attainment of goals and the patient’s return to community living.

Inclusion

Exclusion

  • Adults  age 55  and older
  • Patient is medically stable to participate in and benefit from rehabilitative care to meet the needs of his/her specific mobility and functional goals in the home environment
  • If patient smokes, is able to do so safely and make own arrangements
  • Patient has identified goals that are specific, measurable, realistic and timely
  • Patient has restorative potential and may attain a maximal level of functioning given his/her medical condition
  • Patient has the mental, physical and cognitive endurance to participate at the minimum level
  • Patient is able to participate in a minimum of 60 minutes of activity several times per day for High Tolerance Short Duration  program and 30 minutes daily for Low Tolerance Long Duration program
  • Patient has sitting tolerance and able to sit up-right for a minimum of one hour
  • Patient has established realistic and appropriate discharge plans to facilitate return to community living
  • Expectation that discharge planning and discharge destination are determined prior to admission
  • Dialysis
  • Mechanical ventilation
  • Bi-level Positive Airway Pressure (BiPAP)
  • Cuffed Tracheostomy Tube
  • Needs greater than 50% Oxygen
  • Total parenteral nutrition (TPN)
  • Bariatric equipment needs (300lbs +)
  • Weight bearing status <50% for both upper and lower extremities
  • Recent stroke or acquired brain injury
  • Treatment for other co-morbid illnesses/conditions that interfere with the patient’s ability to participate in rehab (e.g. dialysis or active cancer treatment)
  • Unmanaged responsive behaviors limiting the patient’s ability to participate at the minimum level required by the rehab program

Expected Length of Stay:

  • Length of stay will vary by individual needs, as determined by the health care team.

 Application Process:

  • An application can be sent by the patient’s health care team in acute care through the Resource Matching and Referral (RMR) system or via fax:  416-785-2471
  • All applications are reviewed to confirm that our services are appropriate to meet the patient’s care needs.

If you have questions, please contact:

  • For more information about the High Tolerance program, you may contact a social worker at 416-785-2500 ext. 2316. For more information about the Low Tolerance program, you may contact a social worker at 416-785-2500 ext. 6496.

For referrals to the service: Please speak to your acute care service provider or hospital discharge planner.

Click to print or download the brochure for the In-Patient Rehabilitation Program.