The therapeutic/diagnostic and rehabilitation activities carried out in the department are mainly aimed at acquired disabilities. Over the years, three specific sectors have been established:

Vascular Sector

(Doctor of reference: Dr D. Rossi)

Intensive rehabilitation activities are performed on patients affected by critical impairment and disabilities caused by recent ischemic or haemorrhagic stroke. These patients come from Departments for acute patients (Neurology, Stroke-Unit, Neurosurgery, Medicine and Geriatrics) in our and other hospitals.

The regional health level also includes the possibility of home recovery for patients with important variations of the clinical overview following flare-ups or the evolution of the pathology which worsens the assistance overview.

Admissions require a clinical and rehabilitation evaluation in our department.

Orthopaedics Sector

(Doctors of reference: Dr G. Vantini and Dr L. Pelizzari)

Intensive rehabilitation activities are performed on patients affected by critical impairment and disabilities caused by recent elective prosthetic or traumatological orthopaedic surgery.

These patients come mainly from the Orthopaedics department of our hospital.

Patients from other hospitals may be admitted upon request of the departments of origin based on the availability of beds.

Where necessary, these patients are reserved – following discharge – an outpatient rehabilitation course in the Hospital Service or in the Don Calabria Multifunctional Centre of Verona.

Long-stay Sector

(Doctor of reference: Dr B. Milano)

This sector takes on patients affected mainly by disabling effects of pathologies of various origin following the acute phase, which do not allow immediate discharge and which require rehabilitation even if less intense than code 56.

A NORMAL DAY

After breakfast, the various department activities and rehabilitation therapies start.

The rehabilitation day on the ward starts with clinical evaluation, requests for further diagnostic examinations if needed, and pharmacological therapy. The patient is then washed, helped out of his bed and into his wheelchair and prepared for accessing the Service Gym for motor and cognitive rehabilitation treatments and occupational therapy activities personalised for each individual patient. Rehabilitation programmes can be carried out either in the communal areas of the Rehabilitation Service or in the patient’s room. The intensity and duration of the treatments depends on the rehabilitation programme assigned, the patient’s response capacity, state of health and the reasonable goals foreseen.

Upon entering the Department, each patient starts on a course designed to reacquire previous motor, cognitive and autonomy skills that were lost following the pathology.

The rehabilitation programme is always personalised and not the same for every patient, and is determined by the individual pathology and the severity of the damage.

It should be remembered that the patient, when cooperative, plays a leading role in his recovery. This is why it is vital that, as his conditions improve, he is involved in his rehabilitation programmes. This is particularly important for people with orthopaedic disabilities.

Lunch is served at midday. Dinner is served at 6:30pm.

After dinner, the OSS staff help those patients with reduced autonomy to return to bed.

Lights are turned off at 10:00pm for the night. After this, television is only permitted in the Living Room.

PERMITS

The department doctor, having established that the patient’s conditions are such as to allow temporary leave from the Hospital, may authorise the patient, under permit, to spend the weekend at home.

The maximum duration of the permit is set by regional laws which state:

• Concession only to patients of the 2nd and 3rd level Rehabilitation Operative Units

• Authorisation of the permit in the final phase of the rehabilitation (therapeutic permit)

• The coinciding of holidays and Saturdays

• A maximum duration of 48 hours.

During the permit period, the precautions indicated must be followed. The permit form must be signed by the patient and/or a family member and the Department Doctor.

The patient is assigned the necessary therapy and material for the time period to be spent at home.

Temporary return home gives the opportunity to look at and to prepare for definitive return home. It is an introduction to the final stage of rehabilitation as it allows the patient to relate to his environment in a different way and to gradually experiment with everything that will ease his reintegration: aids and family assistance in particular.

– Starting to evaluate daily any potential obstacles, the patient (together with his family) may take control again of his surroundings and return to his life.

Temporary recreational trips must be authorised by the doctor.

Authorisation must be requested from the Department Doctor in order to leave the hospital area.

DISCHARGE

Discharge is the conclusion of the hospital phase of rehabilitation.

Rehabilitation may continue, according to need, as follows:

• outpatient course at the Physical Medicine and Rehabilitation Service of this hospital

• outpatient course for Orthopaedic patients in the Orthopaedic Rehabilitation Centre at Via San Marco

• outpatient course for more complex patients (with civil disability) with various pathologies in the Medical Centre at Via S Marco

• rehabilitation admission in the Medical Centre at Via San Marco for patients suffering from damage caused by serious neurological pathologies, both traumatic and non-traumatic in origin

Upon discharge, a letter will be issued summarising the clinical and rehabilitative course undertaken by the patient during his stay.

SOCIAL ASSISTANCE

Social services are integral to all the Units of the Department. The Social Worker is available to see patients and family members as per the following timetable:

MONDAY-WEDNESDAY AND FRIDAY from 9:00am to 12:00pm and from 2:00pm to 5:00pm (preferably upon appointment at +39 045-6014622 or through the switchboard +39 045-6013111) at the MFR Service (first floor of the Don Calabria Hospital) for instructions and consultation regarding:

• the activation of practices for recognising the disability;

• INAIL, INPS contributions;

• civil disability;

• activation of services for home assistance;

• identification of social-assistance and social-sanitary structures and services;

• legal protection and any juridical procedures necessary.