A- SERVICES FOR INTERNAL USERS:

Patients from the rehabilitation departments (UGC-US, MFeR), and from the departments for acute cases (Orthopaedics, General Surgery, Paediatrics, Resuscitation, Neurology and others), may make use of the treatment offered by SMFR following evaluation of the physiatrist. After defining of the profile of the disability of the patient, all the professionals present in the rehabilitation team will collaborate. The Physiatrist has the task of summarising and drawing up an individual rehabilitation project through a series of evaluations:

  • Functional evaluations: these aim to understand the state of the disability and function of an individual in relation to his pathology. They are carried out during the appointment with the physiatrist.
  • Cognitive evaluations: these are aimed at documenting through tests and/or psychological interviews the level of mental functioning of the patient.
  • Prosthetic evaluations: aimed at identifying any aids the patient requires and prescribing them through the NHS.
  • Psychological evaluations: aimed at drawing up the psychological profile of the person and, if necessary, of their family and to identify specific ambits of intervention or support.

Therapies

It is difficult to schematise the services to be provided to patients. In the field of rehabilitation we must think in terms of the rehabilitation project, rather than individual services and type of therapy. Following this concept, we propose all the procedures that are necessary to be put into action in order to obtain functional improvement for patients. The most important activities that are provided are:

  • Motor therapy: made up of all those techniques that a physiotherapist uses to recover joint mobility, movement, and coordination in order to restore functional autonomy. The complexity of the intervention differs depending on whether we are dealing with an orthopaedic or neurological disability.
  • Respiratory physiotherapy: comprising all the techniques the physiotherapist uses to improve respiratory functions.
  • Behavioural cognitive therapy: comprising all the techniques and courses that aim at improving cognitive and linguistic functions and management of behavioural disorders.
  • Psychological support and/or physiotherapy: managed by the team psychologist and serves to support the patient and their family during a delicate stage of existential change.
  • Occupational therapy: has the double aim of helping the patient reacquire autonomy in daily activities and to encourage the patient to discover creative resources through “doing”. There is also a course of art therapy as part of the occupation therapy.
  • Physical therapy: all physiotherapeutic-instrumental therapies aimed mainly at controlling a variety of painful situations. A list of these therapies can be found in the section “Services for outpatients”.

The definition of the rehabilitation programme is subject to evaluation of the damage and the potential for recovery of the patient. However, rehabilitation is not always necessary and not all patients need intensive treatments. Based on a series of data found over the years, the SMFR’s aim is that of adopting the FRG (Function Related Groups) system, meaning to calibrate the intensity of the rehabilitation based on the functional gravity and the progress of the recovery over time.

Communication, involvement and education of family members

Where the disability is significant and where the recovery times are prolonged, it is the role of the rehabilitation team to involve family members, in order to:

  • understand the difficulties and potential that the patient may express;
  • learn all the information and techniques useful in managing the patient once they return home.

In order to realise these two goals, the SMFR organises informative and educational meetings aimed at the family members and/or patients admitted in the RI and MFeR departments.

These meetings are held by SMFR doctors or other staff members and are held most weeks. Meetings are announced by notifications posted on ward doors, and cover.

Medullary damage

  • Spasticity
  • Sphincter problems
  • Disability and returning home
  • Aids
  • Rights of the persons with disabilities
  • The role of sport
  • Sexuality in myelolesion

Additionally, brochures and books that may be useful sources of further information are available in the SMFR secretary’s office,.

Therapeutic day trips

These are included in the programmes for in-patients. They aim to encourage patients to experiment with their abilities and the progress that they are making through re-education. They are usually arranged by a therapist and upon authorisation of the head physician. The activities carried out during therapeutic day trips include those defined as “adapted sport”. These are sporting activities mainly carried out in the Don Calabria of Verona Multifunctional Centre.

During the summer, we organise sail boating trips using a boat from the “EOS la vela per tutti” (sailing for all) Association.

Social worker

This service is available to the various OUs of the department. Social workers are only provided within a project that is well defined by the doctors involved. Patients and family members may be seen on the following days:

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 via the switchboard at +39 045- 6013111) at the MFR Service (first floor of the Don Calabria Hospital). They will give information and consultation regarding:

  • the activation of practices for the recognition of the disability;
  • INAIL, INPS national insurance routes;
  • civil disability;
  • activation of services for home assistance;
  • identification of social-assistance and social-health structures and services;
  • legal protection and any juridical measures.

B- SERVICES FOR EXTERNAL OUTPATIENT USERS:

 

Examinations

The SMFR manages a sector of outpatient specialist examinations, carried out in the Outpatients’ Clinics on the lower ground floor of the Casa Nogarè building.

Bookings must be made through the Bookings’ Centre of the Outpatients’ Clinics. The following examination clinics have been structured and diversified:

  • divisional clinic for degenerative-rheumatology pathologies (Monday afternoon and Wednesday morning);
  • divisional clinic of paediatric rehabilitation (Tuesday morning);
  • divisional clinic for myelolesions / serious brain damage / hemplegias (Monday afternoon);
  • divisional clinic for rehabilitation of sphincter dysfunctions (Tuesday afternoon)
  • clinic for lymphedema (Thursday morning);
  • divisional clinic for orthopaedic rehabilitation (Saturday morning).

The divisional clinics are accessed via telephone booking on nr +39 045 60 13 257.

 

For patients discharged from the Intensive Rehabilitation and MFeR wards, any check-ups are booked upon discharge and the date is also stated on the discharge letter. We believe it is important that patients attend for check-ups to monitor the situation.

Patients accessing divisional clinics must bring with them the prescription from their GP (Prescription for Physiatrist Examination).

Following the examination, a programme of therapy may be arranged and the doctor who performed the examination will issue the NHS prescription (pink form) for this, which will cover the booking and fulfilment of the therapies themselves. Many forms of treatment, as provided for by the regional decree on Essential Levels of Assistance (LEA), are charged at full price.

It is also possible to have private examinations, as above, by booking through the outpatients’ clinics (link to telephone number for telephone bookings on +39 045 60 13 257)

 

Outpatients services

To arrange the therapy, you need to book through the Secretary’s office of the Physical Medicine and Rehabilitation Service on the first floor of the Don Calabria building, open at the following times:

  • bookings in person: from Tuesday to Friday from 9:00am to 12:00pm
  • telephone bookings on +39 045 6013437: from Tuesday to Friday from 1:30pm to 3:00pm

For regional regulations, NHS prescriptible therapies are exclusively issued by the centre in which the physiatrist examination was carried out.

Currently, the SMFR can provide the following services:

  • Physical therapy
  • TENS *
  • Laser therapy *
  • Ionophoresis **
  • Diadynamic currents *
  • Interferential currents *
  • Electrostimulation
  • Radar therapy**
  • Ultrasound therapy *
  • Hydro galvanotherapy (galvanic tray)*
  • Lumbar and cervical traction
  • Pressure therapy *
  • Acupuncture **
  • Mesotherapy **
  • Group gymnastics for the spinal column
  • Massotherapy **
  • Lymph drainage
  • Kinesitherapy (manual treatment using a variety of methods)
  • Rehabilitation of the pelvic floor (urogynaecology rehabilitation)

* Therapies subject to LEA (Essential Assistance Levels) which may be provided subsidised only for certain pathologies

 

** Therapies that cannot be subsidised

List of the outpatient services provided

SMFR and the Don Calabria of Verona Centre

The parameters within which the Department’s entire rehabilitation activity exists are those of establishing an integrated system that is compatible with rehabilitation courses suitable for the patients, whilst, at the same time, recognising the correct use of resources.

Accordingly, the SMFR identifies, in agreement with the users, family members and managers of the other Operative Units, those patients who are suitable for rehabilitation at the structure in Verona.

The criteria includes three types of course:

Myelolesion course

Stroke course

GCA course