Rehabilitation / Restorative Programs – Richmond Terrace

Rehabilitation/Restorative
Programs

Rehabilitation Programs

The Rehab team at Richmond Terrace is composed of a Rehabilitation Therapist (certified kinesiologist), a consulting Physiotherapist and Restorative Care Aides. This team is responsible for enhancing the quality of life for each resident by maintaining his/her dignity, self-esteem, and independence. The focus of rehabilitation is to improve and or maintain independence and the functional abilities of our residents.

Admission

Upon admission to Richmond Terrace each resident receives a comprehensive assessment by the Physiotherapist to determine eligibility for the Active Physiotherapy program. The resident also participates in a thorough mobility assessment to determine current level of functioning. Information from these assessments are used to determine appropriate goals for future mobility as well as any necessary assistive devices that are needed to maintain safety and good posture. An individualized therapy program is then designed to meet the goals and current needs of the resident. This program will be carried out with the assistance and encouragement of the Rehab team. Continual monitoring occurs to ensure success of the prescribed goals and absolute safety of the resident.

Types of Therapy Plans

One, or any number of the following therapy plans may be recommended for the resident to participate in. The descriptions give a general outline of what is performed however each Therapy Plan is specific for the individual resident.

Active Physiotherapy

Residents who exhibit a potential to improve their functioning will receive Active Physiotherapy. These sessions are typically 2-3 times per week, and focus on transfers, gait, improving strength and pain management. Physiotherapy sessions may also include the use of modalities such as Heat, Ultrasound and TENS. Parallel bars may be used to assist with the development of proper gait patterns.

Walking Program

Residents that are able to walk are encouraged to do so on a regular basis. Residents are given the opportunity to walk with one or two members of the rehab team assisting them, as well with the use of standard or rollator walkers. Richmond Terrace is also equip with Arjo walkers, for those residents who have difficulty with balance and self support.

Range of Motion Exercises

Range of Motion is defined as flexibility in a joint or combination of joints. It is the extent to which a body part will move. These exercises are performed to maintain flexibility for independence and to aid in transfers.

Passive – The resident is totally aided to move the parts of the body that he/she cannot do independently. Active Assistive – the resident does the movement to the greatest of their ability and is then assisted to complete the movement to its fullest extent.
Active – The resident is capable of completing the entire exercise independently, however supervision is required.

Group exercise classes

Fit n’ Fun exercise classes take place three times per week, where fun and engaging exercises are performed to music. Classes are suitable for independent residents as well as any other resident willing to participate.

Hand Therapy and Upper Extremity Strengthening

Exercises are designed to encourage movement of the upper extremities, such as shoulders, arms, elbows, wrists, fingers and grip strength. Weights, Thera-bands, putty, therapy balls and the Power-Web are used in conjunction with exercises to increase movement and muscle strength.

Ex n’ Flex leg and arm exerciser

The Ex n’ Flex leg and arm exercisers are motorized exercising machines that aid in maintaining flexibility and mobility of joints and muscles for a population that includes residents with strokes, paralysis and multiple sclerosis.

Equipment

Richmond Terrace is equipped with many devices that aid in improving or maintaining mobility and functioning. The following are available for use as prescribed by the Physiotherapist or recommended by the Rehabilitation Therapist:

Arjo walking machine
Ex n’ Flex arm/leg exerciser
Parallel bars
Weights and resistive manipulatives
Rehab stairs
Exercise bicycle
Ultrasound, TENS, Hot and Cold Therapy
Hand Posey’s, Heel Boots and Walking Shoes
Positioning Bolsters and Wedges

Richmond Terrace also offers the use of wheelchairs, walkers and canes on a temporary basis, until the resident can acquire his/her own.

Additional Therapy Services

Wheelchair and Seating Assessments
The Occupational Therapist completes an assessment to determine the type and size of wheelchair each resident requires. The O.T. also applies to the Assistive Device Program for funding to assist in paying for the mobility device. The O.T. may be from C.C.A.C., or by private referral.

Walkers and Gait Aids
Assessments for walkers are completed by the Physiotherapist. The P.T. determines the type and size of walker that would best suit the resident, and applies to A.D.P. for funding to assist in paying for the mobility device.

Liaison and Information

The Director of Clinical Services is responsible to act as a liaison between the resident, their family, and the Professional Therapists. Residents and their families are encouraged to seek out the Director of Clinical Services if there are any questions regarding prescribed therapies. If you would like more information regarding Rehab services at Richmond Terrace, please contact the Director of Clinical Services