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WakeMed Rehab provides an integrated, comprehensive delivery of rehabilitation services directed toward a population of individuals who have suffered an acquired brain injury as a result of illness, injury or disease process. Various elements of the Brain Injury Rehabilitation System (BIRS) program are available through the acute hospital, Rehabilitation Hospital and Outpatient Intensive Neuro Program.

Benefits of Participation in BIRS

Access to the BIRS program benefits individuals in ways not otherwise possible by developing and restoring skills toward independence and decreasing the dependency effect on their families and communities.

Excellent care is provided by a treatment team that evaluates the patient's impairments, activity and participation limitations, determining rehab needs and potential for functional improvement.

Services are provided by highly qualified professional staff designated specifically for the brain injury rehabilitation program. Treatment space, bed assignment and equipment are also specifically identified for provision within the brain injury rehabilitation program.

Care Team Based on Patient Need

The interdisciplinary teams for the brain injury program are comprised of consistently assigned staff from the following professional disciplines dependent on patient need:

  • Person Served
  • Neuropsychology
  • Family Members/Caregivers
  • Clinical Case Management
  • Therapeutic Recreation
  • Nursing
  • Clinical Dietitian
  • Occupational Therapy
  • Speech-Language Pathology
  • Physical Therapy

Additional Services

If services not available within the WakeMed Rehab system are needed, referrals, contracts or consultations will be made to provide patients with appropriate services that may include, but are not limited to:

  • All medical, diagnostic and laboratory services offered at WakeMed
  • Pediatric services
  • Orthotics and Prosthetics
  • Department of Social Services
  • Social Security Administration
  • Community Support Agencies, Advocacy Groups, Support Groups
  • Optometry
  • Durable Medical Equipment
  • Vocational Rehabilitation
  • Audiology
  • Spiritual Care
  • Caregiver/Family services
  • Substance Abuse Counseling/Chemical Dependency Specialist
  • Rehab Engineering
  • Drivers Assessment and Education
  • Environmental modifications/Assistive Technology
  • Specialty consultants

Provision is made to include all consulting services and external case managers as members of the interdisciplinary team.

Admission and Assessment

As part of the BIRS program, each individual receives a comprehensive assessment and evaluation by each team member initially involved in provision of his/her direct treatment. Appropriate assessments are provided based on the ages, cognitive levels, interests, concerns and cultural and developmental needs of the person served. Designated space, equipment, furniture, materials and private areas for family/peer visits are provided as appropriate.

The care plan is structured to include the patient/family's goals and discharge planning issues. An estimated length of stay and assessment of discharge needs are identified within the parameters of the long term goals. Through the case management process, the treatment plan is shared with the patient/family and, when appropriate, the individual's insurer to facilitate communication, reimbursement and a collaborative discharge plan.

Patient and family involvement in the brain injury program begins during admission and continues throughout the program within the Rehab Hospital and Outpatient Intensive Neuro Program. The Clinical Case Manager formally discusses the comprehensive treatment plan, progress and goals with the patient/family, at least weekly in inpatient settings.

Discipline specific goals are discussed during treatment sessions and include the family during specific family training sessions. Every effort is made to meet patient/family needs and goals through participation in the decision making process.

Conflicting goals are addressed primarily through the Case Management process or Family Conferences but may also be addressed during family training sessions or other family contacts. The BIRS program provides or arranges for the family/support system advocacy training, support services, education, family support and peer/sibling support as appropriate.

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