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The Musculoskeletal Rehabilitation Service
What Is The Musculoskeletal Rehabilitation (MSR) Service?
The Musculoskeletal Rehabilitation (MSR) Service provides interdisciplinary,
collaborative care to those with complex needs related to musculoskeletal
conditions. Patients include those who have had an amputation, have been
in an accident or a fire, or who have had a prolonged stay in hospital
or intensive care because of a condition or surgery resulting in severely
weakened muscles or reconditioning. The MSR Service offers two programs:
the complex orthopedic program and the amputee program.
What Are The Goals Of The Musculoskeletal Rehabilitation Service?
- To provide specialized rehabilitation services, including assessment,
preventative measures, treatment and discharge planning.
- To optimize the clients' functional activity levels.
- To promote education, research and advocacy to clients with complex
needs related to musculoskeletal conditions and amputations.
Who Are The Members Of The MSR Service?
The Musculoskeletal Rehabilitation Service uses an interdisciplinary
approach that includes the following disciplines:
- Clinical Nutrition
- Medicine
- Nursing
- Occupational Therapy
- Pharmacy
- Physiotherapy
- Prosthetics and Orthotics
- Psychology (clinical and neuropsychology)
- Social Work
- Therapeutic Recreation
- Vocational Rehabilitation
Please note: Clients have access to consultation services from other
disciplines as required.
Who Is Eligible For The MSR Service?
- Clients must be 19 years of age and older.
Please note: TRC will work with the Children's Hospital
of Eastern Ontario (CHEO) to determine the most appropriate facility,
either CHEO or TRC, for clients 16 to 18 years of age.
- Clients who have upper and/or lower extremity amputations are eligible
for the amputee program.
- Clients who have sustained serious injuries or major trauma are eligible
for the complex orthopedic program.
How Do Clients Enter The MSR Service?
- Clients must obtain a referral from their physician.
- Eligible clients may be scheduled for a consultation with a physiatrist
or other health care provider in order to assess their medical condition.
- Clients are put on a clinical or inpatient wait list and are accepted
to the MSR Service according to their medical readiness and the availability
of the required services.
What Services Does The MSR Service Provide?
Inpatient Services:
- Inpatient beds are for clients requiring intensive rehabilitation
intervention who have one or more of the following:
- insufficient support or the physical inability to function at
home,
-a complex medical condition,
- a complex medical condition,
- a need for 24-hour nursing or supervisory care,
- transportation/distance issues.
- Clients are expected to experience some degree of functional recovery
before returning home or to an appropriate long-term facility.
- Weekend leaves are encouraged as soon as the treatment team feels
that clients are safe and sufficiently able to function outside of the
hospital setting. Weekend leaves help clients to prepare for their discharge
and provide clients with an opportunity to practice the skills that
they have learned.
- Team members consult with family and health care workers to provide
information aimed to optimize client functioning in the home and community
environments. Consultation may include liaison with, or referral to,
community groups and services, such as:
- Community Care Access Centre (CCAC),
- Centre local des services communautaires (CLSC),
- Funding agencies,
- Private facilities and nursing homes.
Outpatient Services: The outpatient services may be
provided to clients who require assessments, follow-ups and treatments.
What Is Expected Of The Clients?
Clients are encouraged to participate in the interdisciplinary assessments,
the goal setting and the planning of their care. They are expected to
attend all therapies and conduct themselves in a safe, respectful and
responsible manner.
How Can Family Members Become Involved?
- Families are encouraged to provide ongoing input and feedback.
- A Family Day may be scheduled once the client has established a routine.
The client's family is invited to meet the physiatrist and follow the
client through a typical therapy day. The family will observe the client
in therapy and gain an understanding of his/her functional level, therapy
techniques and goals. This provides the families with an opportunity
to ask clinicians questions, obtain education and plan for the client's
discharge.
- A Family Conference may occur instead of, or in addition to a Family
Day. The client's family meets the team members to discuss relevant
issues. These may include the client's medical situation, functional
level, progress to date, prognosis, equipment needs, discharge plans
and follow-up after discharge.
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