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Neuromedical

Netcare Rosebank In-Patient Neuromedical Rehabilitation Unit

The Neuromedical Unit at Netcare Rosebank Clinic is a 10 bedded in-patient unit, headed up by neurologist, Dr Michael Isaacs. Due to our small size we are able to provide daily individualised one-on-one therapy sessions.

 Our multi-disciplinary team offers the following services:

  • Physiotherapy
  • Occupational Therapy
  • Speech Therapy
  • Dietician
  • Psychologist
  • 24 hour Nursing Staff (thus acute medical care available if necessary)
  • Banjo – therapy dog (who does weekly visits)

The team has extensive neurological rehabilitation training and experience. The multidisciplinary team (MDT) participates in weekly continued professional development as a way of remaining up-to-date with current trends in the field.

Who is appropriate for admission to the unit?
We will treat any patient with a neurological or spinal condition who would benefit from acute rehabilitation with a multidisciplinary team approach.  Conditions frequently treated include Stroke, Spinal Cord Injuries (paraplegics and quadriplegics), Traumatic Brain Injuries, Parkinson’s disease, Multiple Sclerosis and Guillian-Barre Syndrome.

How does one go about arranging a transfer into the unit?

  1. The treating physician must declare the patient stable and fit for transfer.
  2. The physician, nursing staff or family can contact Mandy McCulloch on 083 564 7062 to arrange an assessment to be performed by one of our therapists prior to transfer.
  3. We compile an authorization request and send it through to your medical aid. It often takes 1-3 days to get this approved by your medical aid.
  4. Once authorization is obtained we will arrange for transfer to the unit.
  5. The patient is assessed by the entire team within 48 hours after admission to the unit.
  6. They will be given a unique tailor-made rehab program determined by their functional abilities.
  7. Shortly after admission a family meeting is then arranged allowing an opportunity for the team to explain findings during assessment and goals for each discipline. This also provides the family time to ask any questions they might have.

It is important to note that rehab patients are in hospital for a period of rehabilitation not because they are considered “sick”. Patients are expected to be available for therapy between 07:00 – 15:00 daily. The official visiting hours are 09:00 – 12:00 and 15:00 – 20:00. However, it would optimise the rehab process if all visits can be restricted to after 15:00. 

What will a normal day in rehab look like?
The patient's therapy is scheduled during a meeting held by the therapists to decide at what time he/she will be receiving which therapy.
The nursing staff will wake the patients in the morning and assist with washing and dressing (unless it is scheduled to be part of therapy) and assist with breakfast.
The patient will then start having his/her various therapies with a break for lunch (assisted by nursing staff unless scheduled as part of therapy) and continue afterwards if he/she is a candidate for bi-daily treatments. Therapy sessions end around 15:00.

How do we assess a patient’s progress?
We have a weekly team meeting on a Tuesday morning to discuss each patient's progress in each of his/her therapies. Patients are scored on the Beta system which is an assessment tool with 6 different categories with specific tasks in which the patient is scored. It can be explained in greater detail in the family meeting once the patient is admitted. The medical aid receives a report with the Beta scores from us to show weekly improvements and motivate for further funding from them.

What should I bring to rehab?
During the period of rehab we would advise patients have the following items with them:

  • Toiletries: soap, face clothes, toothbrush, hairbrush etc.
  • Clothing: underwear, long/short pants, t-shirts etc
  • Closed shoes e.g. trainers as well as slippers
  • It is advisable to label all personal items.

What happens after Rosebank Rehab?
When we are nearing the end of the in-patient rehab process for a particular patient and the patient still requires ongoing care a carer should be identified. We can provide the family with a list of care agencies but it is the family's responsibility to identify the appropriate individual. We will train the carer over a period of 3-4days, they have to come to the unit in the mornings and spend the day with the patient to learn how to handle him/her and practice certain skills. A trial overnight pass-out is suggested if the patient is returning home. This allows the family and carer to identify any further problems that need to be addressed before discharge.

After the in-patient rehabilitation process in Rosebank is complete the patients will continue their out-patient rehab at RehabMatters in Rivonia where appropriate. This allows for continuity in  the rehab process because the patient will already be known to the team and most probably been treated by many of the therapists who work at RehabMatters full time and on a rotational basis  at  Rosebank over weekends.

Who should I contact?
Sacha Hildebrandt - Unit Manager 076 857 3397 sachbp@yahoo.co.uk
Sister Angela van Heerden - Nursing Manager - 011 328 0561
Dr Michael Isaacs - Neurologist and Head of Unit - 011 447 6122
Neuromedical Rehab Ward - 011 328 0553