Rehabilitation and Integrated Stroke Unit

Rehabilitation at Markham Stouffville Hospital

The rehabilitation program at Markham Stouffville Hospital provides a holistic, integrated collection of services designed to promote quality of life for our patients and their families. By taking an interdisciplinary approach, we are able to work with and support individual patients to maximize physical, psychological, cognitive, spiritual and social wellbeing.

We offer two types of rehabilitation programs for patients that are medically stable and able to participate in daily sessions: short-term rehabilitation and the Restorative and Reactivation Program.

Short-term rehabilitation accommodates patients with variety of diagnoses.

If a more specialized approach is required (e.g., stroke, acquired brain injury diagnoses), the rehabilitation team will consider submitting an application for external facilities like St. John’s Rehab, Providence Healthcare and Bridgepoint that offer specialized rehabilitation services.

The Restorative and Reactivation Program admits patients with medical issues such as chronic heart failure, chronic obstructive pulmonary disease (COPD), pneumonia, etc., assisting patients to restore their functioning and return home safely. These programs run for two to three weeks, depending on the patient’s personal goals and progress.

Our patients benefit from both individual and group therapy (physiotherapy, occupational therapy and recreational therapy). They are highly encouraged to actively participate in these sessions as well as have a lunch and dinner in the lounge room in a group setting.

A patient flow coordinator/discharge planner of the unit along with the rehabilitation team will collaboratively work with each patient and their family members on safe discharge planning. They will also address any concerns with changes in the patient’s condition and care.

Integrated Stroke Unit at Markham Stouffville Hospital

In January 2019, Markham Stouffville Hospital opened the new Integrated Stroke Unit (ISU). On the new unit, patients experiencing a stroke have access to best practice stroke care provided by a team of professionals with expertise specifically in stroke.

An ISU provides both acute and rehabilitative care for patients during their inpatient stays following a stroke. The patient remains on the same unit, in the same bed, surrounded by key health team members there to help them through their acute and rehabilitation care. This allows for more timely assessment, management, seamless transitions and consistency of care throughout their hospitalization and transition to the home/community.

Research shows that Stroke Unit Care has some of the strongest evidence for improved patient outcomes. Those who suffer a stroke are more likely to survive, maintain their independence and live at home one year post-stroke. Other benefits include a 30 per cent reduction in the likelihood of death and disability for men and women of any age with mild, moderate or severe stroke. There are also with fewer complications, earlier mobilization and earlier recognition of pneumonia in stroke survivors.

The ISU model of care uses a coordinated interprofessional team approach for preventing stroke complications, preventing stroke recurrence, accelerating mobilization and providing early rehabilitation therapy.

Members of the team include physicians, nurses, occupational therapists, physiotherapists, speech language pathologists, therapeutic recreation specialists, social workers, pharmacists, registered dietitians in addition to the patient and their family.