The service works in partnership with the clinical units and other services of Royal Rehab to provide individual rehabilitation programs for clients. Click on the links below to be taken to a brief rundown on each program.
Royal Rehabilitation Centre clients may be referred to Case Management Services as part of their inter-disciplinary rehabilitation.
The Rehabilitation Case Management approach assumes that clients with complex and multiple needs will access services from a range of service providers with the goal of achieving seamless service delivery.
Royal Rehabilitation Centre's Rehabilitation Case Management is a client focused, collaborative and educational practice which aims to assist clients to achieve a distinct set of goals within a specific and defined episode of their rehabilitation journey.
Case management is a collaborative and proactive process of assessment, planning, monitoring, facilitation and advocacy for options and services which are necessary to meet an individuals (and their significant others') holistic needs. This is achieved through communication and available resources to promote independent, quality and cost effective outcomes to meet or influence a client’s health needs and life roles.
Our Rehabilitation Case Managers hold qualifications in areas of Allied Health and are experienced working in a variety of health settings.
For more information please visit: www.cmsa.org.au
Our Outpatients clinics are currently located in the Hodson Building - enter at 227 Morrison Road.
Outpatients Reception phone number: 9808 9218
Clinic hours are 8.00am until 4.30pm Monday to Friday.
Nutrition and Dietetics department in Royal Rehabilitation Centre offers both in-patient and outpatient services. The department comprises of qualified and accredited dietitians providing a wide range of specialist services in rehabilitation.
The aim of the service is to optimise our clients’ nutritional status, health and quality of life and promote their recovery and achievement of independence. It supports the Royal Rehabilitation Centre vision to “maximise abilities and optimise life skills”.
Nutrition and Dietetics department works closely with our Food Services department to ensure nutritional adequacy and delivery of high quality meals meeting our clients’ dietary needs and contribute to their enjoyment of meals. Our Food Services currently offer cook chill meals and caters to suit our culturally diverse clientele whilst meeting the nutrition standards and quality guidelines.
Royal Rehab's Nutrition Department was the first in Australia to implement the CBORD Windows Nutrition and Menu Management system. This system ensures that in-patients receive choice from nutritionally balanced meals that are tailored to their specific requirements.
Ms. Priya Iyer - Dietitian Professional Leader
Ms. Rebecca Harrington - Clinical/Food Service Dietitian
What services do we offer?
1. In-patient services
We provide specialised and general clinical services to all in-patients to improve their nutritional status. Our in-patient services cover a wide range of clinical areas including neurology, gastroenterology, oncology, and cardiology and general nutrition related areas.
2. Outpatient services
Our outpatient clinic operates every Tuesday mornings by appointments only. The clinic offers service in areas including general nutrition, diabetes, weight reduction, weight loss and malnutrition, enteral feeds (tube feeding), cancer, liver disease, renal disease and heart problems. Community home visits and home based rehabilitation services are provided on a referral basis.
For all outpatient referrals or enquiries, please contact the Outpatients Department on (02) 9808 9218.
3. Community talks and seminars
Our qualified dietitians provide nutrition talks to the general community and and health professionals.
4. Research and Education
Nutrition and dietetics department provides clinical placements for University students regularly. We have a strong commitment to service excellence and clinical competence and therefore promote ongoing research and professional development.
Hours of service
Monday to Fridays – 8.00am to 5pm
Occupational therapy focuses on enabling people to live satisfying and meaningful lives by helping them to become as independent as possible in their usual daily activities.
The occupational therapy process includes individualised evaluation to determine the person’s goals; customised intervention to improve the person’s ability to perform daily activities and reach his/her goals; evaluation and monitoring of progression towards meeting those goals.
Occupational therapy interventions focus on adapting the environment, modifying the task, teaching the skill, and educating the client/family in order to increase participation in and performance of daily activities.
Services typically include:
• Teaching new ways of approaching tasks
• How to break down activities into achievable components e.g. sequencing a complex task like cooking a complex meal
• Comprehensive home and job site evaluations with adaptation recommendations.
• Performance skills assessments and treatment.
• Adaptive equipment recommendations and usage training.
• Environmental adaptation including provision of equipment or designing adaptations to remove obstacles or make them manageable
• Guidance to family members and caregivers.
• The use of creative media as therapeutic activity
Our occupational therapists (OTs) provide services to clients in the centre, at home, as outpatients and in their local community.
Some examples of how our OTs may help in your rehabilitation include:
• Home visit to assess the environment for potential barriers to safety and access and to provide recommendations for modification for safe return home
• Prescribing and educating clients and carers in the use of adaptive equipment to assist function such as adaptive kitchen equipment, wheelchairs and other assistive technology.
• Modifying or retraining in self-care tasks such as showering , dressing, grooming and eating
• Some of our OTs have additional qualifications in the area of driver assessment. These therapists assess their clients’ ability to safely drive a motor vehicle, especially after a major medical event such as stroke, spinal cord injury, dementia, brain injury or orthopaedic injury.
Australian Association of Occupational Therapists; http://www.otaus.com.au
Royal Rehab Recreation Therapy Service recognises that recreation and leisure are an important part of individual lifestyles and represent many of the things in life that we find enjoyable, satisfying and rewarding. Through recreation and leisure we also develop many of our social networks and relationships with family, friends, community contacts and work associates.
The centre has provided specialist recreation services to clients for over 25 years at both in-patient and community level in Brain Injury Rehabilitation, Spinal Rehabilitation and general Disability Services. Recreation Therapists focus on individual lifestyles and assist clients to develop the skills, knowledge and confidence to continue to independently participate in their recreation and leisure interests at home and in the community.
Recreation Therapists have specialised skills and knowledge in the following areas:
- Leisure education, counselling and advice
- Assessment of individual leisure needs, goals and abilities
- Leisure planning for individuals and groups
- Supporting and facilitating individual leisure choices
- Reviewing and/or modifying equipment or activities
- Developing leisure resources for clients, families and the wider community
- Facilitating ‘Come ‘n Try’ days to promote leisure and recreation opportunities
- Strengthening exercises
- Balance training in sitting and standing
- Transfer practice, eg. moving from bed to chair
- Walking practice with appropriate aids if necessary
- Reaching /grasping/manipulation training for the arm
- Fitness training
- Aquatic exercises
- Providing strategies for safer swallowing for someone with developmental disabilities
- Teaching someone how to communicate after a traumatic brain injury
- Retraining reading and writing skills following a stroke
- Helping a spinal injury client to maximise breath support for improved volume when talking
- Prescribing and training someone to use alternative methods of communication (such as speech output computer devices) if they are unable to speak
- Educating and training appropriate social communication (such as how to greet someone, being polite, tone of voice) with someone following acquired brain injury
- Retraining words for a person with aphasia (a language impairment following stroke)
Contact the Recreation Therapy Service on 9808 0549 or via www.royalrehab.com.au .
Return2Sport Expo! is an annual event organised by Royal Rehab at the State Sports Centre Homebush and in association with the Australian Paralympics Committee and Deptartment of Sport and Recreation. The Expo showcases a diverse range of disability sporting, leisure and recreation organisations involved in activities such as sailing, golf, waterskiing, camping and travel, motorcycling, power soccer, ocean swimming, paratriathlon, goal ball, cycling, table tennis, flying, etc.
The expo aims to raise awareness of the range of sporting and recreational activities available to people with a disability and we encourage people to try something new or even showcase a particular sporting or recreation organisation. Please contact us to find out more.
links to the websites of individuals and organisations from across the globe that provide many 'Can Do' examples from all areas of life following a disabling injury or illness. The site aims to raise awareness of life's possibilities so that clients can connect to the things they love doing or discover new avenues of interest.
The ‘Gym Guide for Wheelchair Users’ has been developed with clients who have an interest in continuing to pursue health and fitness activities such as attending community-based gym and fitness centres. The guide aims to generate ideas, spark peoples’ motivation & demonstrate various exercises that might be possible using equipment commonly found at many gym and fitness centres. The focus again is on ‘Can Do!’ and we hope this guide encourages people to do just that.
Google Earth Gym Access Guide for Wheelchair Users
The ‘Google Earth Gym Access Guide for Wheelchair Users’ has been developed so you can discover wheelchair accessible gyms and utilise Google Earth’s street view of footpaths, bus stops, car parks, entrance ways, etc. Download Google Earth to your computer – go to Google and follow the download instructions. Next, link to the ‘Google Earth Gym Access Guide for Wheelchair Users’ here.
Gym locations will continue to be added (current update July 2011) so download later files for updates or contact firstname.lastname@example.org for further information.
All clients will have physiotherapy to optimise their physical recovery.
Physiotherapy is aimed at addressing weak or tight muscles, stiff joints, poor coordination, balance, walking, stair climbing, running and general fitness along with everyday activities such as rolling in bed, sitting, standing up and reaching forward/using hands. When necessary, the physiotherapist will recommend/prescribe appropriate mobility and exercise equipment needed for use at home.
Physiotherapists provide individually tailored exercise programs to suit each client’s need. The program is carried out in a well equipped gym with physiotherapists guiding and assisting as necessary. The exercise program may consist of:
Clients are encouraged to do as much practice as possible outside of their scheduled physiotherapy sessions. Written exercise programs are provided, families/carers are encouraged to assist with the programs and physiotherapy assistants can provide extra practice sessions. Group exercise programs are also run to provide extra opportunity for practice.
Social Workers are skilled professionals whose role is to assist people, their family members, friends and carers adjust to changes in their health status or capabilities, deal with grief and loss as well as managing the emotional and socioeconomic impact arising as a result of injury or illness.
Social Work interventions include counselling, advocacy, supporting families and carers individually or in groups, practical and emotional support, education and information, to enable people and their family/carers participate actively in the rehabilitation process and to make informed decisions about their future care, rehabilitation, personal and/or community resources they require to maximise their independence and autonomy within their physical and cognitive capabilities.
For inpatients this includes:
• Assisting people and their family members to communicate needs with the rehabilitation team
• Ensuring people and their family remain informed about impact of the injury or illness and treatment, by arranging family conferences and liaising with members of the treating team
• Discharge planning and linking clients to appropriate community support services including personal care and domestic assistance post-discharge.
• Conducting support groups or arranging peer support
• Link with community support networks and groups
For community clients this includes:
• establishing satisfaction with community services in place
• reviewing transition to and adjustment to community living
Social Work brochure
The Psychology Service provides individually tailored assessment and treatment of clients with psychological problems including difficulties with mood, adjustment, relationships and coping, and behavioural and cognitive changes.
Clinical Psychologists have specialist training in the assessment and treatment of mental illnesses, psychological and behavioural problems.
Clinical Neuropsychologists are trained to assess and treat people experiencing difficulties with memory, learning, attention, language, reading, problem-solving, decision-making or other aspects of behaviour and thinking abilities.
The Speech Pathology Service provides individually tailored rehabilitation programs for clients with acquired or developmental speech, swallowing, language, cognitive, voice and/or swallowing problems. The speech pathology team's expertise stretches across all specialised units at Royal Rehab. The rehabilitation process includes education and engagement of family and friends where possible. Services may be delivered individually or may occur in a group format, with the goal of optimising communication and swallowing skills for life. Speech Pathology Services are offered on the inpatient units, in the community and within residential facilities.
Types of intervention might include:
The Speech Pathology Service is well equipped with resources and technology (e.g. computer based programs) to assist in maximising the success of rehabilitation programs.
The Speech Pathology Service has several active research commitments ensuring that the best available evidence is applied to our clients.
For more information on Speech Pathology, please see our speech pathology brochures:
Speech Pathology Service
Speech Pathology - Information Sheet on Dyspraxia
Speech Pathology - Information Sheet on Cognitive Communication Problems
Speech Pathology - Information Sheet on Dysarthria
Speech Pathology - Information Sheet on Dysphagia
Speech Pathology - Information Sheet on Aphasia
Speech Pathology - Speaking Aphasian Booklet
Modified Barium Swallow - Client Information Sheet
or go to Speech Pathology Australia’s website www.speechpathologyaustralia.org.au
For more information on Aphasia go the Australian Aphasia Association’s website www.aphasia.org.au.
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