Trauma & Complex Care Rehabilitation

Primary Diagnosis: 

• Multiple traumatic injuries sustained from automobile collisions, the workplace, recreational sports/activities or from other traumatic events
• Complex medical/surgical procedures such as necrotizing fasciitis; orthopaedic reconstruction after oncology surgery

Criteria:

• Medically stable with no significant fluctuations in medical status within 72 hours
• Motivated to participate in rehab, has active rehab goals
• Able to participate in 2 sessions of active rehab therapy 5 to 7 days a week
• Patient's cognitive abilities and state of mental health support participation in active rehab
• Able to sit unsupported for a minimum of 30 minutes

Special needs accommodated include the following:

• Intermittent oxygen therapy/home oxygen
• Tracheotomy (must by corked)
• Intermittent tube feeds (PEG tube only)

Back on Track Program »

To help ensure accurate assessment, please provide the following information about the patient, prior to, or upon admission:

Patient Profile

• Allergies
• Anti-coagulation profile (recent blood work; Coumadin/Fragmin doses: up to 4 days)
• Diet information with orders including formula, rate, # hours of feed, water flushes
• Medication Administration Record (MAR)
• Prescribed Activity levels for upper and/or lower (weight bearing; restrictions), (order to be signed by physician)
• Special needs (egs. infusion therapy, oxygen, Ostomy)
• Wound management orders
• Follow up specialist appointments

Work-Up

• Behavioral assessment/management (if applicable)
• Consult reports
• Discharge summary
• ECG/Echocardiogram (if applicable)
• Infection control screen results (MRSA, VRE, and others)
• Lab results (most recent copy)
• Names and contact information for all physicians, surgeons specialists
• Other tests results (including video fluoroscopy)
• Physician acute care admission report
• Surgical procedures and dates of surgery
• X-ray, CT/MRI (if applicable)
• Social Work summary

1. For seamless continuum of care, please ensure patients have had the following arranged before, or upon transfer:
   • Clinical follow-up appointments
   • Diagnostic (acute) appointments
   • Transportation for off-site tests/treatments

2. St. John’s Rehab is a rehabilitation facility and does not have the following services:
   • emergency services
   • mechanical ventilation, total parenteral nutrition, and nasogastric feeding
   • dialysis service
   • isolation or secured units

Download our Outpatient Referral Form on our referral information page.

Please include all relevant medical/therapy reports with your application

• Has active rehab goals and is able to participate and tolerate increasing amount of rehab therapy.
• Has adequate cognitive communication abilities for rehab.
• Has a reliable means of transportation.

St. John's Rehab at Sunnybrook Health Sciences Centre is the dedicated to specialized rehabilitation. We are recognized as a leader in specialized trauma rehabilitation and receive referrals from major trauma centres throughout the Greater Toronto Area.

• The trauma rehabilitation program is one of Ontario's largest and most comprehensive specialized programs for traumatic injuries in the workplace, falls, automobile collisions, recreational/sports activities and other serious accidents.
• Our Complex Rehabilitation program provides rehab following complex medical procedures with extensive post-operative recovery, such as orthopaedic reconstruction as a result of cancer surgery.
• The individually customized program consists of assessment, treatment and support focused on the whole person - body, mind and spirit.
• Our team of rehabilitation professionals develop realistic goals and timelines with each patient and keeps in close contact with the patient and their family. This helps achieve maximum recovery, independence and quality of life.
• Our highly skilled and committed multidisciplinary rehab team includes physiotherapists, occupational therapists, nurses, speech-language pathologists, pharmacists, physicians, dietitians, social workers, psychologists and spiritual care.
• Once discharged, patients can benefit from a seamless continuum of care by being referred to our outpatient rehabilitation program.
• We offer the specialized Back on Track Program for patients who have been in motor vehicle collisions or work-related accidents.
• Our strong referral partnerships with acute care hospitals and regional trauma centres in the GTA provide a smooth continuum of care to help patients reach their rehabilitation goals.
• As a teaching site of the University of Toronto, we excel in teaching and researching rehabilitation care.
• Patients can enjoy the hospital's 25 acres of beautifully landscaped gardens and pathways - a key element in their spiritual and emotional recovery.