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Inpatient Rehabilitation

  • WGRH’s Joint Commission and CARF accredited Inpatient Rehabilitation Program has been serving the community since 1988 utilizing an interdisciplinary and patient-family centered approach that focuses on assisting patients in returning to their normal lives.  At West Gables, our highly trained and dedicated staff will work hand in hand with our patients to overcome the various obstacles that led to their hospitalization.

    Be it an orthopedic condition such as a fracture or a neurological condition such as a stroke, research has shown that the type of rehabilitation received can make all the difference in the world.  Knowing this, the team at West Gables establishes an individualized plan of care and treatment for each of its patients so that recovery is facilitated.

    What Conditions Are Treated at West Gables?

    1. Orthopedic: Fractures, Joint Replacements, Musculoskeletal Injuries
    2. Neurological: Stroke, Brain Injury, Spinal Cord Injury, Multiple Sclerosis, Parkinson’s Disease, ALS, Guillain-Barre
    3. Amputation
    4. Systemic Conditions: Cardiovacular conditions (Heart Attack, Heart Surgery), Respiratory conditions (COPD, Pulmonary Embolism), Diabetes, Renal Failure

    What are the services provided in the Inpatient Rehabilitation Program?

    • Physical Medicine
    • Internal Medicine
    • Specialized Medicine (Referring doctors are available to see patients for various medical conditions as deemed necessary by the attending physician)
    • Physical Therapy
    • Occupational Therapy
    • Speech Language Therapy
    • Neuropscyhology Services
    • Rehabilitative Nursing
    • Case Management
    • Dietary Services
    • Respiratory Therapy
    • In-house Dialysis
    • In-house TPN treatment
    • In-house Pharmacy

    Are there patients that are not accepted or appropriate for rehabilitation at West Gables?

    The patient must be 18 years of age or older and must have a medical diagnosis that merits acute rehabilitation.  The patient must also have an established plan of care / discharge plan and must be deemed medically stable.

    The hospital does not admit patients who are on ventilators or patients with a Traumatic Brain Injury who are rated below a 4 on the Ranchos Los Amigos Level of Consciousness Scale.

    Please also refer to our admission criteria for more information.

    Where is the Therapy Completed?

    The therapy is completed in our spacious 7000 square foot inpatient rehabilitation gym which includes an Activity of Daily Living Room.  The gym is designed to meet the needs of our patients and challenge them to regain their functional capacity.  The hospital also has a location for its speech therapy and neuropsychology treatments.  These areas are separated from the gym to facilitate a quiet learning environment to assist patients with cognitive dysfunction.

    What is the Therapy Like?  How Long are the Therapy Sessions?

    Patients will receive at least three hours of therapy five days week and all patients receive therapy on a sixth day.  The therapy sessions are conducted from 730am – 4pm with a lunch break from 12 – 1 pm.  The patients will receive a combination of therapies with all patients receiving physical and occupational therapy.  Patients who require speech therapy and / or neuropsychology treatment will also receive these services.  Individual sessions will vary from 45-90 minutes long depending on the patient’s need and their tolerance.

    How is Therapy Scheduled?

    Patients are scheduled for therapy based on their individual needs.  Scheduling preferences can be made to meet the needs of the patients (for example, patients who would like all their therapy in the morning).  Patients are scheduled to a team of therapists which will follow their care throughout the week.  Patients are also scheduled for therapy on the weekends based on need with all patients scheduled for therapy on Saturday and some patients will receive therapy on Sundays based on team recommendations and patient needs.

    Who Makes Up My Team?

    The rehabilitation team is centered around the patient and the family/support system.  Everything starts and ends with this piece.  At West Gables, we pride ourselves in incorporating this model and spend as much time that is necessary with our patients/families to allow for the appropriate plan of care.

    Your team will also consist of the following members physicians, nurses, physical therapists, occupational therapists, speech therapists, and therapy assistants (depending on your condition).

    How Can I Communicate With My Team?

    Throughout your rehabilitation stay, you will have an ongoing dialogue with each member of your interdisciplinary team.  You will have a chance to work and discuss your progress with your doctors, nurses, case managers and therapists on an ongoing basis and once per week, the patient will be invited to a team conference whereby the patient’s status and overall plan of care is discussed to assist the patient in properly preparing to return home.

    How do I Know That My Team is Competent?

    West Gables prides itself in educating and preparing each of our staff members to be able to deliver the highest quality of care and assistance to each of our patients, families and visitors.  All staff must go through an intensive orientation period where they are educated on the hospital’s program goals and patient needs.  The staff is then further progressed through in-service and continuing education seminar attendance to facilitate such growth.

    I primarily speak Spanish; Will I be able to communicate properly with my team?

    Yes – West Gables is truly a bilingual hospital because of the presence of the Hispanic population in Miami Dade County and its needs.  Therefore, the majority of the hospital’s 250+ staff members are bilingual.