Overview

Recovery from serious illness or injury often requires intensive physical, occupational or speech therapy. Once a patient is discharged from the hospital, this level of therapy may best take place in an inpatient rehabilitation unit, such as Providence Acute Rehabilitation Center (PARC).

 
This 21-bed comprehensive care and rehabilitation center, located on the fourth floor (4K) of Providence Portland Medical Center, offers specialized therapy for patients recovering from:
  • Stroke
  • Neurological conditions
  • Head injury
  • Amputation
  • Orthopedic conditions, including joint replacement
  • Spinal cord injury
  • Catastrophic illness
  • Congenital disorders
  • Multiple trauma
At Providence Acute Rehabilitation Center, doctors and a highly skilled team of therapists strive together to help patients regain quality of life after a life-altering medical event. Through effective therapy and compassionate care, PARC helps patients:
  • Regain self-confidence
  • Improve functional skills
  • Achieve maximum physical, cognitive, language and psychosocial skills

Excellence in Patient Care

  • 2011 Press Ganey ‘Likelihood to Recommend’ score in the 98th percentile.
  • PARC’s 2011 patient fall rate is 2.0/1000 patient days, better than 90 percent of Rehab Units in the Nation.
  • PARC has had no patient skin breakdown in over two years.

Achieving success through teamwork

Teamwork is key to successful recovery. At PARC, patients are at the center of the team. With their doctors’ guidance, patients set goals for recovery. The referring doctor and a physiatrist (a doctor specially trained in physical medicine and rehabilitation) oversee each patient’s therapy. In one-on-one therapy and group sessions, the PARC staff helps patients achieve their goals.

 The PARC staff includes:
  • Physiatrist
  • Rehabilitation nurse
  • Occupational therapist
  • Physical therapist
  • Speech pathologist
  • Therapeutic recreation specialist
  • Dietitian
  • Orthotist
  • Psychologist
  • Social worker
  • Chaplain

Physiatry: While you are a patient at PARC, your attending physician will be a physiatrist, a specialist in physical medicine and rehabilitation. Your physiatrist will help lead your interdisciplinary team to help you restore maximum function. Physiatrists serve all age groups and treat problems that affect all of the major systems in the body.

Nursing: When you are referred to PARC, the nursing process will begin with our admission coordinator, who will work with your physician to determine if you meet the admission requirements. The admission coordinator will also work with your insurance company to ensure a smooth transition of care.

Almost 40 percent of the registered nurses working on our unit are certified as rehabilitation or geriatric specialists. Certification is important: Research tells us that having certified specialty nurses on the unit improves patient outcomes. PARC has a higher ratio of registered nurses on staff than the other facilities we measure ourselves against. PARC nurses have each been practicing, on average, for 15 years within the rehab setting. They focus on teaching the skills needed for medication management, bowel and bladder care, and proper skin care. In addition, because our nurses are part of the rehabilitation team, they have the skill and knowledge to reinforce what you learn during your therapy sessions. This level of involvement with your care is proven to help improve your function faster.

Physical therapy: Your stay at PARC will include daily physical therapy. After a comprehensive evaluation, you will work with your therapist to develop a treatment plan based on your condition. This plan will be designed to improve your muscle tone, coordination, range of motion, balance, strength, endurance and joint flexibility. You'll get help with functional activities, such as bed mobility, transfers, wheelchair mobility, walking and using mobility equipment. Your therapy may also involve pre-prosthetic and orthotic evaluations, as well as equipment recommendations and fittings. Physical therapy will help you return to functioning as independently as possible.

Occupational therapy: An occupational therapist focuses on assessing and teaching  the skills you will need to adapt your physical ability to your activities of daily living. You will learn to manage your personal needs, such as dressing, bathing and using adaptive equipment. Your occupational therapist will help you improve the use of your fingers and hands, your perceptual skills, your eye-hand coordination and your performance on cognitive testing. In some cases, your occupational therapist may create and fit splints for you.

Speech-language pathology: A speech-language pathologist evaluates and treats disorders involving speech, language, reading, writing, cognition, swallowing and voice. This expert may evaluate your need for an alternative communication system or hearing evaluation. Your speech-language pathologist will help you improve your cognitive abilities and social skills, including your use of language in social situations. He or she will help you with problem solving and recalling important information. Your speech-language pathologist will evaluate your ability to swallow and, if necessary, will create a treatment plan to help you learn safe swallowing precautions and improve your swallowing ability. Your diet may also be modified.

Recreational therapy: A recreational therapist may evaluate your leisure interests and skills, help you interact in group activities on the unit and help you participate in off-campus community outings. Activities that may be offered to you during your time at PARC include gardening, exercising, shopping, playing games and music, attending concerts and other community events, and doing crafts. You will also be put in touch with community resources that can help you plan leisure activities after you leave PARC.

Family: Families are an important part of the recovery team. We understand that families and patients are often concerned about changes in lifestyle, roles and responsibilities that can result from major medical events. We will help your family prepare for your homecoming. We will also teach your family how to care for you while respecting your independence and dignity.

A foundation for independence
We help patients focus on their abilities rather than on their disabilities. The continuity of care provided  throughout the recovery process creates a solid foundation for independence. Before you are discharged, we will arrange for ongoing medical care or outpatient therapy if you need it. Your referring doctor will supervise any ongoing medical care.

The admission process
Patients may be admitted to PARC following referral by their primary care physician and an eligibility evaluation by a PARC physiatrist. We welcome patients who have functional limitations in two or more of these areas:

  • Mobility
  • Bowel and bladder continence
  • Personal care activities
  • Pain management
  • Cognitive-perceptual functions

Other factors affecting eligibility include your medical stability, level of functional skills, and ability to participate in and benefit from three hours of therapy daily.