Duties of the Rehabilitation Doctor

Prior to the admission of the patient:

Assessment of the patient reports

On admission of the patient:

• Assessment of the general condition of the patient and of their skin (presence and state of UPPs)
• Assessment of the need for measures against bedsores (anti-bedsore mattress, anti-bedsore pillow, heel protection)
• Assessment of the need for wheelchairs and other technical aids for moving around
• Assessment of the need for restraints
• General examination
• Neurological examination
• Examination from the point of view of rehabilitation: articular movement, muscular balance, coordination and balance, existence of pain, spasticity, tremor, rigidity, sensory deficits, positioning, trunk control, ability to go from seated to standing, standing pattern, capacity and gait pattern, manipulation ability, functional capacity of the patient.
• Observation of the patient in different situations and environments (bed, gym, occupational therapy room, dining room, etc.) in order to determine their actual functional status.
• Management of different patient assessment scales
• Planning of therapeutic targets
• Communication to the physiotherapy and occupational therapy team regarding the clinical and functional status of the patient, treatment guidelines to follow, as well as precautions, risks and therapeutic goals
• Initial Interview with the family
• Drafting of medical admission report
• Presentation of the patient in clinical session

During the rehabilitation process: 

• Daily review of patients and incidents
• Diagnosis and treatment of intercurrent processes during the rehabilitation process
• Assessment of the need for technical support or orthotics and prescription thereof
• Diagnosis, assessment, implementation and monitoring of spasticity treatment (drug, position, botulinum toxin)
• Diagnosis and treatment of pain
• Assessment, together with physical and occupational therapists, regarding the need and desirability of specific treatments (dry needling, neuro-proprioceptive taping, constraint therapy, etc.)
• BIONESS H300 electro-stimulator programming
• Review of therapeutic goals
• Progress interviews with families
• Progress interviews with families
• Request for further testing or outpatient
• Preparation of reports for the application for aid and social resources

 Before discharge:

• Interview with relatives. Assessment of discharge resources, guidance on home adaptations and technical aids, care guidelines, training, along with physical and occupational therapists, with respect to demonstrations, transfers, walking aids, and basic activities of daily living. Training, along with tube nursing care and enteral feeding, and skin care. Training, together with auxiliary crane transfers, toilet, changing of continence pads.
• Drafting of discharge report
• Treatment guideline upon discharge