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R E H A B I L I T A T I O N
VOL . 2, NO. 4, WINTER 2016
QUARTERLY
BaylorHealth.edu/Rehab
An Educational Journal of Baylor Institute for Rehabilitation
INNOVATIVE CARE
One-day joint program
helps eligible patients
get home sooner
T
raditionally, total
knee and hip replacement surgeries have
involved multiple-day
hospital stays. Not
anymore. Now, eligible
patients can undergo a knee or hip
replacement one day and be discharged
the next.
Baylor University Medical Center at
Dallas began offering its one-day joint
program in 2014.
3
Staff rallies to help friends
and strangers after a
recent natural disaster
“The program was developed to fill
a need that we recognized among our
total joint replacement patients who
had been fast tracked. These patients
were able to go through surgery and
rehabilitation quickly,” says Licia
Harper, PT, supervisor of the rehabilitation-orthopedics team at Baylor
University Medical Center at Dallas.
To be qualified for the one-day joint
program, patients must:
• Be in overall good health
4
ew council identifies dual
N
diagnosis TBI/SCI patients
to improve treatment
6
• Attend a joint class at Baylor
University Medical Center at
Dallas
• Have a support person at home
• Arrange transportation home
from the hospital
• Purchase bathroom equipment
prior to the surgery date
• Attend “prehabilitation” with an
outpatient therapist prior to the
surgery (one to three sessions)
• Attend post-operative outpatient
therapy (at least one session)
Patients are also required to sign
an agreement stating that they will
adhere to the requirements of the
program.
The evidence-based
research behind Baylor
Rehab’s patient care
The oneday joint
program at
Baylor Dallas
puts eligible
patients
on the fast
track to joint
pain relief.
(cover story continued )
Developing the Protocol
The inpatient protocol allows
patients to drink clear fluids up to two
hours before surgery, which reduces
the risk of dehydration. Pre-surgical
medications are also administered to
reduce anxiety and nausea. Patients
are discharged home with no wound
issues, no nausea and well-managed
discomfort, as well as a plan for postoperative rehabilitation in place. “Our
goal is to decrease the length of stay
and total cost without increasing the
risk of readmission,” Mabrey says.
Upon discharge, patients’
post-operative
rehabilitation
is scheduled
There have been
with the same
therapist who
zero readmissions
The Logistics
performed their
The program begins
within 30 days
prehabilitation.
long before hospital
of discharge for
“Using the same
admission with the
therapist has
prehabilitation proparticipants of
improved patient
cess. “Patients receive
the program.
satisfaction,”
education and are
says Melissa
prepared for surgery
Arana, MSN,
before they come in,”
RN, CMSRN, orthopedic outcomes
Harper says. “Because they will only
manager at Baylor University Medical
be in the hospital for 24 to 36 hours,
this prehabilitation is very important.” Center at Dallas. “Because a relationship was developed prior to surgery,
Once patients are admitted to the
hospital, everyone is aware of their sta- we are providing a continuity of care.
Patients report that they are pleased
tus as one-day joint participants; this
to know where they’re going and who
helps them move through the process
they’re going to see post surgery.”
efficiently.
ZERO
2 | BaylorHealth.edu/Rehab
In addition, Baylor Scott & White
Health is developing an app (available
for iPhones and iPads) for one-day
joint program patients. Patients can
use it to access information about their
surgery, track their pre- and post-operative progress, and send messages to
the care coordinator. The app contains
contacts and checklists, and can help
patients keep track of physical therapy
exercises repeated daily.
Measurements of Success
The program has gone well overall,
with 19 percent of knee and hip
patients participating so far. Dr.
Mabrey has been surprised by the
age range of eligible participants. “I
thought we would focus on patients in
their 40s and 50s. However, we’ve had
highly motivated patients in their early
70s participate in the program successfully,” he says.
And while data is preliminary (117
patients through August 31, 2015),
there have been no readmissions
within 30 days of discharge for patients
who participated in the program. In
addition, it has increased the number
of hip and knee patients going home
the day after surgery from 4 percent to
about 20 percent.
“One year of this initiative has
reduced hospital costs,” Arana says.
Brandie Owen, MSPT, OPA-C,
MBA, a center manager of outpatient
PHOTOS BY THINKSTOCK
While one-day joint programs have been
initiated at smaller hospitals, instituting
a streamlined program at a large academic medical center presented potential challenges, according to Jay Mabrey,
MD, MBA, CPE, chief of the department of orthopedic surgery at Baylor
University Medical Center at Dallas.
“Because there are multiple care
silos, it is tough to get everyone on the
same page,” he says. “In addition, the
physical layout of the large hospital and
number of people involved can cause
delays in just having patients moved
from one area to the next.” Reducing
time in the recovery room, for example, is one challenge, as patients traditionally stay in recovery for as long as
six hours in larger facilities.
Working as a multidisciplinary
team, prehabilitation and post-operative physical therapy rehabilitation
programs were developed for the
outpatient side, while a protocol from
admission to discharge was developed
for the inpatient phase. A diverse group
of team members, including anesthesiologists, physical therapists, surgeons,
nurses and pharmacists, were involved
in the development of the program.
“We all work together
to provide focused
care in a streamlined
but cohesive fashion,”
Harper says.
services at Baylor Institute for
Rehabilitation, is currently analyzing
data from the program and performing a cost analysis. Based upon the
initial data and information, she is
reporting better outcomes, bettereducated patients and high patient
satisfaction. Part of this is because
of the prehabilitation requirement,
which examines barriers to recovery
in the home (e.g., pets) and the presence of a support person.
“We make sure the support person
is aware of the exercises the patient
should be doing daily and can report
back to the therapist. They are part of
the continuum of communication,”
Owen says.
Another reason for the success of
the program is the timing of postoperative rehabilitation. “If a patient
has surgery on Monday and is discharged on Tuesday, we schedule him
or her for outpatient therapy beginning
on Wednesday or Thursday of that
week,” Owen says. n
Licia Harper, PT, is supervisor of the rehabilitationorthopedics team at Baylor
University Medical Center at
Dallas. She can be reached
at 214.820.9089 or 3 Licia.
[email protected].
Jay Mabrey, MD, MBA,
CPE, is chief of the department of orthopedic surgery
at Baylor University Medical
Center at Dallas. He can be
reached at 214.820.7010
or 3 Jay.Mabrey@
BSWHealth.org.
Melissa Arana, MSN,
RN, CMSRN, is orthopedic
outcomes manager at Baylor
University Medical Center at
Dallas. She can be reached at
214.820.8044 or 3 Melissa.
[email protected].
Brandie Owen, MSPT,
OPA-C, MBA, is a center
manager of outpatient services at Baylor Institute for
Rehabilitation. She can be
reached at 817.329.2524 or
3 BrOwen@BIR-rehab.
com.
A MESSAGE FROM
The Medical Director
Amy J. Wilson, MD
Medical Director, Baylor Institute for Rehabilitation
Chief, Department of Physical Medicine and Rehabilitation,
Baylor University Medical Center
Helping Our Own
When It Matters Most
A
natural disaster can make one realize just how small
the world really is. On the night after Christmas 2015,
our community suffered the wrath of an unusual winter
tornado. Now it seems that nearly everyone in the Dallas
and Fort Worth areas has a connection to someone
who was impacted, including many in our own Baylor Institute for
Rehabilitation family.
With the extent of the devastation evident by the light of the following day, we found out that some
of our fellow coworkers had lost
Although many of
everything in the storm except for
their precious lives. Although many
us are accustomed
of us are accustomed to seeing the
to seeing the human
human impact of some of the hardest misfortune life can dish out, the
impact of some of the
ruin caused by this powerful storm
hardest misfortune
is sobering.
As the day after the storm wore
life can dish out, the
on, friends and strangers alike ralruin caused by this
lied in support of those suffering in
loss. I was comforted by the empapowerful storm is
thy shown by my organization in its
single-minded desire to help our
sobering.
brothers and sisters. Within a couple of days, employees had donated
thousands of dollars in a grass roots
effort to support our own.
Albert Einstein is often quoted as saying, “Only a life lived for others is
a life worthwhile.” While we have long built a reputation on our dedication to compassionate patient care, I am also proud of the humanitarian
efforts that extend beyond the confines of our buildings.
Dr. Wilson can be reached at:
3 [email protected]
BaylorHealth.edu/Rehab | 3
TREATING SCI AND TBI
Council identifies needs
of dual diagnosis patients
A
recent study published
in the Journal of Head
Trauma Rehabilitation
estimates that 40 to
58 percent of spinal
cord injury (SCI)
patients also have a traumatic brain
injury (TBI), with car accidents and
falls accounting for many of these dual
injuries. Preliminary data from an internal chart review at Baylor University
Medical Center at Dallas and Baylor
Institute for Rehabilitation in Dallas
suggests that potentially three out of
four SCI patients may have some degree
of brain injury, the effects of
which can be
over-
4 | BaylorHealth.edu/Rehab
whelming, even more so if the injury
is undiagnosed and untreated, says Dr.
Angela Vrooman, co-chief resident in
PM&R. The results of an undiagnosed
TBI can result in potentially more complications and longer stays in rehab, Dr.
Vrooman adds.
The Challenge
Baylor Institute for Rehabilitation is
part of the North Texas Model System
for TBI and has separate teams that
manage TBI and SCI. While this
focused expertise serves patients well
in the treatment of a specific injury,
there has been concern that unrecognized TBI dual diagnosis patients can
have a significantly impacted recovery
due to lack of diagnosis. For example,
the presence of TBI may affect a SCI
patient’s carryover of learned behaviors or adaptation of new skills. Thus,
knowledge of this comorbidity is
important so the treatment team may
customize their plan to account for
these difficulties and optimize each
patient’s therapy based on what is
known to be effective in both TBI
and SCI populations.
“We have found the diagnosis of TBI in SCI occurs at all
levels of care, from in the field
to the emergency room to the
acute care setting. A few patients
are getting all the way to rehabilitation without receiving a proper diagnosis,” says Dr. Vrooman.
This is likely because there are no
clear consensus recommendations
for the screening and identification
of dual diagnosis patients, she says.
Patients who are treated solely for
their SCI injuries aren’t receiving the
model system of care they would have
received had the TBI been identified
earlier in the process.
Finding a Solution
To address this, Baylor Institute for
Rehabilitation has formed the Dual
Diagnosis TBI/SCI Council, which is being
led by Seema Sikka, MD, physician in spinal cord injury medicine at Baylor Institute
for Rehabilitation. The group includes
therapists, neuropsychologists, case managers and physicians from both TBI and
SCI fields. The council’s goals are to:
• Identify dual diagnosis patients
among patients with traumatic SCI
• Ensure that all patient needs are met
throughout the care continuum
• Improve collaboration between the
SCI and TBI teams
• Foster research
• Improve patient and staff education
about dual TBI/SCI diagnosis
“We are working to develop ways to
obtain better information from as early
as the scene of an accident through acute
care at Baylor University Medical Center at
Dallas, then into rehabilitation,” Dr. Sikka
says. “We also are working to better categorize mild TBI, which are the majority of
cases in SCI.”
The hope is that by bringing the SCI
and TBI teams together, increased communication will result in improved patient
care and outcomes. n
Angela Vrooman, DO, is
co-chief resident in PM&R.
She can be reached at
3 Angela.Vrooman@
BSWHealth.org.
Seema Sikka, MD, is a
physician who is board certified in spinal cord injury
medicine, brain injury medicine and physical medicine
and rehabilitation at Baylor
Institute for Rehabilitation.
She can be reached at
214.820.9395 or 3 Seema.
[email protected].
SPINAL SURGERY PROTOCOL
Scoliosis patients benefit
from pre- and post-surgical therapy
B
aylor Institute for
Rehabilitation is using an
evidence-based continuum
of care model to coordinate with Baylor Scoliosis
Center at Plano to provide
surgical patients with appropriate physical and occupational therapy from presurgery throughout hospitalization.
Baylor Scoliosis Center opened in
2005 and the physicians on the medical
staff have performed more than 2,000
scoliosis surgeries. In early 2014, Baylor
Institute for Rehabilitation began the scoliosis continuum of care which included
initial education and training with
therapy staff regarding physician-specific
protocols and collaboration between the
acute care therapists and the rehab therapist to provide quality care throughout
the patient’s rehabilitation course.
Patients requiring scoliosis surgery
are often very complex and can have
multiple comorbidities which require
monitoring during their acute care stay.
These surgeries often last seven to eight
hours, and the patients require intensive
rehabilitation afterwards. Patients have
to relearn how to complete their activities of daily living (ADLs) and mobility
following surgical intervention as they
have had to compensate for their curvature for years in some cases, which has
caused increased pain, difficulty ambulating, difficulty completing basic ADLs,
and even difficulties with breathing.
Before Surgery
PHOTOS BY THINKSTOCK
Prior to the procedure, all patients meet
with a therapist. “This initial meeting
helps patients get an idea of what to
expect during the hospital stay as well as
preparation for the changes in physical
and mental status that often accompany
spinal surgery,” says Donna Kaufhold,
MBA, OT/L, director of acute care
therapy services at Baylor Scott & White
Medical Center – Plano.
Patients also have the opportunity
to discuss pain management strategies, and are encouraged to make the
hospital more like home. For example,
they might bring in a favorite blanket
or some relaxing music when they
are admitted, says Kara Pridgen, PT,
DPT, of Baylor Scott & White Medical
Center – Plano.
After Surgery
All patients are moved to the intensive
care unit (ICU) because of the nature
of the surgery and the pain management requirements. A physical therapist initiates the patient’s treatment
beginning on post-op day 1. “Our goal
on the first day is to get the patients to
move from the bed to the chair, stay in
the chair around an hour and return to
the bed,” Pridgen says.
Patients also meet with an occupational therapist post-surgery. “We
provide education and training for
self-care, including the use of adaptive
equipment, to prepare patients for
when they will eventually head home,”
says Emily Fulmer, OTR, a registered
occupational therapist at Baylor Scott
& White Medical Center – Plano. While
in the ICU, patients meet with the
physical therapist twice daily and the
occupational therapist daily (or more
often, if needed).
Patients continue working on their
therapy goals after they move from the
ICU to the orthopedics floor. Many
patients are eventually moved to Baylor
Institute for Rehabilitation at Frisco,
where the average stay for a scoliosis patient is 12 days, says J. Michael
DeLeon, PT, DPT, MBA, director of
rehabilitation at Baylor Institute for
Rehabilitation at Frisco.
During their hospital stay, patients
participate in a group-based, four-part,
back education series, while also receiving daily physical and occupational therapy. The first half of the series focuses
on home management, assistive devices
and energy conservation. The second half
of the series discusses moving beyond
pain. It focuses on alternative coping
strategies to pain management such as
pacing for pain, breathing techniques
and guided imagery. The group setting
allows patients to speak with one another
and ask questions in a supportive environment. “By working in a partnership
along the continuum of care we provide
patients with the necessary education in
in-patient rehabilitation,” DeLeon says. n
Donna Kaufhold, MBA,
OT/L, is director of acute
care therapy services at
Baylor Scott & White Medical
Center – Plano. She can be
reached at 3 Donna.Fitch@
BSWHealth.org.
Kara Pridgen, PT, DPT, is a
physical therapist at Baylor Scott
& White Medical Center – Plano.
She can be reached at 3 Kara.
[email protected].
Emily Fulmer, OTR, is a registered occupational therapist at
Baylor Scott & White Medical
Center – Plano. She can be
reached at 3 Emily.Fulmer@
BSWHealth.org.
J. Michael DeLeon, PT, DPT,
MBA, is director of rehabilitation at Baylor Institute for
Rehabilitation at Frisco. He can
be reached at 3 JMDeLeon@
BIR-rehab.com.
BaylorHealth.edu/Rehab | 5
MOVING MEDICINE FORWARD
Innovative research
and achievements in 2015
T
his was another productive year for the
research program at
Baylor Institute for
Rehabilitation, and
included numerous
interdisciplinary publications and
presentations by our clinicians and
researchers. In addition, Baylor Institute
for Rehabilitation started several new
and externally funded research grants
and continues to work as part of the
North Texas Traumatic Brain Injury
Model System in conjunction with
the University of Texas Southwestern
Medical Center.
Grants
• Simon Driver, PhD, started a collaborative grant with the University of Texas
School of Public Health titled, Project
WOWii: Developing and testing a Webbased intervention to promote exercise
among those with spinal cord injury. The
field-initiated project is being funded
for three years by the National Institute
of Disability, Independent Living, and
Rehabilitation Research (NIDILRR).
• Driver also continued work with the
University of Texas School of Public
Health on the Centers for Disease
Control and Prevention grant focused
on “Translating the Group Lifestyle
Balance™ program to promote healthy
weight among people with mobility
impairment.” The research team successfully enrolled more than 70 participants
with mobility impairment and is currently delivering the intervention. Baylor
Institute for Rehabilitation is also modifying the Group Lifestyle Balance program for adults with TBI, with funding
from the Ginger Murchison Foundation;
the team is currently enrolling participants. Both projects are being completed
collaboratively with the University of
Pittsburgh, where the original program
was developed.
• Katherine Meredith, PhD, Valerie
Bobb, PT, and Lorien Hathaway,
PT, were awarded a Multiple Sclerosis
Society Impact Grant to help meet the
needs of providers working to improve
quality of life for patients. The grant is
6 | BaylorHealth.edu/Rehab
being used to assist in the purchase of
a biofeedback machine and to train the
clinical team on using the equipment
for treatment of bowel and bladder
dysfunction.
• Shahid Shafi, MD, and colleagues
continue work on the NIDILRR TBI
Model Systems Center grant. The project includes comparative effectiveness
research and modular/
collaborative research projects
including sleep patterns, Internet
use and aging with TBI.
Select Publications
• Driver, S., Rachal, L., Swank, C.,
Dubiel, R. (2015). Objective assessment of activity in inpatients with traumatic brain injury: Initial findings. Brain
Impairment. http://dx.doi.org/10.1017/
BrImp.2015.20
• Salisbury, D., Driver, S., and
Parsons, T.D. (2015). Brain-computer
interface targeting non-motor functions
after spinal cord injury: A case report.
Spinal Cord 53 Suppl 1:S25-6.
• Hamm, J., Driver, S. (2015).
Strategies to increase physical activity participation of young adults with
Asperger Syndrome in the community.
Strategies 28(3):3-8.
• Trost, Z., Agtarap, S., Scott, W.,
Driver, S., Guck, A., Roden-Foreman,
K., Reynolds, M., Foreman, M. L.,
Warren, A. M. (2015). Perceived injustice after traumatic injury: Associations
with pain, psychological distress, and
functional outcomes. Rehabilitation
Psychology 60(3):213-221.
• Fromm, N., Salisbury, D., Driver,
S., Dahdah, M., Monden, K., Driver,
S. (2015). Functional recovery from
neuroinvasive west nile virus: A tale of
two courses. Rehabilitation Psychology
[Epub ahead of print].
• Cleveland, S., Driver, S., Swank,
C., & Macklin, S. (2015). Classifying
physical activity research following
stroke using the behavioral epidemiologic framework. Topics in Stroke
Rehabilitation 22(4):289-298.
• Warren, A.M., Boals, A., Trost, Z.,
Holtz, P., Elliott, T., Reynolds, M.
(2015). Mild traumatic brain injury
increases risk for the development
of posttraumatic stress disorder. The
Journal of Trauma and Critical Care
Medicine [Epub ahead of print].
• Dodd, Z., Driver, S., Warren, A.M.,
Riggs, S., & Clarke, M. (2015). Effects
of adult romantic attachment and
social support on resilience and depression in individuals with spinal cord
injuries. Topics in Spinal Cord Injury
Rehabilitation 21(2):156-65.
• Driver, S.J, Warren, A.M., Agatrap,
S., Reynolds, M., Trost, Z, Monden,
K., Hamilton, R. (2015). Identifying
predictors of resilience at inpatient and
three months post spinal cord injury.
The Journal of Spinal Cord Medicine
DOI: 10.1179/2045772314Y.0000000
270.
• Stiers, W., Barisa, M., Stucky, K.,
Pawlowski, C., Van Tubbergen, M.,
Turner, A.P., Hibbard, M., Caplan,
B. (2015). Guidelines for competency
development and measurement in
rehabilitation psychology postdoctoral
training. Rehabilitation Psychology
60(2):111-22.
Select Presentations
• Hull, B., Thut, C., Cheng, S., and
Fitch, D. (2015). Acute care therapists
can survive and thrive in uncertain
times. American Physical Therapy
Association Annual Combined Sections
Meeting, Indianapolis.
• Rachal, L., Swank, C., and Driver,
S. (2015). Reliability of dual-task measures in the acute rehabilitation setting
following traumatic brain injury. Brain
Injury Summit, Vail, Colorado.
• Cleveland, S., Driver, S., Swank, C.,
and Shearin, S. (2015). Classifying
physical activity research following
stroke using the behavioral epidemiologic framework. Association of
Academic Physiatrists, San Antonio,
Texas.
• Zaman, A. (2015). Delayed treatment
for herpes zoster resulting in disabling
plexopathy in the immunosuppressed
patient. Association of Academic
Physiatrists, San Antonio, Texas.
• Cheng, S., Hull, B. (2015). How
to accelerate the implementation
of best practice guidelines by using
change management strategies to
create the right workplace culture.
National Summit on Safety and Quality,
Arlington, Virginia.
• Carroll, S. (2015). Introducing the
early-parenting perception and performance scale: EPPS. Evaluating the
way we measure parent performance.
National Association of Neonatal
Therapists, Phoenix.
• Driver, S., Rachal, L., Swank, C.,
Dubiel, R. (2015). Piloting the use of
accelerometers to assess the amount
and intensity of activity completed
by inpatients following TBI. North
American Brain Injury Society’s 12th
Annual Conference on Brain Injury, San
Antonio, Texas.
• Salisbury, D., Dahdah, M., Driver, S.,
Parsons, T. (2015). Integration of technology in neurorehabilitation. North
American Brain Injury Society’s 12th
Annual Conference on Brain Injury, San
Antonio, Texas.
• Woolsey, A., Warren, A.M., Driver,
S., Reynolds, M. (2015). Caregiver
psychological outcomes of ICU
patients with traumatic brain injury:
Understanding of ICU experience.
North American Brain Injury Society’s
12th Annual Conference on Brain Injury,
San Antonio, Texas.
• Klakeel, M., Monden, K.R., Trost,
Z., Garner, A., Wike, A., & Hamilton,
R.G. (2015). Pain and depression are
associated with perceived disability and
expectations for injury-related limitations among individuals with spinal cord
injury. ISCoS and ASIA Joint Scientific
Meeting, Montreal, Canada.
• Rothbauer, J. (2015). Incidence of
lymphedema in females with Turner
Syndrome. National Turner Syndrome
Conference, Cincinnati.
• Vrooman, A. (2015). Special implications of May-Thurner Syndrome in the
spinal cord injured population: A case
report. Academy of Spinal Cord Injury
Professionals Educational Conference
and Expo, New Orleans.
• Sikka, S., Borsh, S. (2015).
Implementing a neurogenic bowel
program in acute care: Patient knowledge. Academy of Spinal Cord Injury
Professionals Educational Conference
and Expo, New Orleans.
• Carroll, S., Sturdivant, C. (2015).
A safe pressure relief hydrogel device
for neonates: Part of a Plagiocephaly
prevention program. Vermont Oxford
Network 26th Annual Quality Congress,
Chicago.
• Jones, T., Schaer, A., Torres,
H., Maxwell, M., Lichtenstein, J.
(2015). “Bundle Up” for patient
safety: Reducing falls for the inpatient
rehabilitation patient with a specific
neurological diagnosis. Association of
Rehabilitation Nurses, New Orleans.
• Hudson, B. (2015). Delirium: What’s
all the confusion? Association of
Rehabilitation Nurses, New Orleans.
• Leal, R., Whitney-Bujold, J., Cook,
L. (2015). The use of a transitional living room to prepare patients with SCI
and their caregivers for discharge home.
Association of Rehabilitation Nurses,
New Orleans.
• Hirshour, M. (2015). Improving
patient satisfaction using a team
approach to improve the patient experience. Association of Rehabilitation
Nurses, New Orleans.
• Concannon, L. (2015). Seatbelts for
safety. Association of Rehabilitation
Nurses, New Orleans.
• Dubiel, R., Zaman, A., Callender,
L., Driver, S. (2015). Over-utilization
of seizure prophylaxis following traumatic brain injury. American Academy
of Physical Medicine and Rehabilitation
Annual Assembly, Boston.
• Christiansen, J., Driver, S., Bennett,
M., Hamilton, R., Reynolds, M.,
Warren, A.M. (2015). Differences in
outcomes among patients three months
after acute traumatic injury who were
and were not admitted to an inpatient
physical rehabilitation facility. American
Academy of Physical Medicine and
Rehabilitation Annual Assembly, Boston.
• Hamilton, R., Reynolds, M., Driver,
S., Sikka, S., Bennett, M., Warren,
A.M., Petrey, L. (2015). Analysis of
registry healthcare utilization data for
spinal cord injury patients over 10 years.
American Academy of Physical Medicine
and Rehabilitation Annual Assembly,
Boston.
• Warren, A.M., Driver, S., Reynolds,
M., Bennett, M., Sikka, S., Hamilton,
R. (2015). Posttraumatic stress
symptoms among patients with spinal cord injury during acute inpatient
hospitalization. American Congress of
Rehabilitation Medicine, Dallas.
• Driver, S. & Reynolds, M. (2015).
Modifying an evidence-based lifestyle
program of individuals with traumatic
brain injury. American Congress of
Rehabilitation Medicine, Dallas.
• Smith, H., Driver, S., Reynolds, M.,
Bennett, M., Warren, A.M. (2015).
Preliminary analysis of effect of body
mass index and health outcomes
across the continuum of care posttraumatic injury. American Congress of
Rehabilitation Medicine, Dallas.
• Salisbury, D., Driver, S., Reynolds,
M., Bennett, M., Warren, A.M., Petrey,
L. (2015). Healthcare utilization after
traumatic brain injury: Utilizing a
regional hospital database. American
Congress of Rehabilitation Medicine,
Dallas.
• Woolsey, A., Driver, S., Callender,
L. (2015). Assessing health literacy
awareness among staff at an inpatient
rehabilitation hospital system. American
Congress of Rehabilitation Medicine,
Dallas.
• Foster, T., Hamilton, R., Callender,
L., Christiansen, B. (2015). Does time/
day of admission predict unplanned
transfers from inpatient rehabilitation?
American Congress of Rehabilitation
Medicine, Dallas.
• Fromm, N., Driver, S., Salisbury, D.,
Meredith, K., Callender, L., Bennett,
M. (2015). Understanding outcomes
and recovery in the subacute stages of
West Nile Virus. American Congress of
Rehabilitation Medicine, Dallas.
• Swank, C., Shearin, S., Cleveland, S.,
Driver, S. (2015). Auditing the physical
activity and Parkinson’s disease literature using the behavioral epidemiologic
framework. American Congress of
Rehabilitation Medicine, Dallas.
• Parsons, T., Carlew, A., Salisbury,
D. (2015). Brain-computer interface
targeting cognitive functions after spinal cord injury. National Academy of
Neuropsychology, Austin.
• Longnecker, D. (2015). Brain tumors:
Types, treatment options, and rehabilitation. American Speech Language
Hearing Association, Denver.
• Nickel, C., Reynolds, J. (2015). The
case for comfort: Implementation of
a comfort feeding plan in palliative
and end-of-life care. American Speech
Language Hearing Association, Denver.
Baylor Institute
for Rehabilitation
has been named
by U.S.News &
World Report
as the "Best
Rehabilitation
Hospital” in
North and
Central Texas.
Baylor Institute
for Rehabilitation
hospitals in Dallas
and Frisco are
certified for stroke
rehabilitation
by The Joint
Commission.
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Day Neuro now offers
services in three locations
The Day Neuro Rehabilitation Program (Day Neuro) offered by
Baylor Institute for Rehabilitation now sees patients at two locations in addition to Dallas. The Las Colinas center in Irving opened
in February 2015, and the Frisco location began seeing patients in
December 2015.
Day Neuro is a comprehensive outpatient rehabilitation program for patients who have acquired brain injury, including traumatic brain injury, stroke and brain tumor.
“Our primary focus is on cognitive rehabilitation,” says Sarabeth
Clopton, PT, DPT, Center Manager and Physical Therapist.
There are numerous articles that support implementation of
high intensity, high frequency rehabilitation following inpatient
therapy, Clopton explains. Day Neuro bridges the gap between
inpatient rehabilitation and a patient’s ability to function at home
with minimal or no support.
After being referred to Day Neuro, patients attend therapy
for 6 hours per day, including physical, occupational and speech
therapy, and group activity. They are typically seen from 3 weeks
to 6 months post-injury. “Therapy is individualized and based on
what each patient needs,” says Clopton.
With three locations—Dallas, Irving and Frisco—Day Neuro
now serves a wider population in the Metroplex.
For more information, contact Sarabeth Clopton at
[email protected].
Baylor Rehab neuropsychologist participates in concussion experts meeting
Mark Barisa, PhD, ABPP, director of neuropsychology services at Baylor Institute for Rehabilitation, was among 30
independent concussion experts who met in October 2015 to
develop standard guidelines for treating concussions, including best practices, protocols and active therapies. Hosted by
the University of Pittsburgh Medical Center, the meeting was
attended by representatives from the Centers for Disease
Control and Prevention, the National Institutes of Health,
the U.S. Department of Defense, and sports groups,
including the NFL, NFL Players Association and the NCAA.
The meeting was the first to focus exclusively on treatments, active therapies and best clinical practices for
concussions.
“It was a great opportunity for nationally known experts
to come together and document that concussion is in fact
a treatable condition, and to begin to reduce some of the
myths that have dominated the discussion around
concussions in recent years,” Dr. Barisa says.
The consensus information from the meeting will be
published as a white paper in a medical journal in 2016.
The material in Rehabilitation Quarterly is not intended for diagnosing or prescribing. Consult your physician before undertaking any form of medical treatment. Physicians are members of the medical staff of Baylor Institute for Rehabilitation
and are neither employees nor agents of Baylor Institute for Rehabilitation, Baylor Scott & White Health, Select Medical or any of their subsidiaries or affiliates. Baylor Institute for Rehabilitation is part of a comprehensive inpatient and
outpatient rehabilitation network formed through a partnership between Baylor Institute for Rehabilitation and a wholly owned subsidiary of Select Medical. If you are receiving multiple copies, need to change your mailing address or do not
wish to receive this publication, please send your mailing label(s) and the updated information to Robin Vogel, Baylor Scott & White Health, 2001 Bryan St., Suite 750, Dallas, TX 75201, or email the information to [email protected].