At Swanson & Associates our therapists provide a high quality of care, utilizing the Canadian Model of Occupational Performance (CMOP). This model addresses the person holistically, addressing components of function (cognitive, physical and psycho-social) as well as the impact of deficits on the client's ability to participate in all aspects of daily life (Occupational Performance). Treatment based on this model has been found to facilitate client responsibility and satisfaction and to improve functional outcome (CAOT 1997).
Treatment is always preceded by a Functional Assessment which includes both standardized testing and functional evaluation. Treatment is provided in the client's, home, our clinic, the community or work place, depending on the need and the stage of rehabilitation. The treatment program is based on the findings of the functional assessment and is individualized and designed to facilitate the client's return to function.
Our experienced and caring Case Managers are all registered occupational therapists or registered nurses. We promote the early introduction of case management to provide support during the early and often overwhelming days of acute care, while developing rapport with the client and the family. As such our case managers are able to facilitate a seamless transition from hospital to community-based rehabilitation.
Swanson's case managers draw on an extensive network of community resources developed over years of experience, enabling them to facilitate cost-effective and accountable delivery of care. File coordination is individualized, using a holistic client centered approach as the client reintegrates into his/her life roles.
It is essential that the physiotherapist be experienced in the appropriate type of physiotherapy to facilitate function. The primary types of physiotherapy are:
- Orthopaedic physiotherapy involves the treatment of a specific musculoskeletal injury/problem e.g. a frozen shoulder, low back pain. Treatment often consists of ice or heat, the use a treatment modality such as ultrasound, laser, acupuncture, and mobilizing and/or strengthening activities and the provision of a home program.
- Neuro-Physiotherapy provides hands-on treatment which facilitates input to the brain and central nervous system to normalize tone, release tight fascia and re-establish more normal patterns of movement.
- Manual therapy refers to the comprehensive conservative management of physical dysfunction. The therapist uses her hands, rather than machines, to treat the cause of the problem, and thus the symptoms. Underlying dysfunction is addressed to prevent recurrence of symptoms.
- Myofascial release is an effective hands-on technique that provides sustained pressure into myofascial restrictions to eliminate pain and restore motion.
Speech Language Pathology
Speech and language assessment and intervention is most commonly required by clients with acquired brain injury. Therapeutic interventions can include Language, Speech, or Voice Therapy addressing difficulties with comprehension, expressive language, articulation, aphasia or verbal apraxia. Cognitive linguistic intervention addresses cognitive skills related to language such as information processing. Swallowing management and treatment can also be addressed as required.
Occupational Therapist Assistant / Physiotherapist Assistant /
Communication Disorder Assistant / Tutoring
The OTAs follow through on treatment programs designed by the occupational therapist and facilitate the implementation of strategies in activities of daily living. In this way, the client is assisted in generalizing strategies and integrating them into their daily routines. Similarly, the PTAs and CDAs follow through on treatment programs designed by the physiotherapist and speech language pathologist respectively. The PTA reinforces the practice and repetition of the necessary exercise as well as facilitating the transition from physiotherapy treatment to community-based maintenance of physical skills The CDA reinforces communication techniques. One-on one tutoring is often required as an adjunct to return to school. At Swanson our tutors are familiar with cognitive problems and pain conditions that may affect learning. Therefore tutoring is specific to the client's needs. All assistants work under the supervision of the respective registered therapist.
Vocational programming and intervention is provided for both catastrophic and non-catastrophic injuries. With catastrophic injuries, preparation for return to work may commence early on in the rehabilitation process, with the introduction of pre-vocational activities in therapy sessions. As with the educational reintegration program, vocational rehabilitation often requires team support. Therapeutic intervention may include:
- Skill and strategy development
- Cognitive or physical work hardening
- Simulated work programs
- Consultation with employers, vocational counsellors and other team members
- Developing, monitoring and modifying a graduated return to work plan
- Volunteer placements
- Work trials
- Developing and implementing job modifications
- Job coaching
Every attempt is made to reintegrate the individual in his/her pre-injury job, however, sometimes the job analysis, work capacity assessment may reveal the need for a new direction. In such cases, vocational and aptitude testing can be conducted.
Life Care Planning
Our Life Care Plan reports are prepared according to the published Standards of Practice of the International Association of Life Care Planners (IALCP). As such, they are based on comprehensive assessment, data analysis and research.
As per the published definition of Life Care Plans, an organized plan for the client's current and future needs is provided, as well as objective verifiable cost projections. The recommendations seek to:
- Assist the maintenance of the client present function and medical stability;
- Maximise his/her level of independence where possible;
- Provide assistance with those activities which he/she is no longer capable of performing.
Discharge from the hospital marks a critical transitional period for the client. Numerous services may be required but often the client is unaware/unable to initiate the process. Our occupational therapists /case managers are experienced in supporting the client, liaising with the discharge facility and the client's family, assessing requirements and implementing required recommendations.
Provided upon request