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Counties Manukau Health Adult General Rehabilitation

Public Service

Description

The Adult General Rehabilitation Service provides assessment, treatment and rehabilitation for patients living in the Counties Manukau Health region.

Care is provided by an interdisciplinary team, that develops a patient-focused, goal-based treatment programme, based on the individual patient's needs.

The service includes inpatient care on Ward 23, Middlemore Hospital, an outpatient medical and physiotherapy service based at the AT&R Unit of Middlemore Hospital and a community stroke rehabilitation service.

Referral Expectations

Criteria for Admission for an Inpatient Period of Rehabilitation are:

  • Reside within Counties Manukau Health catchment area
  • Aged 16 upwards
  • Medically able with medical potential for full participation in the rehabilitation programme
  • Willing to participate in an individualised rehabilitation programme
  • Potential for improvement and good rehabilitation outcomes

Inpatient Adult General Rehabilitation Admission Criteria are:

  • 15 years and older
  • Rehabilitation Diagnoses: Stroke; Non-traumatic Acquired Brain Injury (those not appropriate for ABI Rehabilitation facility in Ranui); Multiple Trauma; Multiple Fractures; femur fracture; limb amputation; acute inflammatory or active degenerative arthritic conditions and connective tissue disorders; neuro-degenerative disorders and degenerative neuromuscular disorders (i.e., MS, MND, ALS, polio/post-polio); post-TJR (if bilateral or if complications); congenital disability; other acquired neurological disorders (i.e., GBS, Critical Illness Polyneuropathy); severe debilitation due to prolonged complicated hospital course. 
  • Medically able to participate in up to 3 hours of rehabilitation treatment per day, 5-6 days per week.
  • Willing to participate in up to 3 hours of rehabilitation treatment per day, 5-6 days per week.
  • Requires 24-hour medical availability, rehabilitation nursing and Interdisciplinary Team assessment and treatment.
  • Investigations and treatment complete.

Cancer-related Neuro or Musculoskeletal Rehabilitation Diagnosis Criteria for Admission:

  • Cancer treatment complete
  • Prognosis greater than 6 months, per oncologist/radiation oncologist
  • Patient and family aware of diagnosis and prognosis
  • Medically able to participate in rehab
  • Will have appropriate discharge destination and supports
  • Chooses to be admitted to rehab with understanding that a safe and supported discharge, rather than maximal return of function, is the goal.
  • We recognise that cancer-related rehabilitation may have interruptions due to medical concerns and occasionally for investigations and brief treatment, thus the “3 hour per day, 5 days per week rule” does not apply. 

Acute or chronic wound care is not a rehabilitation diagnosis. Bedrest is not a rehabilitation diagnosis. Re-mobilisation through inpatient rehabilitation for a person with a rehabilitation diagnosis, once the wound is healed/near healed (whether post-surgical intervention or healing by secondary intent) may be considered on a case-by-case basis. 

Consideration for inpatient rehabilitation for patients on haemodialysis is on a case-by-case basis.

Persons with severe dementia are not appropriate for inpatient rehabilitation.

For those patients who will not be able to discharge to their prior abode, or who were living in a private hospital setting, inpatient rehabilitation may be appropriate to decrease their level of care after discharge. Appropriateness for inpatient rehabilitation will be assessed on a case-by-case basis.

Appropriateness for inpatient Adult General Rehabilitation is determined by the Rehabilitation Medicine Specialist after consultation/review.

If ACC, private insurance or funding other than MOH, must have funding approval before admission.

Procedures / Treatments

  • Acute Consultation Service

    Patients referred for admission to the inpatient Adult General Rehabilitation service after an acute episode are assessed by a rehabilitation consultant or geriatrician to determine the appropriateness of their admission to the service.  These patients may be referred from other services in Counties Manukau District Health Board, including the community… More

  • Inpatient Service

    Inpatient services are provided on Ward 23, Middlemore Hospital.  The inpatient interdisciplinary team consists of professionals representing the following disciplines: medicine, nursing, physiotherapy, occupational therapy, speech and language therapy, clinical psychology/ neuropsychology, social work and dietetics.… More

  • Outpatient/Community Service

    An outpatient medical and physiotherapy treatment service operates from the AT&R Unit, Middlemore Hospital.… More

Charges

No charge for the service for New Zealand Residents.  Non residents are charged a per bed day rate.

Document Downloads

Visiting Hours

2.00 pm - 8.00 pm

Other

Our staff work to ensure that your care and treatment is of the best standard that we can achieve. If for some reason you are unhappy with any part of your care please let us know about it.  Happy feedback is also welcomed.

Click here to submit your feedback online. 

Alternatively you can download and print the patient Feedback Form pamphlet.

Contact Details

Middlemore Hospital

South Auckland

AT&R unit
Building 31
Middlemore Hospital
Hospital Road
Otahuhu
Auckland

Information about this location

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Street Address

AT&R unit
Building 31
Middlemore Hospital
Hospital Road
Otahuhu
Auckland

Postal Address

AT&R unit
Support Building 31
Middlemore Hospital
Private Bag 93311
Otahuhu
Auckland 1640

This page was last updated at 3:35PM on June 10, 2019. This information is reviewed and edited by Counties Manukau Health Adult General Rehabilitation.