It s the first step that counts.

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1 It s the first step that counts.

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3 HY WHY CHOOSE ST. CHARLES? IF YOU NEED REHABILITATION, YOU NEED ST. CHARLES. Selecting the right rehabilitation program after a serious injury, illness or other debilitating medical or surgical condition is critical to recovery. It is important to choose a program that will provide the best possible care while maximizing your ability to return to optimum independence. At St. Charles, patients admitted to rehabilitation receive: Care by physicians board certified in rehabilitation medicine 24 hour rehabilitation nursing care Core therapies (Physical Therapy, Occupational Therapy, Speech and Language Therapy) provided a minimum of three hours a day, five days a week Social Work Services Customized treatment plans, specialized to each patient s needs Technologically advanced and innovative treatments Compassionate care for the mind, body and spirit Continuum of care community re-entry program Additional therapy services tailored to patients needs include: Psychology / Neuropsychology Music Therapy Pet Therapy Complimentary and Alternative Medicine (Acupuncture, Tai Chi, Qigong) Recreation Therapy Aquatic Therapy St. Charles Rehabilitation has achieved CARF (Commission on Accreditation of Rehabilitation Facilities) accreditation for Comprehensive Integrated Inpatient Rehabilitation, Pediatric Specialty Programs, Stroke Specialty Programs and Outpatient Medical Rehabilitation for both adults and children. This accreditation process demonstrates that we have met quality standards for rehabilitation services. CARF is the highest level of rehabilitation accreditation available. For the very best rehabilitative care, there is only one choice, st. charles.

4 ST. CHARLES IS AN ACUTE REHABILITATION HOSPITAL. ST. CHARLES (ACUTE REHABILITATION HOSPITAL) NURSING HOME / SKILLED NURSING FACILITY (SUB-ACUTE) What this means to you... Close medical supervision by a physician with specialized training in rehabilitation Yes NOT Required Multidisciplinary team approach that includes 24-hour rehabilitation nursing care Yes NOT Required Three hours of intensive therapy five days a week Yes NOT Required Licensed and accredited for hospital level rehabilitation care Yes No

5 Study Shows Better Outcomes & Quality of Life! A recent study titled: Assessment of Patient Outcomes of Rehabilitative Care Provided in Inpatient Rehabilitation Facilities and After Discharge shows that patients treated in inpatient rehabilitation hospitals and units had better long-term clinical outcomes than those treated in nursing homes. - Study commissioned by ARA Research Institute, an affiliate of the American Medical Rehabilitation Providers Association, and conducted by Dobson DaVanzo & Associates, LLC. Nursing Home Rehabilitation hospital Over a Like St. Charles year period patients treated in inpatient rehabilitation hospitals who were clinically comparable to other patients treated in nursing homes... survey comprised of more than Went Home Earlier on average on average Similar patients who were treated in a rehabilitation hospital l returned home DAYS SOONER Remain Home Longer Rehabilitation hospital patients are able to be at home than those in a nursing home. DAYS LONGER and had fewer hospital readmissions. Patients who receive early, intense, coordinated treatment in a rehabilitation hospital live longer!

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8 St. Charles Hospital offers an innovative form of rehabilitation with Downtown St. Charles. This rehabilitation module is the only one of its kind on Long Island and provides patients the ability to experience the physical and cognitive challenges they may face in the real world following a life-altering injury or illness. Downtown St. Charles occupies 2,358 square feet on the fourth floor of St. Charles Hospital s inpatient rehabilitation unit. This unique rehabilitation environment simulates a typical community and is complete with a real life grocery store, café, a city street that includes curbs, a sidewalk, a stop light, a crosswalk, a real, full-sized car, a fully functioning three-room apartment and more. Downtown is a visually appealing, therapeutic environment for patients recovering from stroke, traumatic brain injury, orthopedic surgery, spinal cord injury or other life-changing injuries or illnesses. Patients learn to maneuver across streets, up curbs, in and out of a real car, around a fully functioning apartment, cook a meal, do their laundry, shop in a market, and use an ATM machine. They work on important life skills while still under the guidance and supervision of skilled therapists. This type of rehabilitation boosts self-confidence and helps patients return to the most productive and independent life possible.

9 Downtown St. Charles was an instant hit......with patients and therapists since the official opening in Many patients at St. Charles Rehabilitation have been away from home for weeks and even months. Downtown St. Charles looks and feels like a home and downtown street in any community. It provides a Town Square for visits with family and friends and a drop-down movie screen for group movie nights. Not long ago, a teenage boy was admitted to St. Charles Rehabilitation following a car accident. His mother commented that she had not seen her son smile since the accident - until the day he was brought into Downtown St. Charles. She stated that she was thrilled that his rehabilitation was going so well and that many of his motor skills were returning. She went on to say that it was the return of his beautiful smile that meant more to her than anything else. This innovative rehabilitation environment was three years in the making and surpassed all my expectations. We take for granted the ability to get out of bed in the morning, dress ourselves, and navigate around our home and community. Now, our patients have the opportunity to relearn skills such as navigating around the home and in the community, so that upon discharge they have achieved optimum independence. -Jennifer Semel, MD, Director, Physical Medicine and Rehabilitation

10 Our Car We ve relocated a full-size automobile to the fourth floor to provide patients with the ability to experience safe car transfers, preparing them for discharge. In the car, patients practice adjusting to moving around a confined space and objects such as a dashboard, steering wheel, and foot pedals. Patients also learn safe transferring of mobility equipment into the car trunk. Our Apartment Our fully equipped kitchen includes a working stove/oven, dishwasher, sink, refrigerator, washer, dryer and cabinets. Food can be prepared and cooked, dishes cleaned, clothes washed and dried and groceries put away. The bedroom features a twin bed that allows patients to practice safe transfers while the bathroom features a sink, toilet and bathtub. Our Market Our simulated grocery area is stocked with realistic produce and stocked shelves. The checkout counter features a cash register, bagging area, and check-writing platform. A hand-held shopping basket is available to assist with transporting groceries. The market is complete with a coffee bar. Mobility Tracks Varied floor surfaces such as carpet, tile, linoleum, and cement provide walking and wheelchair practice. A traffic light, programmed to the exact time it takes to cross a city street, allows patients the opportunity to practice safely crossing a street in a timely manner while still under the watchful eye of their therapist. An ATM machine and mailbox are featured along with curb cuts that model community settings. Our Town Square The Town Square is an attractive gathering spot decorated with a Tuscan theme with small tables and chairs where patients and their loved ones can visit over a cup of coffee. Computers with access to the internet are available for patients. A kiosk is available to patients and families featuring community and accessibility resources.

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12 Compassionate care for adults St. Charles Hospital s inpatient rehabilitation program provides care for adults with a vast range of conditions including, but not limited to: Amputation Brain Injury Cardiac or Pulmonary Conditions Hip Fracture Neurologic Conditions such as: Multiple Sclerosis, Guillain-Barre, Parkinson s Disease, Polyneuropathy Orthopedic Conditions Spinal Cord Injury Spine Disorders Stroke Traumatic Injuries The St. Charles approach to care challenges our patients to not only meet but exceed their goals. Treatment in our program begins with a thorough assessment of your needs. Both you and your family are key members of the rehabilitation team and you play an important role in the creation of your individualized treatment plan. Weekly team conferences and family meetings help guide and modify your treatment program. St. Charles Hospital employs the most technologically advanced rehabilitation approaches and equipment available today, while upholding a deeply felt commitment to each and every patient. Compassionate care for children Our inpatient program, including Long Island s only pediatric inpatient traumatic brain injury unit, is unsurpassed anywhere in the region. Children with brain injury, multiple trauma, cerebral palsy, and other injuries and disorders receive state-of-the-art care in our CARF accredited Pediatric Rehabilitation Program. All members of the child s treatment team meet weekly. Key members of the rehabilitation team are the child and parents. Both play an important role in the creation of the child s individualized treatment plan. Parents and our pediatric patients are involved with decision making every step of the way.

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14 Always a step ahead, then. At the height of the polio epidemic, St. Charles Hospital stood out as a beacon of hope. It was nationally recognized for its effective treatment of patients with infantile paralysis and for its role in helping the medical community turn the corner on this dreaded disease. The compassionate treatment of patients with polio is typical of St. Charles. Since 1907, Long Island s hospital for rehabilitation has overflowed with stories of miracles : the boy who was both blind and deaf, spoke for the first time and said, I am happy ; children with musculoskeletal disorders learning to walk, previously homeless children now laughing, playing and learning.

15 ...and now. Today, St. Charles is the premier center for rehabilitation on Long Island. More than 66 beds are dedicated to rehabilitation patients. In addition, St. Charles provides therapy services at eight outpatient facilities strategically located across Long Island. St. Charles is devoted to providing patient-centered rehabilitative care to facilitate adjustment to illness or injury, maximize your independence and ensure a safe transition back to the community. Your rehabilitation team will work with you and your family to assist you in returning to an active and productive life. As a hospital-based rehabilitation program, your medical needs can be effectively managed at St. Charles. Always striving to provide superior rehabilitative care to those in need, St. Charles has achieved CARF (Commission on Accreditation of Rehabilitation Facilities) accreditation in Comprehensive Integrated Inpatient Rehabilitation, Pediatric Specialty Programs, Stroke Specialty Programs and Outpatient Medical Rehabilitation for both adults and children. CARF is the highest level of rehabilitation accreditation available

16 Our commitment to teamwork gives everyone a place at the table. Each week, the rehabilitation team physiatrists, nurses, physical therapists, occupational therapists, recreational therapists, speech/language pathologists, psychologists, social workers, dietitians, and others as needed meets to discuss patients progress. Patients and their families are always an integral part of the rehabilitation team and their input is highly encouraged. Rehabilitation Nursing Rehabilitation nursing is a specialized from of care with the goal of returning patients to a maximum level of independence. Rehabilitation nurses possess unique expertise and are critical members of the rehabilitation team. Rehabilitation nurses perform standard nursing functions. In addition, they assist patients with ambulating, provide education and demonstrate the use of adaptive equipment. Most importantly, rehabilitation nurses collaborate with physicians, physical therapists, occupational therapists, speech/language pathologists, dietitians, social workers, case managers, pharmacists, respiratory therapists, and other members of the multi-disciplinary team to help patients reach their full potential.

17 Welcome from Jennifer Semel, MD Hope is a word we often use casually. We say I hope you have a good day and I hope you like it. At St. Charles Hospital, however, the word hope takes on an entirely different meaning. St. Charles Hospital was founded over a century ago to offer new hope for individuals with physical challenges. We remain committed to this mission today, as our experienced rehabilitation team partners with our patients, building new confidence and working towards a bright future. We welcome patients of all ages and all abilities to join us in taking the most important step-- your first step--at St. Charles. -Jennifer Semel, MD, Director, Physical Medicine and Rehabilitation

18 The best view comes after the hardest climb. The St. Charles Rehabilitation Network Our high quality care extends well beyond the hospital walls, helping to provide a continuum of care for patients discharged from a hospital setting. Eight outpatient facilities ensure that all individuals in need of rehabilitation on Long Island are within easy reach of St. Charles. 1. Port Jefferson (631) East Setauket (631) Smithtown (631) Patchogue (631) Centereach (631) Ronkonkoma (631) Melville (631) Albertson (516) Belle Terre Rd. Port Jefferson, NY (631) stcharlesrehab.org

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