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Hospitals, Facilities and Services > St. Vincent's Hospital Manhattan > Physical Medicine and Rehabilitation > 


Admission, Exclusion, and Discharge Criteria

To be admitted for inpatient rehabilitation, the patient must: 
 

  • Have a rehabilitation diagnosis, treatable through a rehabilitation program. (Outlined in physiatrist consult)
  • Be medically stable to participate in therapy
  • Have a demonstrated need for 24-hour a day rehabilitation nursing needs
  • Demonstrate a potential to improve in a timely manner (generally weekly significant gains)
  • Be motivated, cooperative and willing to actively participate in the rehabilitation treatment plan
  • Have an appropriate plan for discharge once rehabilitation goals have been met
  • Be able to tolerate three hours of intensive therapy services five to six days a week
  • Might be admitted for a short, intense multidisciplinary evaluation.
     

 To be excluded from inpatient rehabilitation, the patient must: 
 

  • Be in a comatose state
  • Have severe and chronic confusion or disorientation
  • Have severe cardiac limitations
  • Suffer from acute illness
  • Suffer from severe mental illness
  • Have conditions requiring care that the program cannot provide because a specific service is required or because of staff limitations
  • Have Extensive decubitus or other extensive skin ulcers that would limit the patient's participation in a rehabilitation program

To be dischraged from inpatient rehabilitation, the patient must: 
 

  • Have achieved his/her stated rehabilitation goals, and additional functional improvement is not anticipated
  • No longer require an intensive, interdisciplinary treatment program and can achieve further progress toward established rehabilitation goals in a less intensive setting
  • Have had no change in functional status as documented through two consecutive team meetings
  • Have medical complications that preclude an intensive rehabilitation efforts
  • Not exhibit the functional improvement that can be achieved within a reasonable amount of time during a trial evaluation period
  • Refuse to participate in an intensive inpatient rehabilitation program