Habilitation and rehabilitation

EX-Center’s multi-disciplinary team consists of coordinator, doctor, occupational therapists, physical therapist, psychologist, and a social welfare agent. Our strength lies in the very close cooperation we have in the team, centred on the patient. Our treatment philosophy is that the patient’s needs and wishes determine the treatment.

Habilitation and rehabilitation have many different elements, but we always try to work with an all-inclusive perspective, with the focus on the individual.

EX-Center performs medical, physical therapy, and occupational therapy investigations. The review can determine how continued habilitation and rehabilitation should be set up. This can entail, for example, suggestions for changes in the patient’s work place, home, school, or day care. It can also be about physical training, new assistive technology, or quite simply a way to perform an activity in a new and perhaps different way.

EX-Center has extensive experience of special adaptations, assistive devices and practical strategies that can simplify your everyday life. We can give you advice about modifications of the home, school, and working environments, and the car. We can also help with ideas, contacts, and possible adaptations for recreational activities for both children and adults.



EX-Center can offer psychological and social support of various kinds for life’s different stages. Here you can find guidance for problems in school, education and work, and get help with various forms of social and financial support. EX-Center can function, when needed, as support in contacts with different authorities and with handling of legal cases.

We know how useful it can be to meet someone who is in a similar situation. EX-Center always tries to organize a meeting between you, your family or those close to you, and a role model (a person with functional disabilities similar to yours), who is willing to share some of his/her experiences.

EX-Center has a great deal of knowledge and experience with prostheses and of how it feels to live both with and without prostheses. We can give you assessments and advice on both arm and leg prostheses, and can also take care of both fitting and training. Here in our hospital we have our own arm prosthesis unit and a “walking school”. We also work closely with two Swedish orthopaedic workshops – OT-Center and Olmed.

As a patient at EX-Center, you will receive a personal welcome and care. Your visit here is set up and adapted just for you and your needs, and can be planned in cooperation with your own care team, if you like.

The first visit often requires about four days, if you live far from Stockholm. You can stay at patienthotellet Mörby (the Mörby patient hotel) at Danderyd Hospital, where you can have a personal assistant stay with you if you need help. If you live nearby you can live at home and meet the team in one or several sessions per day. Coming to EX-Center usually requires some kind of referral. Contact us and we’ll help you work out the details.

Coordinator’s role

Our coordinator takes care of all contacts before, during, and after your visit at EX-Center, and functions as a unifying link both inside and outside EX-Center.

The coordinator’s tasks for patient visits include:
- giving support and advice on obtaining any specialist care referrals
- sending out a questionnaire to the patient
- obtaining relevant patient records and X-rays 
- making bookings for lodgings, meals, and trips
- setting up schedules, in cooperation with the rest of the team
- locating and inviting role models
- sending out doctors’ referral responses and the team’s journal notes to the referring doctor after the visit, and sending copies of all documents to the patient
- supplying supporting documentation for invoicing

Doctor’s role

The orthopaedic doctor has the medical responsibility. The doctor’s assessment and investigation include:
- determining and eliminating various sources of pain, with the aid of X-rays
- prescribing medications if needed
- writing medical certificates for sick leaves, car supply, home modification and assistive devices
- determining whether other specialists should be consulted
- writing prescriptions for prostheses/orthotics or specially adapted assistive technology

Physical therapist’s role

Based on the questionnaire that you will be asked to fill out, the physical therapist gets a picture of your special problems, including various forms of pain. She/he can help you find a physical therapist near your home. The physical therapist’s assessment and examination include:
- analyzing what the patient can do or cannot do
- studying mobility, balance and walking
- giving physical therapy treatment
- designing a personal training program
- trying out leg prosthesis/es and walking practice with prosthesis/es

Occupational therapist’s role

The occupational therapist, like the physical therapist, gets a picture of your special problems from the questionnaire. What do you want to do? What can you do? What would you like to be able to do? Your needs guide what we do. The physical therapist makes assessments and does examinations. The work includes:
- activities of daily living (ADL), with reference to personal care, residence, work and recreation
- ergonomics
- assistive technology
- modification of your environment at home, school or work
- providing certification for assistive devices, and for home, school, and workplace modifications
- arm prosthesis trying out and training

Psychologist’s role

Our psychologist can give individual support sessions, and can also arrange continued therapeutic contacts at home. Some examples of psychological support are: 
- pain/pain management
- stress and de-stressing /relaxation
- your own situation
- accepting your limitations
- accepting your functional disability
- dealing with the reactions of others

Social welfare agent’s role

The medical social welfare agent can help with social, financial and personal issues, and can also offer psychosocial guidance and information.

Thalidomide assessments

More information will be posted here soon.

Information

The staff of our Information section are important people on our multidisciplinary team. They work informally. This allows for discussion of things like problems, possibilities and personal feelings in a relaxed way, and in an atmosphere of equality.

The coordinator will offer you the opportunity of meeting someone with a functional disability that is similar to yours. This is meant to be a very informal meeting at which you can exchange experiences.

You will also get a demonstration of EX-Center’s Internet database of tips and ideas at: http://www.tipbase.org/

During your entire visit at EX-Center you’re always welcome to drop into the Information section for a cup of coffee and a chat.


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