After the first day, patients attend scheduled appointments determined by their individual needs, insurance benefits and preferences. Upon arrival, they'll have a locker to store personal items and a lounge area with recliners to rest in outside of therapy sessions. Throughout the day, patients are involved in both individual and group therapies as necessary. They generally occur in the gym area, Independence Square, pool, vision clinic or out in the community, depending upon specific needs. School-aged patients may spend time in the Therapeutic Learning Center. Patients take a break for lunch during the noon hour and can buy a meal in the cafeteria, bring one from home or leave for outside food. During the day, an outpatient nurse is available to perform skilled procedures such as intermittent catheterization, wound care, monitoring of blood pressure or lab work as ordered by a physician. The nurse is also available to answer questions or provide education and will facilitate an appointment with one of Madonna's rehabilitation physicians if necessary during the patient's stay.