INFORMATION FOR PATIENTS AND FAMILILIES
Marquette General Hospital is home to the only Comprehensive Acute Rehabilitation Unit in the Upper Peninsula of Michigan.
The Rehabilitation Unit assists those who require early, intensive therapies to: Recover from injury or illness; Achieve maximum function; Improve quality of life; and Return home.
The Rehabilitation Unit focuses on the 'total patient', not just one aspect of the injury or illness. The comprehensive program features a full complement of Rehabilitation Unit services tailored to each patient based on his or her needs, tolerance for therapy and desired outcomes.
The Rehabilitation Unit services are provided by a professional team including; daily Physician evaluation, Rehabilitation Nursing, Physical Therapy, Ocuupational Therapy, Speech Therapy, Social Work, as well as ancillary services and access to medical specialists.
Following an accident or illness, a person’s body and mind may not function as they did before. The purpose of Rehabilitation Unit is to teach the mind, train the body, and lift the spirit to restore as much self-reliance as possible.
The Rehabilitation Unit has a multi-disciplinary treatment team focusing on patient improvement in self-care and Activities of Daily Living (ADL). Patients work to relearn skills like getting dressed, handling personal hygiene, and safety. Patients wear street clothes and learn to be increasingly self-sufficient.
Marquette General Rehabilitation Unit is a 20-bed unit providing 24-hour Rehabilitation Nursing care and is designed to meet the needs of rehabilitation patients. Semi-private rooms are large and the entire Rehabilitation Unit encourages social activities, with a large group dining and activity room, open visiting areas, and an outdoor atrium for fresh air. All patient rooms are furnished with telephones, a color television with cable channels and free WiFi.
The daily routine on the Rehabilitation Unit includes Physical Therapy, Occupational Therapy and Speech Thearpy. Patients work on activities to increase functional independence such as getting in and out of bed, bathing and dressing, and walking or using a wheelchair. Patients also work on increasing strength, balance and endurance.
The scope of rehabilitation is comprehensive, goal-oriented, and interdisciplinary.
Goals during the coarse of treatment focus on:
Achieving maximum function
Achieving an acceptable quality of life
Addressing specific needs
Becoming an active participant in decision making
Adjusting to a changed lifestyle
Promoting an optimum state of wellness and preventing complications
Returning to the community
Patients will benefit from:
Rehabilitation focuses on the total patient, not just one aspect of the disease process. Rehab nurses assist the patient in meeting needs by acting as teachers, coaches, and advocates for the patient. Rehabilitation is a collaborative practice involving all professionals on the team.
MULTIDISCIPLINARY TEAM APPROACH
• Board certified Physical Medicine and Rehabilitation Specialists, Inpatient Medical Directors
• Daily access to Medical Director of the Inpatient Rehabilitation program
• Access to Physicians in other specialties and subspecialties
• Certified Rehabilitation Nurses
• Provide 24 hour Specialized Rehabilitation Nursing care
• Educate, teach, coach and advocate for patients and caregivers
• Reinforce what is learned in therapy
• Help patients improve functional mobility
• Treat musculoskeletal and neurological problems
• Focus on strength, endurance, range-of-motion, gait, body mechanics, posture and pain control
• Possess knowledge of special equipment if needed (wheelchair, walker, cane, etc…)
• Care for amputees and provide prosthetic training
• Help patients regain skills needed for increasing independence with Activities of Daily Living (ADL's)
• Focus on improving strength, coordination, and sensation to increase daily function
• Build on skills needed to return to home, work, community
• Determine adaptations or special equipment required for independence in ADL's (bathing, dressing,cooking, etc.)
• Evaluate and treat patients to overcome swallowing disorders, speech, language or communication problems
• Teach ways to improve memory, problem solve, understand written and spoken words, express wants and needs
• Assist patients with increasing insight, understanding and thinking for daily coping
• Counsel patients and families, assist with adjusting to new situations
• Plan for discharge and set up services needed after discharge (home health, outpatient services, etc…)
• Coordinate and assist with questions regarding insurance and financial concerns
Team conferences are held within the first week of admission to develop an initial program plan. Team conferences will then occur every week to assess progress. The progress and goals are communicated with the patient and family. When it is time to be discharged from the Inpatient Rehabilitation Unit, the team will meet once again to determine final recommendations and review with the patient and family.
Families and caregivers are highly encouraged to participate in therapy sessions. family/caregiver involvement is critical to the patient's sucess upon leaving the Inpatient Rehabilitation Unit. An adult should supervise visiting children at all times.
AVERAGE LENGTH OF STAY
The average length of stay for Inpatient Rehabilitation is 11-12 days. Length of stay is determined by a number of factors, including the ability of the patient to participate in therapy sessions, the potential to make significant improvement and supports available upon discharge. Lengthof stay will be decided after admission to the Rehabilitation Unit.
It is important to think about discharge plans from the Rehabilitation Unit even before a patient is admitted. Families should identify people who can provide support (care, supervision, housekeeping, etc.) if necessary when a patient is discharged. Although everyone is hopeful of significant improvements after a stay on Rehabilitation, alternative arrangements need to be considered in the event that a patient does not make enough improvements to return to their prior living situation. Alternative arrangements that may need to be considered are moving in with a friend or relative; having a friend or relative live with the patient; or consider moving to a different home, assisted living facility or nursing home.
Discharge From The Rehabilitation Program
Discharge plans are initiated on the day of admission to the Rehabilitation Unit. The patient support systems are identified and the discharge disposition as well as an alternative discharge plan will be reviewed at the patient’s first Rehabilitation team conference.
Patients will be discharged from the rehabilitation program when the following occurs:
• The patient has achieved his/her stated Rehabilitation goals
• An intensive, interdisciplinary treatment program is no longer required and further progress toward established rehabilitation goals can be achieved in a less intensive setting
• Additional functional improvement is not anticipated
• The patient’s functional status has not changed as documented in team coonferences
• Medical complications preclude an intensive rehabilitation effort
• During a trial evaluation period, the patient does not exhibit the functional improvement that can be achieved within a reasonable amount of time
• The patient refuses to participate in an intensive inpatient rehabilitation program
ADMISSION CRITERIA FOR CLINICIANS
CRITERIA FOR ACUTE REHABILITATION UNIT CARE
A patient is appropriate for Acute Inpatient Rehabilitation if they:
Require daily access to a Rehabilitation Physician who will oversee the patient's medical needs and plan of care
Require 24-hour Rehabilitation Nursing
Are able to tolerate Therapy (PT, OT, ST) three hours per day, five out of seven days per week
Require at least two types of Therapy
Have the ability to achieve Rehabilitation goals in a reasonable period of of time (average length of stay 11-12 days)
Services are provided for diagnosis including:
Debility and Deconditioning
Major Multiple Trauma
Neurological Disorders (including Multiple Sclerosis, Parkinson's, Polyneuropathy)
Spinal Cord Injury
THE REFERRAL PROCESS
Patients can be admitted to the Rehabilitation Unit from home, a hospital, or other type of facility. Every potential patient will receive an assessment/evaluation by a member of the Rehabilitation team to determine if the patient may benefit from a comprehensive Rehabilitation program. There is no charge for this evaluation. The Rehabilitation Unit Medical Director is responsible for authorizing a patient's admission to the Rehabilitation Unit.
Medical Information Required:
Marquette General Rehabilitation Unit accepts most major insurance carriers, including Medicare and Medicaid. Benefits and pre-authorization will be obtained prior to admission.
For Further Information Or To Make A Referral Contact:
906-225-3190 Marquette General Rehabilitation Unit
906-225-3194 Carl Eiben, MD Medical Director
906-225-3661 Ellen Symons, RN Program Director
906-225-3190 Terry Dahlstrom, RN Clinical Director
906-225-3171 Denise Mattson, RN Admissions Coordinator
906-225-7129 Debra Nance, MA Community Relations Coordinator