Loss of independence is frightening and troublesome for many individuals
and their families. A stroke, serious injury, auto accident, hip fracture,
neurological issues, complicated by other health problems, and even a
long illness can make it difficult to perform daily activities again.
Garden City Hospital’s physical therapy and rehabilitation services
are available to patients with a wide variety of conditions who need help
regaining motion, strength, and independence. Both inpatient and outpatient
rehabilitation services are available. Decisions regarding patient care
are made on an individual basis by a team of rehabilitation health professionals.
Our inpatient rehabilitation unit focuses on helping individuals help themselves
to regain their maximum level of independence. Physical therapy and rehabilitation
services are available to patients with a wide variety of conditions who
need help regaining motion, strength, and independence. Three months after
discharge from the unit, 99 percent of patients maintain or improve functional
ability. The GCH rehabilitation team highlights abilities, not disabilities.
With staff assistance and encouragement, patients strive to do many activities
on their own. Patients get up and dressed every morning and follow a busy
schedule all day. Caregivers are invited to visit during therapy sessions
to observe, participate and be educated in the treatment programs.
Inpatient Rehabilitation Hospital Care
When patients reach Garden City Hospital’s inpatient rehabilitation
unit, their medical condition has been stabilized and emphasis is put
on how they can help themselves through the unit's team efforts. Care
focuses on short- and long-term goals, which are directed by the attending
physician specializing in physical medicine. The doctor is supported by
a team of professional rehabilitation specialists who determine current
capabilities and monitor patient progress. The staff works closely with
loved ones, who are essential members of this team.
The attending physician is a physiatrist, a specialist in physical medicine
and rehabilitation. This doctor will direct the patient's total rehabilitation
program. In addition, the hospital has a staff of internists, urologists,
neurologists, orthopedists, cardiologists and many other specialists who
are available if medical problems arise.
Rehabilitation nurses will help the individual use all the skills they
are learning in the various therapies and apply them throughout their
stay. These include eating, dressing, toileting and mobility or moving
about. Rehab nurses foster independence around the clock, teaching patients
and their families how to apply the knowledge and skills in preparation
for discharge home. The rehab nurses work to create an atmosphere of wellness
on the unit, promoting the best possible health for the patient.
The physical therapist provides treatment based on an initial evaluation,
which includes an assessment of pain, joint motion, muscle strength and
the ability to move functionally. Based on the patient's individual
need, emphasis will be placed on bed mobility, transfers, gait training,
stair climbing and balance. The physical therapist will work closely with
the patient and family to educate them regarding safe and proper procedures
for mobility, as we work toward independence.
The occupational therapist (OT) will instruct the patient on skills redevelopment
to achieve their highest level of independence and safety in routine daily
activities. These include feeding, dressing, grooming, bathing, toileting
and home management skills. The OT evaluates strength, coordination, sensation
and the ability to care for oneself. This includes the design of a treatment
program to meet the unique needs of the patient. The OT may recommend
new techniques and assistive devices that can be used in performing daily
activities. The patient and family will be educated on safe and proper
procedures for self-care.
The speech-language pathologists address the patient's understanding
of speech, reading, speaking, writing, thinking and memory skills needed
for everyday activities. In addition, the speech-language pathologist
is trained to help with any swallowing difficulty due to accidents or illness.
The goal of management is the provision of quality and cost-effective healthcare
services. Together with the rehabilitation team, the case manager organizes
rehab services to promote optimal outcomes for the patient. The case manager
identifies potential challenges or complications in the rehab process,
establishes goals, updates the family and team and implements and evaluates
A rehabilitation social worker keeps patients and loved ones informed weekly
of progress, goals, barriers to discharge and estimated length of stay.
In addition, they will help examine possible discharge options and explore
community resources. The social worker is available to help all involved
as they cope with emotional and discharge planning issues that may result
from accident or illness.
A Certified Recreation Therapy Specialist evaluates and provides therapy
for patients for community reintegration, leisure time and socialization.
It is an important aspect of the rehabilitation program for the individual
to have a quality life, focusing on abilities, not disabilities. Group
activities, such as meals, pet therapy, and themed gatherings are goal
focused, supportive and assist the patient in returning to the community faster.
Psychological stress following an injury or illness can become a serious
problem which could interfere with rehabilitation and adjustment. A psychologist
is available at Garden City Hospital to help patients cope with this stress
and assure rapid progress through the various stages of a rehabilitation program.
To find out more about Inpatient Rehabilitation Services at Garden City
Hospital, call 734-458-4395. For a Garden City Hospital physician, go to
Find a Doctor or call the Physician Referral Line at 877-717-WELL.