Nontraditional Conditions for Inpatient Rehabilitation

There are many conditions that may be overlooked for inpatient rehabilitation stays due to the fact that they do not have the standard diagnosis of CVA, Spinal Cord Injury, or Orthopedic Surgery.  Following is a list of some of the other conditions that may benefit from an inpatient rehabilitation stay.
1) Debilitated status- may be due to any condition that is making the patient become progressively weaker with an increase in the potential for falls and injury causing a high risk for broken or fractured bones.
–Old CVA
–Diabetics with possible impaired sensation
–Parkinson's Disease
–Poor motor skills, decreased coordination
–S/P radiation or chemotherapy
–Recent hospitalization depleting strength or coordination
–Generalized weakness requiring correction prior to surgery
• Solution :
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A) Provide P.T., O.T, and S.T. (if indicated by condition for cognitive training, dysphasia and dysphasia training).
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B) Therapists and nursing will provide coordinated therapy safety techniques. Nurses supervise bowel and bladder training if applicable, and strengthening exercises.
C) Family/Caregivers will be brought in for training for the transition to home to maintain the continuity of patient care. The patient will be seen in follow up after discharge to help to prevent a reoccurrence       ( i.e. transfer training, back basics, etc.).
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D) A home exercise program will be provided and reviewed with the patient and family prior to discharge.
2) Orthopedic and muscular disorder
–Degenerative Joint Disease
–Generalized aches and pains
–Patients that are in discomfort and not surgical candidates  presently.
•Solution :
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A) P.T., O.T.,and nursing to provide muscle strengthening exercises, pain alleviating techniques, compensatory strategies, pacing techniques, medication education with patient/caregiver/family.
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B) Assess for special adaptive equipment as needed.
3) Pulmonary Disorders
–COPD, Emphysema,
–Respiratory dysfunction
•Solution :
A) P.T., O.T.,S.T., nursing to educate patient and family on pacing activities, respiratory assessment and treatment as recommended by physician and respiratory therapist with focus on energy conservation techniques.
B) Dietary recommendations for decreasing fluid retention and maintaining health. 
4) Chronic care needs
–Wound care needs
A) Provide exercises designed to release contractures and increase range of motion.
B) Bowel and bladder training for incontinent  patients.
C) Wound care with family education on management and prevention.
D) Family and patient education on urinary tract infection management.
E) Family Education on how to handle the patient at home safely.
F) Dietary assessment to meet nutritional needs.
Inpatient rehabilitation is capable of meeting many health care needs with the focus being on patient and family education.  We encourage family participation and our goal is to obtain the highest level of function possible for our clients.