The Health and Rehabilitation Center at TGMC
The mission of the Health and Rehabilitation Center is to help our patients through a journey that will hopefully end with them finding a newfound sense of independence and an improved way of life.
Goals of the Center
We will provide a complete and comprehensive assessment of each patient's medical and psychological condition before we plan a course of rehabilitation.
The goal of our services is to maximize the individual's potential in the restoration of function, and to help the individual make adjustments through the integration of other services.
The atmosphere of the Health and Rehabilitation Center is warm, open and supportive. Patients, family, and staff become partners in developing the skills of the patient.
We focus on the individual's abilities rather than disabilities so as not to hinder the purpose of our team approach toward completion of treatment goals.
The Rehab Team
Patients come to the unit as the result of any number of disabilities: a spinal
cord injury, a closed-head injury, a stoke, an amputation, or various other
orthopedic and neurological disorders.
Our rehab team approach has helped hundreds of disabled patients to build the
strength, capability, and confidence needed to achieve functional independence.
Each patient's individualized program involves specialists from some or all of
the following disciplines:
- A medical physician, who is specially trained in rehabilitation, oversees the rehab program, supervises the staff and directs each patient's medical treatment.
- The rehabilitation director is responsible for day-to-day operations of the program and assures each patient receives the treatment and activities designated by the team.
- Rehabilitation nurses oversee patient care around the clock and help the patient, along with the family, improve the patient's independence.
- Physical therapists work to develop the patient's skills such as transferring, sitting, standing, walking, or getting around in a wheelchair, so the patient can be as functional and independent as possible. Exercises and activities are designed to build confidence, strengthen muscles and improve endurance and coordination. Physical therapists visit the home to make home evaluations, if needed. After viewing the accommodations, they recommend any safety improvements or accessibility changes that might be needed for the return home.
- Social workers work together to help the patient and family deal with the overwhelming feelings of fear, anger, and desperation so common in the early stage of a disability . Patients and families are encouraged to identify and cope with these feelings through individual and group therapy sessions. They also work in planning the transition from hospital to home.
- Speech-language pathologists provide an individual therapy program to treat cognitive, language, or speech disorders that may interfere with the patient's communication abilities. In addition, speech-language pathologists also aid in swallowing problems.
- Occupational therapists challenge each patient to perform tasks of everyday living such as eating, dressing, meal preparation, laundry, and cleaning. Occupational therapists may also make a home visit to recommend any safety improvements or accessibility changes. Therapists can also advise a patient on returning to work or resuming driving.
- Therapeutic activities include a therapeutic recreational specialist who works with other members of the rehabilitation team in meeting all the aspects of a patient's life. We work hard to help patients choose rewarding leisure activities which contribute to the achievement of overall therapeutic goals.
- Pet Therapy is one example of therapeutic activities that occur. Therapy dogs visit the rehab patients which assists orthopedic, neurological and cardiac patients in their recovery. Rehabilitation is enhanced with animal assisted activities, plus it also serves as a time for patients to share their own pet stories.
The Patient's Family
- Our staff works closely with the patient's family to develop decision-making responsibilities and to encourage and assist the patient in reaching those goals. The family is also instructed in patient care if the patient is to go home.
- Our dietitian provides the patient with special diets and counseling when ordered by the physician. They will also monitor the patient's nutritional status during the stay at the Health and Rehabilitation Center.
- Skin care specialists, neuropsychology, vocational counseling, audiology, orthotics, prosthetics, and physician referrals/consultations are also available.
- The rehabilitation program utilizes a team approach when assisting a patient in adjusting to the community by planning activities such as shopping, movies and dining out.
The Admitting Process
Each patient, after being referred by his/her primary physician, will be thoroughly evaluated by our Medical Director. The Medical Director is responsible for authorizing a patient's admission into the program.
The following criteria must be met for a patient to be admitted to the Rehab Unit:
- Patient requires more than one form of therapy;
- Patient is medically stable and exhibits sufficient endurance to complete a comprehensive rehabilitation program;
- Patient and his/her family demonstrate a willingness to be involved in a rehabilitation program;
- Patient has the potential to make significant gains in functional capabilities;
- Patient meets other regulatory guidelines.
Common Functional Problems
The Health and Rehabilitation Center also treats the following functional problems:
- Weakness or limited motion in arms, legs, or trunk;
- Balance and coordination problems;
- The inability to swallow;
- The inability to move from one place to another (e.g. bed to chair);
- Cognitive/Perceptual deficits;
- The inability to perform activities of daily living such as eating, grooming, dressing, bathing, homemaking;
- Speech and language problems;
- Emotional problems that interfere with the ability to function or interact with others;
- The inability to pursue leisure activities;
- The inability to work;
- The inability to function in the community;
- The need to adapt medical treatment to the home setting (e.g. skin care, bowel and bladder management, medications, etc.).
Patient's Role in Recovery
The patient is the most important person on the treatment team. Recovery takes patience, hard work, motivation, acceptance, and re-learning. Here is what can be expected in each of these areas:
- Hard work means therapy sessions four to six times every day along with the patient doing more and more for himself/herself as the stay progresses.
- Motivation is the key ingredient in recovery. If the patient wants to get better and is willing to do the work, he/she is already on the road to recovery.
- Acceptance can also play a major role in recovery. Depending on the illness or injury, the body may reach a plateau of healing before it is at the level of functioning it was before the injury or illness. A patient must accept these changes and learn new ways to do some activities.
- Re-learning is necessary in many areas. A patient may need to learn the skills to walk, talk, or dress one's self again. We will help a patient learn alternative ways of adapting to changes in life.
- Patience is required since recovery is rarely quick and easy. A patient will see small areas of improvement that become major progress.
A Typical Day at the Health and Rehabilitation Center
Awakened by nurse, wash, and take medications.
Dressing and self-care training with the occupational therapist.
Breakfast with other rehab patients, or preparation of one's own breakfast with
help of the occupational therapist.
Speech therapy, therapeutic activities, occupational therapy, and physical
therapy are scheduled in 30 - 45 minute treatment sessions.
Lunch with other patients, preparation of one's own lunch in the occupational
therapy kitchen, or participation in Lunch Group (if there is difficulty
chewing, swallowing, or self-feeding.)
Speech therapy, therapeutic activities, occupational therapy, and physical
therapy are scheduled in 30 - 45 minute training sessions.
Rest time/Visiting hours.
Visits with family or leisure activities such as music, games, cards, crafts,
special events, or discussion groups.
*Patients will receive one session of occupational therapy and physical therapy
on Saturdays. There is no therapy on Sunday.
We know that the costs of rehabilitation can be a big concern. We will assist in verifying insurance/medical coverage, and will pre-certify care with the insurance company. We also accept Medicare, Commercial Insurance, Worker's Compensation, and self-payment.
What to Expect
During the first day on the rehab unit, a patient is oriented by one of our staff to ensure that the patient and the family understand the goals of the rehabilitation unit, as well as the daily routine.
A patient will also meet the physician and other team members responsible for the care the patient will receive at the Health and Rehabilitation Center.
A social worker may schedule a family conference soon after admission to review the treatment plan, discuss personal goals, develop new treatment plans and determine a projected discharge date.
At this time, we will also review the responsibilities and the important role the family will have in rehabilitation process.
The most important goal in rehabilitation is to prepare for a patient's discharge home. A patient will have the opportunity to practice skills learned in the hospital during outings we call Therapeutic Community Visits, or "passes."
Prior to each pass, family members will learn about the patient's needs, such as how to do a car transfer or techniques for feeding and toileting.
For a Pleasant Stay
The Rehabilitation Center wants its patient's stay at Terrebonne General Medical Center to be as pleasant and comfortable as possible. This information can help make it just that!
- Comfortable clothing (sweatsuits and non-skid shoes) is recommended. Bring at
least three days' worth of clothing, including socks, underwear, and grooming
items such as shampoo, soap, shaving items, makeup, brushes, or combs.
- We ask family members to take personal laundry home. Later, an occupational
therapist may assist the patient with laundry as a part of therapy.
- Mail and flowers are delivered to the hospital daily and will be brought to the
patient's room. Outgoing mail is processed on a daily basis.
- TGMC is a smoke-free facility. Smoking is not permitted inside the building.
- Patient meals are served at approximately 8 a.m., noon, and 5 p.m. The cafeteria and food court
are open to visitors. Vending machines are available throughout the hospital around the clock. A dietitian is
available at scheduled times upon request. If indicated by the physician, the
patient may be required to follow special feeding instructions.
- Clergy are welcome to visit. A directory for the area is available at the
Television and Telephone
- Television and telephone services are available at no extra charge.
Accomodations can be made by the nurses.
- Scheduled visiting hours are from 4-8 p.m. on weekdays, noon-8 p.m. on
Saturdays, and 8 a.m.-8 p.m. on Sundays. Special arrangements can be made for
out-of-town visitors or individual circumstances.
- Terrebonne General Medical Center is not responsible for the safety of a
patient's valuables. Therefore, we recommend that these items be left at home.
- Our community room is available to patients and their families. It is utilized
at meal time, but may be used the rest of the day to entertain visitors, watch
television, use the telephone, or relax.
Visits From Family and Friends
- Visits from friends and family are good therapy! Official visiting hours are listed above, however, we like to be as flexible as possible since many families and friends must come from out-of-town. For safety concerns, children under 12 must be supervised by an adult at all times on the rehabilitation floor. There may also be a time limit on such visits. All visits by children must be approved by a nurse. Our primary concern is that such visits do not interfere with therapy sessions or regular routines. On occasion, the family will be invited to become involved in therapies so that they can better understand and participate in the recovery process.
- For safety reasons, a bed or wheelchair alarm may be used. Also, family members may be asked to stay with their loved one when additional supervision is needed. We ask that family members refrain from attempting to transfer or walk patients without specific permission or instructions from the physician.
- Parking is located in the TGMC parking garage on Belanger Street. TGMC also has several lots adjacent to the hospital available for parking, including lots served by shuttle bus that are located on underneath the Intracostal bridge and at the corner of Liberty Street and Main Street.
- Terrebonne General Medical Center's Health and Rehabilitation Program is dedicated to meeting and maintaining nationally recognized standards that assure quality treatment and evaluations for our patients. Terrebonne General is fully accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF) and the Joint Commission on Accreditation of Healthcare Organization (JCAHO). Our staff is active in many professional organizations.
Terrebonne General Medical Center's Health and Rehabilitation Program maintains a policy of equal opportunity in the admission and treatment of all patients without regard to race, color, religion, age, sex, national origin or handicaps.