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Rehabilitation

Our Mission

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.

Visiting Hours

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.

Locate a TGMC Physical Medicine and Rehabilitation Physician today!

Treatments

 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.).

Outpatient Lymphedema Therapy

Lymphedema, an accumulation of protein-rich fluid in the superficial tissues, is a very common and serious non-curable condition. Lymphedema can either be primary or secondary.

  • Primary Lymphedema is caused by congenital malformations of the lymphatic system, in which symptoms may present at any time during life.
  • Secondary Lymphedema is more common and is caused by damage to the lymphatic system through surgery, radiation therapy, scarring and infection. Post-mastectomy lymphedema of the arm caused by breast cancer treatment is also very common.

 Complete Decongestive Therapy (CDT)

CDT is a combination of techniques used to manage lymphedema, and consists of four basic components:

1. Manual Lymph Drainage (MLD), also known as the Vodder Technique, is a gentle manual technique that improves the activity of the lymph vessels and manually reroutes the protein-rich fluid to a healthy portion of the lymphatic system. This is performed daily in the first phase of therapy.  MLD is also successfully used in the treatment of post-surgical and post-traumatic swellings, sports injuries, severe venous insufficiencies, amputee stump swelling, migraine headaches, rheumatoid arthritis and fibromyalgia.

2. Compression Therapy prevents re-accumulation of the protein-rich fluid by increasing the tissue pressure. In phase one of therapy, this is achieved with the application of multi-layered short-stretch bandages, which are worn 23 hours per day. Phase two of therapy is a life-long phase in which compression therapy is achieved through compression garments that are worn during the day. In some cases, application of short-stretch bandages may be needed at night.

3. Decongestive exercises performed by the patient and breathing techniques aid the lymphokinetic effects of the joints and muscle pumps.

4. Meticulous skin care is crucial due to serious complications that can be caused be cellulitis or fungal infections. Teaching skin and nail care techniques are essential parts of CDT.

To learn more, please contact TGMC's certified lymphedema therapist at 985-873-3555. 

Outpatient Lee Silverman Voice Treatment

Terrebonne General Medical Center offers Lee Silverman Voice Treatment (LSVT) at our Outpatient Therapy Services clinic by a trained and certified LSVT therapist.

The LSVT treatment is an effective speech and voice treatment for individuals with neurological disorders, such as Parkinson disease, stroke, and multiple sclerosis.  LSVT focuses on improving vocal loudness by exercising the muscle of the larynx (voice box) and speech mechanism.  LSVT also incorporates sensory awareness training with motor exercises.

Approximately 89% of patients with Parkinson disease have speech and voice problems, which include the following:

  • Reduced loudness
  • Unclear speech
  • Monotone
  • Vocal tremor
  • Hoarseness
  • Rapid rate

 Results and information regarding treatment of individuals with Parkinson disease and other neurological disorders:

  • Over 400 individuals with Parkinson disease have been treated with the LSVT in efficacy research studies
  • LSVT improves both the voice and speech of individuals with Parkinson disease by treating physical pathology associated with the disordered voice
  • The LSVT is administered on an intensive schedule of 16 individual sessions in one month
  • 90% of patients improve from pre-treatment to post-treatment
  • Approximately 80% of patients maintain improvements in their voice for 12-24 months post-treatment
  • All patients report improvement in their ability to communicate

To learn more, please contact the TGMC Outpatient Therapy Office at 985-873-3555. 

Outpatient Balance

Balance is vital to normal everyday life activities such as getting out of a chair, walking, bending over to put your shoes on, washing your hair, driving a car or going grocery shopping.  Just about everything you do in your daily life, whether for work or leisure, requires balance control.

  • Loss of balance and mobility are not inevitable as we grow older
  • Sudden falls in older individuals, however, are of concern because the incidence of balance problems increase significantly with age

 Why do we lose our balance?

  • Decreased strength and flexibility due to inactivity are contributing factors to poor balance. Our sense of balance and slow reaction time decline as we age but a regular exercise program has been shown to reduce the risk of falls.
  • Medications can also affect your balance or make you feel dizzy. Sometimes older adults take numerous medications, and drug interaction can cause dizziness or disequilibrium.
  • Vertigo can be associated with falls. Dizziness can be constant or intermittent.  Certain movements or positions may cause you to feel dizzy or nauseous.
  • Neurological problems such as stroke, Parkinson disease, head or spinal cord injury, and peripheral neuropathy can also affect your balance.
  • Other health conditions that increase your risk of falls include:
    • Auditory problems (hearing loss, inner ear infections, labyrinthitis)
    • Visual impairments
    • Cardiovascular diseases
    • Respiratory problems
    • Orthopedic disabilities

Vestibular rehabilitation is a part of our physical therapy balance program to treat people with balance or vertigo problems.  Exercises promote stability and confident as your symptoms of dizziness, fatigue, and the fear of falling diminish.

If you are dizzy or have fallen recently, or feel that you are at risk for falling, discuss your concerns with your doctor. TGMC provides state-of-the-art balance equipment, The SMART Equitest, with therapists specially trained in this area.

To learn more, please contact the TGMC Outpatient Therapy Office at 985-873-3555.

Accreditation

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.

First Step

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

Financial Information

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.

Patient Experience

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.

 

 

 

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 - 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 - 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 - 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 - 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 - 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

6:30-7:30 a.m. Awakened by nurse, wash, and take medications.

7:30 a.m. Dressing and self-care training with the occupational therapist.

8:30 a.m. Breakfast with other rehab patients, or preparation of one's own breakfast with help of the occupational therapist.

9 a.m.-noon Speech therapy, therapeutic activities, occupational therapy, and physical therapy are scheduled in 30 - 45 minute treatment sessions.

Noon 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.)

1-4:00 p.m. Speech therapy, therapeutic activities, occupational therapy, and physical therapy are scheduled in 30 - 45 minute training sessions.

4:30 p.m. Rest time/Visiting hours.

5 p.m. Dinner

6 p.m. 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.

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:

Physician/Medical Director

A medical physician, who is specially trained in rehabilitation, oversees the rehab program, supervises the staff and directs each patient's medical treatment.

Rehabilitation Director

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

Rehabilitation nurses oversee patient care around the clock and help the patient, along with the family, improve the patient's independence.

Physical Therapists

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

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 Pathologist

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

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 Recreational Specialist

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.

Dietitian

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.

Other Services

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.

For more information please call

985-873-4141