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Rehabilitation

Our Mission

The mission of the Health and Rehabilitation Center is to provide exceptional person-centered care that promotes an experience of healing and recovery in a compassionate environment. 

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 4-9 p.m. on weekdays, noon-9 p.m. on Saturdays, and 8 a.m.- 9 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.).

Lymphedema Therapy

Lymphedema, an accumulation of protein-rich fluid in the superficial tissues, is a very common and serious non-curable condition. Lymphedema can be caused by congenital malformations of the lymphatic system, damage to the lymphatic system through surgery, radiation therapy, scarring and infection. Post-mastectomy lymphedema of the arm caused by breast cancer treatment is very common. 

Complete Decongestive Therapy (CDT) is a combination of techniques used to manage lymphedema, and consists of four basic components: Manual Lymph Drainage, Compression Therapy, Decongestive Exercises, and Skin Care. This treatment is provided by a trained and certified lymphedema therapist. 

Lee Silverman Voice Treatment LOUD (LSVT)

The LSVT treatment, performed by a trained and certified LSVT therapist, 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 muscles of the larynx (voice box) and speech mechanism.  LSVT also incorporates sensory awareness training with motor exercises.

LSVT BIG

LSVT BIG® treatment, performed by a trained and certified LSVT BIG therapist, is an intensive, amplitude focused therapy approach developed from the principles of the effective speech therapy treatment LSVT LOUD®.

LSVT BIG® improves motor functioning in people with neurological disorders such as Parkinson disease, stroke and multiple sclerosis.  Treatment results in significant improvements in walking, balance, trunk rotation, and activities of daily living.

Balance Therapy 

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.

Vestibular rehabilitation is a part of our physical therapy balance program to treat people with balance or vertigo problems.  Exercises promote stability and confidence as your symptoms of dizziness, fatigue, and the fear of falling diminish. TGMC provides state-of-the-art balance equipment, The SMART Equitist, with therapists specially trained in this area. 

 

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. TGMC is a Joint Commission on Accreditation of Health Care Organizations (JCAHO) accredited facility. In addition, our rehab program has been accredited by Commission of Accreditation for Rehabilitation Facility (CARF) for our reward is always our patients' healing and recovery. 

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 age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, and gender identity or expression. 

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 members 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 attending multiple therapy sessions resulting in 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 progress before it returns to its previous level of functioning. A patient must accept these changes and learn new ways to perform 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 help patients learn alternative means of performing daily activities. 
  • 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. Feeding or swallowing treatment with the speech therapist if there is difficulty with chewing or swallowing. 

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

Noon - Lunch with other patients. Treatment may be provided by speech therapy, occupational therapy or nursing if the patient experiences difficulty with chewing, swallowing, or self-feeding.

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

4:00-9:00 p.m. - Baths, rest time, visiting hours. Dinner at 5:00 p.m.

*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 various 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 thousands 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.

Social Workers

A social worker is a Licensed Clinical Social Workers (LCSW) who works 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 therapy sessions. They also work in planning the transition from hospital to home or the next level of care.

Speech-Language Pathologist

Speech-language pathologists provide specialized evaluation and treatment of speech, language, cognitive, voice and swallowing disorders. Treatment activities focus on improving communication impairments such as slurred speech, memory deficits, vocal disturbances, word finding difficulties and reasoning deficits. A speech-language pathologist works to maximize the safety and efficiency of the swallow. 

Occupational Therapists

Occupational therapists challenge each patient to perform tasks of everyday living such as eating, dressing, meal preparation, laundry, and cleaning. They develop upper extremity exercise programs to improve strength and coordination. Occupational therapists can also advise a patient on returning to work or resuming driving.

Therapeutic Recreational Specialist

Therapeutic activities include a therapeutic recreational specialist and patient activity coordinator 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.

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 educated on safely caring for the patient in preparation for the patient's discharge. 

 

Other Services

Dietition, 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 readjusting to community activities.

For more information please call

985-873-4141