Bethesda Hospital :: Reinventing Lives

Acute Rehabilitation

This state-of-the-art, inpatient program treats those who require intense rehabilitation in a hospital setting.

Patients may be recovering from:

  • Stroke
  • Spinal cord injury
  • Major multiple trauma
  • Bilateral amputation
  • Neurological diseases, such as Gullain-Barre, multiple sclerosis or Parkinson’s disease
  • Others

Upon admission, our team develops an individualized plan of care for each patient. The plan considers health and ability, safety, nutrition, bowel and bladder function, medication, behavior, social and family concerns and the unique needs and preferences of the patient.

An emphasis on patient involvement

Acute Rehabilitation emphasizes patient involvement, understanding that motivation and effort are key to recovery and growth. Seven days a week the patient undergoes intensive physical, occupational and speech therapies, then works on therapeutic recreation. Community integration activities, which involve patients in planning as well as participation in community-based therapeutic activity, are available each week.

If needed, assistive technology may be used to help patients develop communication skills. Computers, telephones and other common devices have been modified so that they can be operated by a single switch or adapted mouse. The goal is to give patients greater opportunities for communication as well as their environment, leisure activities and vocational pursuits.

Progress and discharge planning

Progress is gauged through the patient's Functional Independence Measurements (FIMs). The FIMs rate ability on 18 activities of daily living, such as dressing and grooming, mobility and transfers, problem-solving, bowel and bladder control, and adjustment to limitations.

Our t eam sees each patient as an individual with unique concerns and goals. The care-giving team meets every other week with the family to review progress, answer questions and discuss options for discharge, which may be to home, to an assisted living setting in the community, or to a skilled nursing facility.

When a patient is discharged to his or her home, the team works closely with the family to address concerns, plan for any necessary physical modifications to the home, and to prepare family members for the changes to come. As discharge approaches, the patient is encouraged to spend time at home on a trial basis. These visits are evaluated to ensure a successful transition. Ninety days after discharge, a team of professionals conducts a follow-up evaluation of the patient’s FIM status.

Admission criteria

To be admitted, a patient must:

  • Have a strong commitment to rehabilitation
  • Be 18 years or older, or younger with special permission
  • Have a physical disability that limits functional performance
  • Have the realistic potential for functional improvement with appropriate rehabilitation
  • Be medically stable, but need close medical supervision, rehabilitative nursing, at leas two types of therapy and other services
  • Be capable of active participation in physical and/or occupational therapy

For more information

To learn more about our Acute Rehabilitation program, use this form to request information or call our Admissions Department at 651-232-2760.

 

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Bethesda Hospital • 559 Capitol Blvd • St. Paul, MN 55103 • 651-232-2000