Inpatient physical rehabilitation

To be eligible for admission, you must:

• Have an approved referral
• Be medically stable and willing to participate in the rehabilitation program
• Need two or more therapies (physical, occupational and/or speech)
• Have the physical stamina and endurance to tolerate at least three hours of therapy a day, at least five days a week or 15 hours per week
• Have an identified discharge plan and support system
• Be free of uncontrolled, infectious disease
• Be 18 years old or older
• Be free of mechanical assistive devices to breathe

Criteria for admission include impairment(s) of:

• Mobility
• Self-care activities
• Cognitive function
• Communication
• Perceptual motor function
• Swallowing

Inpatient programs are geared to those recovering from:

• Amputations
• Bowel and bladder management
• Brain, back and spinal cord injuries
• Cardiac and pulmonary events
• Cognitive and perceptual deficits
• Impaired functional mobility, balance and coordination
• Limitation in strength and range of motion
• Limitations in self-care
• Neuromuscular disorders
• Orthopedic fractures
• Other debilitating conditions
• Speech and communication problems
• Strokes
• Swallowing disorders

In our rehabilitation program, you receive care in a 24-hour therapeutic environment. The program includes active participation in therapy, a minimum of three hours per day, five days a week or 15 hours per week. A modified program is offered on weekends and holidays. Therapy schedules are individualized to meet your needs.

We offer:

Speech-language therapy

Speech-language therapy helps restore your speech and language skills and oral motor function skills.

Our speech therapists are trained to help with:

• Aphasia (trouble using or understanding words)
• Apraxia (trouble producing speech)
• Cognitive-linguistic communication (trouble with communication)
• Dysphagia (trouble swallowing)

Some of our speech, language and swallowing therapies and services include:

• Alternative communication devices
• Modified barium swallowing studies
• Neurological rehabilitation
• Neuromuscular therapy
• Swallowing therapy
• Voice therapy

Physical therapy

Our licensed physical therapists provide individualized programs to help you regain strength, mobility and independence after an illness, injury or medical procedure

On your initial visit, your therapist will perform a comprehensive evaluation and customize a treatment plan to meet your needs.

Some of the physical therapies and rehabilitative techniques we offer include:

• Balance and coordination training for vestibular problems
• Cardiovascular and pulmonary rehabilitation
• Fall prevention and recovery
• Injury prevention
• Physiotherapy
• Postoperative rehab
• Strength and endurance programs
• Wound care

Occupational therapy

Occupational therapy helps restore the abilities needed to return to work, school and activities of daily living. To help you adapt to any permanently changed abilities, our occupational therapists may help with home modifications or wheelchair fittings.

Occupational therapy can also help with:

• Activities of daily living, such as bathing, dressing or homemaking
• Cognitive performance
• Lymphedema management
• Splinting
• Upper extremity function (strength, range of motion)

Neurological and stroke rehabilitation

Our neurological rehabilitation program helps patients recover from head injuries, spinal cord disorders, genetic diseases, strokes and other neurological conditions. Our inpatient rehabilitation center also helps patients recover their abilities after receiving initial stroke treatment. To aid in a full recovery, you gain access to rehabilitative therapies and advanced equipment, including:

• Body weight-supported exercise equipment
• Family and caregiver training
• Fully equipped kitchen, bedroom and bathroom for therapy training
• Neuromuscular retraining
• Neuropsychological testing
• One-on-one therapy available with physical, occupational and speech therapists
• Stroke prevention education
• Vital stimulation therapies provided by a certified therapist
• Vocational, family, financial and intimacy counseling

Hospital-based acute rehabilitation benefits

Our location within an accredited, acute care hospital offers many advantages, including:

• You will be seen by an attending physician daily.
• Attending and specialized physicians are available 24 hours a day, seven days a week.
• Availability of in-house dialysis, wound care and hyperbaric oxygen treatments, as needed.
• If a sudden change in condition occurs, a complete array of medical services is readily available to help you.
• We provide an intensive, individualized therapy program.
• Our statistics show improved outcomes and quicker recovery times.

The treatment team is directed by a physician who specializes in the field of physical medicine and rehabilitation. The interdisciplinary treatment team consists of rehabilitation nurses, physical therapists, occupational therapists, speech therapists and case managers. All of these team members are experts in rehabilitation and everyone focuses on helping you regain the ability to function.

Our goal is to help you achieve the highest possible level of independence so you may return to the least restrictive environment in the community. To aid in this, we provide access to:

• Physician and rehabilitation nursing is available seven days a week.
• Case management/social services are available five days a week.
• Physical therapy, occupational therapy and speech services are available seven days per week. A modified therapy program is scheduled for Saturday and Sunday as needed.
• Psychology services are available as needed.

Other team members may include consulting physicians, dietitians, neuropsychologists and other healthcare professionals. Keep in mind the vast resources of HCA Florida West Marion Hospital are available to you during your stay.

Our physical medicine rehab physicians will continue to follow you throughout your recovery, even after discharge from the inpatient rehab program, to ensure proper continuum of care.

It is important to remember rehabilitation can be challenging. It is important for you to work hard and actively participate in your rehabilitation program.

Following admission to the rehabilitation unit, you will receive an orientation to the unit and the program by a rehabilitation nurse. You will also be involved in an initial assessment by the members of the treatment team (rehabilitation nursing, physical therapy, occupational therapy, speech therapy, case management, dietary and neuropsychology as needed). As part of the assessment process, you have the opportunity to discuss personal goals and participate in the development of an individualized treatment plan leading toward a targeted discharge date.

Your program begins after the assessment process, when your care team has established your plan of care. Reassessments are performed on an ongoing basis and are formally discussed by the therapy team during weekly care team conferences. After the team conference, case management/social services will review the discussion from the conference with you and/or your family/caregiver.

The length of your stay depends on your progress in the program and our ability to continue to meet your needs. You will also practice real world events by participating in community reentry activities.

Recovery is a positive process, but can also be a challenging journey. We are dedicated to giving you the space and privacy you need to recover – body and mind. Our therapy areas offer the latest equipment and real life home environments for therapy.

On a typical day, you will:

• Wake up, get ready for the day (wash up, brush your teeth, etc.) and get dressed in street clothes.
• Eat in the dining room with your peers at lunch time.
• Take part in individualized therapy for at least three hours per day. This includes physical therapy, occupational therapy and speech therapy. Some of the therapy may be provided in a group setting. Psychology may also be part of the day.
• Learn about medical and dietary issues, as well as how the lives of you and your family/caregivers will be impacted by the change that has brought you to rehabilitation.
• Attend patient and family/caregiver training.
• Get ready for bed and rest.

Your discharge plan is an important part of your care. On average, a patient's length of stay is two weeks, depending on their diagnosis. During your stay, we help you set and reach goals throughout the course of your treatment. We work with your family and other members of your support network to prepare for a safe and happy transition to home life and continued recovery. If services are required following discharge, our case management team will make the necessary referrals on your behalf.

Our experienced team of rehabilitation experts provide high-quality, safe and compassionate care to patients who have experienced brain injuries, strokes, spinal cord injuries and orthopedic conditions.

To get you back to life, our team works hard to offer you proactive around-the-clock care, including daily physician rounding with the primary goal of gaining your independence.

We provide an intensive course of physical rehabilitation services, including:

• Case management
• Medical director oversight
• Nutritional counseling
• Occupational therapy
• Orthotic consults
• Pharmaceutical care
• Physical therapy
• Prosthetics consults
• Psychiatry consults
• Specialized rehabilitation nursing care
• Speech-language therapy
• Wheelchair seating