Finger Lakes Health

           

 

 

Finger Lakes Health is a community owned, not-for-profit organization dedicated to maintaining and improving the health of all people in the central Finger Lakes region. Governed by a board of directors held in trust for our community, we serve as a vital safety net, serving our communities with access to quality healthcare services.

Finger Lakes Health delivers numerous community benefit programs, such as community health events, lectures, and free health screenings, demonstrating our commitment to improving the overall health of the residents of the Finger Lakes region. 

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Our mission is to provide functionally oriented programs which value interdisciplinary teamwork to help patients achieve their fullest potential for return to an independent lifestyle.

The Acute Physical Rehabilitation Unit (ARU) at Geneva General Hospital is an inpatient facility with 15 beds designed to meet the special physical and cognitive rehabilitative needs of individuals who have experienced a disabling injury, illness, or surgery.  Our goal is to increase your functional levels, enabling you to return home as quickly as possible.  While at the ARU, you have full access to hospital physicians and services. 

ARU has been recognized by the Uniform Data System for Medical Rehabilitation (UDSMR) for the unit’s patient outcomes by ranking in the top 10% for six out of the last seven years when compared to similar facilities and programs nationally. ARU received a “2012 Top Performer Award” from UDSMR in honor of its high level of performance and outstanding rehabilitation program excellence. Geneva General Hospital’s ARU is one of 11 out of approximately 800 units nationwide to be in this prestigious ranking for six consecutive years.

Each patient's injury and life situation are unique.  As such, patients' goals and family expectations are incorporated into an individualized treatment program that is continually modified as recovery proceeds.  The active participation of family and friends is encouraged.  Along with family and caregiver education, training and support, patients receive three hours of daily therapy.

Diagnoses and Rehabilitation problems served include:

  • Stroke
  • Hip Fracture
  • Amputation
  • Guillain-Barre' Syndrome
  • Multiple Sclerosis
  • Parkinson's Disease
  • Brain Tumor
  • Encephalopathy
  • Pulmonary
  • Huntington's Cholera
  • Mild Brain Injury
  • Arthritis
  • Major Multiple Trauma

Much consideration goes into the admission for each patient. To qualify for the Acute Rehab Unit at Geneva General, the patient must meet the following criteria:

  • Be medically stable
  • Require a minimum of three hours of therapy at least five days a week
  • Require 24 hours of rehabilitation nursing care
  • Require medical supervision by a physician specializing  in physical medicine and rehabilitation
  • Have the potential to improve functional capabilities
  • Be motivated to participate in the rehabilitation program
  • Have an identified placement at discharge

The Rehabilitation Team
The rehabilitation team works together to assist each patient in reaching their maximum level of function and independence.  New skills taught in one therapy are encouraged in other therapies.  The experience, empathy, and expertise of the team members facilitates a caring atmosphere in which a patient's progress and adjustment to injury are primary concerns.

The team includes:

  • The Patient
    You are at the center of the rehabilitation team.  Your determined motivation and hard work will be the key to your recovery.
  • The Family/Significant Other
    Serves as the major support system for you.  Loved ones will be asked to participate in helping you reach your goals.
  • The Physiatrist
    Provides medical expertise, oversees the progress of therapy and orchestrates the team to maximize progress.  The Physiatrist is a physician who has specialized training in rehabilitation medicine.
  • The Rehabilitation Nurse
    Provides medical care, helps teach self-care activities, health management and prevention, skin care, bowel and bladder independence and reinforces goals set by the team 24 hours a day.
  • The Occupational Therapist (OT)
    Works with you on activities of daily living including dressing, grooming, using the bathroom, bathing, and cooking.  OT professionals also work on cognition, perception and any adaptive equipment that may assist you.
  • The Physical Therapist (PT)
    Works on improving your strength and mobility needed to return you to your home.  This may include balance activities, bed and wheelchair mobility, gait training, stair training, and the use of specialized equipment to achieve goals.
  • The Speech Language Pathologist (SLP)
    Facilitates communication (both expression and comprehension), reading and writing when indicated, swallowing and cognition.
  • The Social Worker
    Acts as your liaison with the team, coordinates family meetings, discharge planning, and follow-up services.
  • Therapeutic Recreation Specialist (TR)
    Plans and implements activities that promote cognitive stimulation, social interaction, increased self-esteem, and leisure activity awareness.
  • The Registered Dietitian
    Ensures your nutritional needs are being met and provides nutritional counseling, dietary instruction, and education.
  • Consultants
    Other specialists may be brought in to help meet your specific needs.

 

Your rehabilitation team strives to communicate effectively with you, the patient, your family or caregivers and each other on a daily basis through a number of channels:

Patient Care Conferences

Upon completion of the initial evaluations, the treatment team meets to discuss their findings and to develop an interdisciplinary treatment plan.  Short and long term rehabilitation goals for each patient are established and reviewed weekly by the treatment team during this conference.  As a result of the interdisciplinary discussion the rehabilitation treatment plan is revised and discharge goals are established.

Family Conference

Prior to discharge the social worker may schedule a family conference if needed.  This conference involves the entire treatment team, family, the patient (when possible) and the insurance case manager (when appropriate).  The purpose of this meeting is to review the patient's progress, to make recommendations for continued treatment and to develop an appropriate aftercare plan.

Training Days

Prior to a patient's discharge, it is recommended that a family participate in at least one training day.  This provides the chance for family members or caregivers to have hands-on instruction by the treatment team in order to facilitate improved function, independence and safety in the discharge environment.  Each therapist will schedule a specific time within the training day and will demonstrate specific techniques and strategies that family members will be expected to exhibit upon discharge.  The therapists also provide instruction so that family members can effectively determine their ability to provide the specified level of care.  Staff is always available for guidance and questions; however, this scheduled training day is an excellent time for one-to-one interaction.

Home Evaluation

In preparation for discharge as home evaluation may be indicated.  The patient is taken to their home accompanied by a family member and therapist.  The patient is then asked to demonstrate their ability to function in their own environment.  Patient's family/caregivers are responsible for making recommended changes prior to patient's discharge.  Recommendations can include adding grab bars in the bathroom, installing tub bench or commode, rearranging furniture, removing throw rugs or raising height of the patient's favorite chair.

Daily Communication

The patient's treatment is tailored on an hour by hour basis due to the constant communication among the team members, including the patients.  This facilitates optimum progress for the patient toward meeting the functional goals in the shortest period of time.

Activities addressed during a typical patient's stay include:

  • Assistance with activities of daily living (ADLs) such as eating, dressing, toileting, handwriting, cooking, and basic housekeeping
  • Speech therapy to help patients with speaking, reading, writing or swallowing.
  • Bladder and bowel retraining
  • Activities to improve mobility, muscle control, gait (walking), and balance
  • Exercise programs to improve movement, prevent or decrease weakness by lack of use, manage spasticity and pain, and maintain range of motion
  • Social and behavioral skills retraining
  • Awareness of community support groups
  • Activities to improve cognitive impairments, such as problems with attention, memory, and poor judgment
  • Help with obtaining assistive devices that promote independence
  • Patient and family education and training
  • Safety and independence measures and home care needs
  • Nutritional counseling
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