Madonna Rehabilitation Hospital is accredited by CARF, the Rehabilitation Accreditation Commission as a Comprehensive Integrated Inpatient Rehabilitation Program and Pediatric Specialty Program. We offer comprehensive programming for individuals with all types of neurological conditions on both an inpatient and outpatient basis.
The persons served in this program are individuals with neurological diagnoses, including Guillain Barre, Multiple Sclerosis (MS), Amyotrophic Lateral Sclerosis (ALS or Lou Gehrig’s Disease), Parkinson’s disease, developmental disabilities (e.g. cerebral palsy, autism), polyneuropathies, and other neurological disorders such as Transverse Myolitis, Dystonias and Ataxias.
The goal of the Neurological Conditions Program is to assist individuals with living and functioning in their home and community settings, participating in their life roles, for as long as possible. Since some of these conditions are progressive or involve exacerbations (drops in functional levels), this often means that individuals will need brief episodes of intense rehabilitation focused on assessment and training in the use of adaptive techniques or equipment, caregiver training, and/or updating of health maintenance and/or home exercise programs.
Key components of Madonna's Neurological Conditions Program include:
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Medical Management: Madonna is a hospital with medical staff on-site 24 hours a day, 7 days per week. On Acute Rehab you will be seen regularly by a physiatrist (doctor who specializes in Rehabilitation) or, on Long Term Acute Care Hospital (LTACH), by a physician who specializes in Internal Medicine. Consulting physicians with other clinical specialties are arranged as needed.
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Physical & Occupational Therapies: Areas of focus include strength, mobility, spasticity management, transfers, locomotion, seating/positioning, activities of daily living, and instruction in adaptive strategies relating to self-care, mobility and energy conservation.
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Communications Disorders: Areas of focus include communication, oral-motor function, swallowing and cognition.
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Rehabilitation Psychology: Areas of focus include adjustment and coping skills, problem solving, cognition and behavioral management.
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Respiratory Therapy: Areas may include ventilator management (with weaning or long term management), breathing strategies, pulmonary toilet.
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Rehabilitation Nursing: Areas of focus may include pain management, skin management and/or wound healing, bowel and bladder management, education regarding medication management, disease process, etc. and reinforcement of adaptive strategies including mobility, self care and energy conservation.
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Neurological Conditions Comprehensive Assessment: The purpose of the Neurological Conditions Comprehensive Assessment is to provide outpatient interdisciplinary assessment and recommendations regarding the rehabilitation management of persons with the neurological conditions described above. The assessment typically lasts all day, and may include assessments from rehabilitation psychology, physical, occupational and speech therapists, and a physiatrist, or doctor who specializes in rehabilitation. To get started or for more information, contact the OP Clinic & Assessment Coordinator at (402) 486-8649 or email kgrabouski@madonna.org.
Unique Services
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Seating & Positioning: Persons with these diagnoses may require ongoing episodic re-evaluations of their seating and positioning systems as their conditions change so this service should be a routine part of the program, available to both inpatients and outpatients
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Assistive Technology: Many people with these conditions benefit from a wide range of assistive technology, especially augmentative communication devices and environmental control units. This service should be a routine part of the program, available to both inpatients and outpatients.
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Vision Rehabilitation: Individuals with central nervous disorders such as MS, in particular, often experience visual disturbances, and therefore the vision screens as well as potentially the Vision Clinic and Vision Rehabilitation on both an inpatient and outpatient basis should be a routine part of the program.
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Driver Rehabilitation: While more apt to be appropriate on an outpatient basis, readiness to return to driving, driver training, and instruction in use of adaptive equipment, including van modifications, should be a routine part of the program.
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Home Assessments: This service is offered on inpatient or outpatient basis. People with neurological condition's physical needs often change over time, making this is a key service throughout a person's life.
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Structured Independence: It is important for individuals with these types of conditions to stay active, but also exercise safely to slow the progressive decline anticipated as a result of their disease. Learning how and what to do in a community based fitness environment, with trained staff and specially adapted equipment available, promotes success.
For more information about the Neurological Conditions Program, contact Dan Kasparek, CCC-SLP, Program Leader at (402) 486-9044 or email dkasparek@madonna.org
