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Madonna Rehabilitation Hospital is accredited by CARF, the Rehabilitation Accreditation Commission as an inpatient Comprehensive Integrated Inpatient Rehabilitation Program, hospital level, for adults and pediatric family centered care. We offer comprehensive programming for individuals with all types of neurological conditions on both an inpatient and outpatient basis.
Acute Rehabilitation - for those who are ready for intensive rehab and can tolerate at least three hours of therapy per day Rehabilitation Day Program - for those who can be a home or community setting in the evening but require an intense, coordinated program of multiple therapies with an emphasis on independent living and community re-entry during the day
Madonna's Neurological Program is comprehensive, multidisciplinary, and outcomes oriented. Cultural diversity is respected. Most inpatients with neurological conditions transfer to Madonna directly from an acute care hospital. Appropriate inpatients are medically stable and have medical and rehabilitation needs that require the availability of a physician and nurse with rehabilitation experience 24 hours per day, seven days per week. Inpatients and Outpatients must be able to actively participate and benefit from a skilled rehabilitation program and have potential to make functional improvement. Madonna accepts funding from Medicare, Nebraska Medicaid, and most commercial insurers. Out of state Medicaid and charity care cases are considered on an individual basis. The goal of rehabilitation for persons with neurological conditions is to gain the skills and necessary assistive technology to return safely in a community setting for as long as possible.
Key components of Madonna's Neurological Conditions Program include:
Medical Management Patients are seen daily by an internal medicine physician on LTACH and consultations are made by a Physiatrist or other specialty physician as needed. On ARU, patients are seen daily by a physiatrist with consultations by internal medicine or other specialty physicians as needed. Madonna provides a wide array of diagnostic testing on-site and has relationships with medical facilities in Lincoln for additional testing if necessary. 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. Communications Disorders Areas of focus include communication, oral-motor function, swallowing, and cognition. Rehabilitation Psychology Areas of focus include adjustment and coping skills, problem solving, cognition and behavioral management. Respiratory Therapy Areas may include ventilator management (with weaning or long term management), breathing strategies, pulmonary toilet. 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. Intensity of Therapies Patients on LTACH receive, on average 2 hours of therapy per day, on ARU 3 hours of therapy per day, and SAR 1 hour of therapy per day. Outpatients who require multiple services may be involved in therapy up to 3 hours per day,five days per week, and those referred for a single service 1 hour per day up to 3 times per week.
Unique Services
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 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. 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. 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. 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. 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.
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