Patient Care

Madonna's goal is to help the people we serve become as independent as possible while establishing a partnership for life that the patient and family can turn to when needed. Programming is highly individualized and dependent upon their needs and activity tolerance. Family members are encouraged to be actively involved in therapies and to attend when they can.

Madonna Rehabilitation Hospital is accredited by CARF, the Rehabilitation Accreditation Commission as a Comprehensive Integrated Inpatient Rehabilitation Program, hospital level, for adults and pediatric family centered care. We offer comprehensive programming for individuals with all types of orthopedic conditions, from those with multiple orthopedic and medical conditions requiring an inpatient stay to those who sustain an injury and require single service outpatient interventions to help them return to doing the things that are meaningful to them. Individuals with orthopedic conditions can receive services in one or more of multiple levels of care, including:

• Long Term Acute Care Hospital - for those with moderate to severe impairments and/or medical needs)

• Acute Rehabilitation - for those with moderate to severe impairment who are ready for intensive rehab and can tolerate at least three hours of therapy per day

• Transitional Care - for patients who are not able to tolerate intensive rehabilitation, do not have intensive medical needs, or require a less intensive approach to rehabilitation such as people who are recovering from a total joint replacement or laminectomy surgery.

• Rehab. Day Program - for those who can be at 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

• Outpatient Services - for those who need one or more therapy services or one of many specialty services such as Aquatics, Home Assessments, or Driver Rehabilitation.

Key components of Madonna's Orthopedic Program include:

Environment: Madonna's environment affords individuals with orthopedic conditions many opportunities to interact and support one another, whether it is in the spacious gym area during therapy, sharing a meal in the congregate dining area, or participating in a leisure activity outside in one of many garden areas. Madonna is the only facility in the region to have a simulated community, called Independence Square, where patients may practice real life tasks such as grocery shopping, banking, climbing up and down from a tractor, or going to a movie theater. A teaching kitchen with a variety of adaptive equipment is available for patients to learn how to prepare simple meals in preparation for returning home.

On the outpatient side, patients may select from multiple TherapyPlus locations, depending upon their individual needs and preferences. The Main Campus site has many specialty services and specialized equipment available for those with more comprehensive needs, while the northwest and O Street locations offer a smaller, more personal and private atmosphere. Our ProActive TherapyPlus, located inside the medical fitness center, provides access to the whole fitness center equipment, space, and aquatics.

Medical care - Each patient's care is directed by a physician who specializes in physiatry (physical medicine and rehabilitation) and/or a physician with specialization in internal medicine. For individuals who are 18 years or younger, a pediatrician is involved in their care on a daily basis. Rehabilitation nursing staff are specially trained in providing care for patients with orthopedic conditions and several nurses have specialty training as a Certified Rehabilitation Registered Nurse

Rehabilitation - Madonna has a dedicated team of professionals who have completed special competency training in treatment of persons with orthopedic conditions. Each individual's treatment team is made up of physical, occupational, and recreational therapists, social worker, rehabilitation nurse, and case manager as well as staff from neuropsychology or rehabilitation psychology, respiratory therapy or speech therapy as appropriate. They work together with the patient and their family/caretaker to meet the unique physical, cognitive, social and emotional needs of the patient. Use of technology the Body Weight Support Treadmill, Bioness functional electrical stimulation, environmental control units, and custom seating and mobility systems are integrated into the treatment program throughout the continuum of care

Specialty Staff: Madonna has several therapists who have completed training in manual therapy, splinting and casting, aquatics, and a physical therapist who is a certified as an Orthopaedic Specialist through the American Physical Therapy Association.

Community Re-Entry: Rehabilitation does not stop when the patient gains basic skills of self-care and mobility. Participation in a variety of adaptive sports and recreational outings can be integrated into therapy or just for fun. Patients may also work on specific goals related to return to driving, school re-entry, or visit with a vocational rehabilitation counselor about work re-entry.

Long term Success: Madonna offers many ways to help individuals with orthopedic conditions and their family members continue to improve and maintain their functional gains, therefore maximizing their participation throughout the rest of their life. Some ways we do this are:

• Structured Independence Program It is important for individuals completing their rehabilitation to stay active and exercise safely. Learning how and what to do in a community based fitness environment, with trained staff and specially adapted equipment available promotes success.

• Home Assessments: This service is offered on inpatient or outpatient basis. Identifying barriers in the home environment early on gives therapists an opportunity to address these issues through therapy or with recommendations for architectural changes or adaptive equipment. Often very inexpensive changes can result in a person’s ability to remain in their own home.