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Acute RehabilitationUnit

4 Acute Rehabilitation Unit Mission Statement5 Our commitment to you6 Let us know7-8 Typical Day in Rehab9-10 Medical Passport11 MyChart12-13 MyChart Frequently Asked Questions14 Prevent a fall: call … don’t fall15 Caregiving apps16-17 Wellness Moving Forward18 Americans with Disabilities Act19 Discharge Checklist20 Patient Survey21-23 NotesTABLE OF CONTENTS

ACUTE REHABILITATION CENTER MISSION STATEMENT4The mission of the Acute Rehabilitation Unit is to provide a comprehensive rehabilitation program of the highest quality in order to improve the functional independence of those who we serve.This mission is accomplished by adhering to the following overall program goals:• Provide a program that recognizes the individual and adjusts to their needs.• Seek input from those we serve so that the program may reect their needs and change over time.• Construct and follow a system of internal review as a means for program improvement.• Employ a treatment staff that is competent and seeks continuing education.• Serve the rehabilitation community by networking with other providers and offering continuity of quality care.• Provide a scally sound program.• Establish a coordinated and professional relationship with Powers Health that is compatible with their overall mission.

It is the policy of the Acute Rehabilitation Units (ARU) of Powers Health that all team members will act in a manner consistent with the mission, philosophy and operating policies of the program. In accordance with these principles and policies, team members will:• Show respect for the dignity of the individual whether patient, family member, co-worker, client or any other person.• Provide the highest quality clinical and customer-related services.• Demonstrate fairness and honesty in all interactions with the public.• Adhere to professional codes and practice guidelines.• Provide an accurate portrayal of the services and outcomes of the program.• Be ethical in all marketing and public relations activities.OUR COMMITMENT TO YOU5

LET US KNOWOur goal is to always provide excellent careto our patients while on our unit.We enjoy hearing about your stay with us.Please feel free to contact the Program Director or Nurse Manager atthe phone numbers below.•  Be assured that verbal response related to your concern will occurwithin 2 working days.•  A written response is available, if desired, and will be providedwithin 7 working days by the Program Director.Your satisfaction with your stay as a patient in theAcute Rehabilitation unit is important to us.The Rehabilitation Team at St. Mary Medical CenterHope Wells, MS, OTR, Program Director, 219-947-6345Deborah Jones, MS, RN, Nurse Manager, 219-947-6349The Rehabilitation Team at Powers Health Rehabilitation CenterJeff Orange, PT, Executive Director ,219-661-6061Jennifer Kulak, MSN, RN, Nurse Manager, 219-661-6066The Rehabilitation Team at St. Catherine HospitalKatherine Winkler, MSN, RN Program Director, 219-392-7637Briana Bell, BSN, RN, Nurse Manager, 219-392-26626

TYPICAL DAY IN REHABFrom your rst therapy session to your last check-in, our goal is to help you recover as fully as possible. When you rst arrive, you will be evaluated on activities such as eating, bathing, dressing and walking or wheelchair usage, as well as your personal goal. This information will be used to develop your personalized treatment plan. You will be evaluated again when you leave to measure your progress and help your team assess what help you will need when you go home.Your team will help guide you throughout your stay, but if you have never been in an inpatient rehabilitation program, here is what you can expect during a typical day:MorningAs you recover, day-to-day tasks such as taking a shower or getting dressed may be challenging. Each morning, a skilled care team member will help with these and other daily tasks, as well as provide training and support so you can learn to do as much as possible by yourself.These personal tasks are known as activities of daily living or “ADLs” and include bathing, dressing and self-feeding. Learning how to manage ADLs is a critical step in regaining your independence.A nurse will also assist you with your medications. Once you’re ready for the day, you will have breakfast before your morning therapy sessions. These typically include two sessions, with a combination of physical, occupational and speech therapies. Therapy can involve strength training, techniques for managing ADLs and memory training. There are breaks between the sessions and as needed during the sessions.7

NoonThe lunch break begins around noon. Relax and enjoy your meal to help you recover from the morning session and fuel up for the afternoon. Therapists will work with those who need help with swallowing or eating or require training for an adaptive device.AfternoonAfter your lunch break, you will continue your therapy sessions. As with the morning sessions, you will have a combination of therapies and opportunities to take a break between or during sessions as needed. If you need to use a cane, walker or wheelchair, your therapy sessions will help you adjust to your assistive device.EveningYour day concludes with dinner and time to spend with your family or other visitors. Therapy is over for the day and it is time to relax and spend time in quiet activities. Nursing staff will help you get ready for the night and reinforce what was learned in therapy so that your journey to greater independence continues.NightSleep refreshes your mind and body and your only “task” is to get the sleep you need to be ready for the next day. If you need assistance during the night, use the call light in your room and a nurse will come and help you.8

MEDICAL PASSPORT(Personal Health Information)Purpose: A tool or system to record your personal health information that is easy to use and assists you in future interactions with healthcare providers. It will also allow for information to be easily accessed in case of an emergency.For example, it may include items such as: • Advance Directives• Allergies• Emergency contact information• Equipment (type and where it was purchased) • Healthcare providers/physicians• Insurance information• Medical diagnoses/conditions• MedicationsThere are a variety of tools that may be used to meet your needs. Examples may include items such as:• Index cards• Notebooks• Flash drive• Medical bracelet• Online/Internet based productLet Us Assist You1. If you have a tool or system that is used currently – your rehab team will work with you to update your information. 2. If you do not have a tool or system in place and would like one – your rehab team will work with you to start one.9

11MyChart®is a free service of the Powers Healththat enables you to use the Internet to securely access portionsof your medical record and manage your health information.•  View outpatient test results and inpatient information•  Access trusted health information resources•  View and pay hospital and office visit statements•  Request prescription refills *•  Schedule your own appointment *•  Communicate with participating provider **Offered by Powers Health Medical Group ProvidersVisit PowersHealth.org to sign up for MyChart!Questions? Contact the MyChart Customer Service Line: 219-226-2313.Log onto MyChart:Step 1 - Obtain Activation CodeClick on the MyChart logo at PowersHealth.org and complete theform to receive an activation code to be emailed to you.Step 2 - Sign UpOnce you have clicked onto the MyChart logo at PowersHealth.org,complete the form to sign up for a MyChart account. You will need youractivation code, social security number and date of birth. At this step, youwill create a username and password.Step 3 - Log InUsing information created in step 2, you can now log in and view yourinformation, message physician*, and access all the other MyChart featuresto manage your healthcare.

12What are some things I can do within MyChart?•  View test results – all lab/imaging results are posted within 24 hoursafter they are completed.•  Pay your hospital and physician bills.If you are a patient of a Powers Health Medical Group provider, you mayalso:•  Send secure messages to your provider.•  Request prescription rells.•  Schedule or request appointments with your physicians.How can I see a family member’s information?Child Proxy Access gives parents/legal guardians of minors access toportions of their child’s medical records. Adult Proxy Access may also beused to access portions of your spouse’s or dependent family member’smedical records. Proxy forms are located on the MyChart website.Complete the appropriate form and fax it to 219-513-2564 or return it to yourPowers Health Medical Group provider’s oce.I found some of my health information on MyChart is not correct. Whatshould I do?If there are any discrepancies or corrections within your record, contactour Health Information Management Department at 219-392-7163.Frequently Asked Questions

13What do I do if I forgot my MyChart username and/or password?Click on the Forgot Password link on MyChart to request assistance.You also may call our MyChart Customer Service Line at 219-226-2313.How do I change my password?Log into MyChart and click on the Preferences section.Then choose Change Password.How do I update my email address?Log into MyChart and click on the Administrative section. Then chooseAdministrative Information, then Change Email Address.Frequently Asked QuestionsNeed additional help?Contact the MyChart Customer Service Line at 219-226-2313,and someone will be happy to assist you.

Partnering with you to prevent fallsYour safety is our rst concern … We will do all we can to keep you from falling, but we need your help! • Help us keep important things near you (call light, phone, glasses and hearing aid). If you need to reach something, let us help! • Never use the movable tray table or night stand to lean on• Always wear shoes or non-skid slippers when getting out of bed• Help us keep your room free of clutter• Call us when you need to get up or off the toilet. Do not ask family to help you.• Use handrails • If you feel weak or dizzy, sit down and call us for helpYOU ARE AT RISK FOR FALLING DUE TO:• Not being in your usual surroundings• A change in your health status or medications• Being attached to hospital tubes or wires• Using a cane or walker as neededPREVENT A FALL: CALL … DON’T FALL14

As a caregiver, you know there is more to the role than shopping,cooking and being a companion. You take on countless issuesthat arise, from making sure medication is relled to schedulingappointments and driving your loved one where they need to go.It can be exhausting.Help is at arm’s length. With phone apps designed for needsspecic to caregivers, you may nd answers to your questionsand peace of mind.Check out caring.com/caregivers/ to start your search for the right caregiving app.CaregivingApps  in the Palm ofYour HandPowersHealth.org15

Silver Sneakers Program SilverSneakers® is a health and tness program designed for adults 65+ that’s included with many Medicare plans. Eligible members get access to online classes, On-Demand videos and thousands of tness locaons and classes.Maria Reiner Center – Hobart, INMission: To provide quality of life services for all members.The Maria Reiner Senior Center (MRC) oers a welcoming social environment and provides onsite acvies appropriate for individuals who are 55 years of age and older. The center’s ulmate goal is to provide an opportunity for members to parcipate in a selecon of acvies that will support an acve, social and meaningful lifestyle.Bonner Center – Portage, INMission: To assist in protecng and providing for the basic human needs of Portage Township residents by securing local community and civic partnerships, sustaining life-saving emergency services and creang opportunies for nutrion, socializaon, recreaon and enhancement of the overall well-being of the Portage Township community.YMCA – Various LocaonsHobart, Crown Point, Valparaiso, Portage, Chesterton, Schererville, Grith, HammondMission: The Y is a nonprot organizaon whose mission is to put Chrisan principles into pracce through programs that build healthy spirit, mind and body for all. Guided by core values of caring, honesty, respect and responsibility, the Y is dedicated to giving people of all ages, backgrounds and walks of life the opportunity to reach their full potenal with dignity.Promote Activity • Prevent Deconditioning • Improve WellnessM o v i n g F o r w a r d:W E L L N E S S 16

Dimensions of wellness and strategies to support wellness at home:Physical Wellness – Home exercise programs, follow-up therapy services, healthy eang, follow up with physicians as needed, good sleep hygiene, gym memberships, plans for outdoor acvity engagementEmoonal Wellness – journaling, following up with psychologist and medicaons if needed, self-allowance to experience emoons, support groups, self-careSocial Wellness – making me to socialize with friends and family a priority, adult recreaon acvies at places such as YMCA and Bonner Center, aending church, support groups through social media, get outside of the houseIntellectual Wellness – acvies for cognion – Sudoku, word searches, card games, reading/audio books, recreaon acvies – BINGO, journaling, wring quesons to bring to doctor appointments Environmental Wellness – home modicaons, home safety hazards and awareness, educaon discussed during home evaluaon, creang a calm home environment, reducing environmental distracons, reduce smoking, including second-hand smokeSpiritual Wellness – aending church, Yoga, making me for spiritual pracces – reading the Bible, taking me for prayer, prayer groups, online services, essenal oils, meeng with chaplain, aending mass while on ARUVocaonal Wellness – resume work if able, vocaonal rehab/work hardening to return to work, volunteering – hospitals, soup kitchens, Meals on Wheels, church, animal shelters, Habitat for Humanity, advocang for modied work responsibilies, self-advocacyFinancial Wellness – maintaining a budget, phone apps to assist with money management, how to apply for disability, FMLA, becoming a paid caregiver for loved one (Family Home Health Aid Program) W E L L N E S S“the acve pursuit of acvies, choices and lifestyles that lead to a state of holisc health”17

Effective self-advocacy begins with knowing your rights, and there are laws that help dene those rights. The most well-known is the Americans with Disabilities Act (ADA), which was signed into law by President George H.W. Bush on July 26, 1990. It requires that people with disabilities be given equal access at all levels of society, including jobs, government services, public accommodations and public transportation.To see the full Americans With Disabilities Act visit ADA.gov.AMERICANS WITH DISABILITIES ACT18

MedicationsI understand what my medications are, how to take them and where I will receive them.Follow-Up Appointments and TransportationI understand when I need to return to my doctor(s) for follow-up.I have transportation for my follow-up appointment(s).Diet Restrictions and ModicationsI understand my diet restrictions, textures and limitations.Rehab at HomeI understand what level of supervision is required to return home safely.I understand where and when I will receive further rehabilitation.I understand my home exercise programs.Home EquipmentI understand what equipment I need to get and where to get it.Wound CareI understand how to change my bandages and how to care for wounds.Day of DischargeI understand where I am going after I leave ARU.I have conrmed who will pick me up and what time they will arrive.I have packed all my personal belongings, including any items locked up.DISCHARGE CHECKLIST19

PATIENT SURVEY20Your feedback is important to us. The information helps us improve, as well as recognize staff members who made a difference.You will receive a survey asking about your visit. The initial survey will be sent via text within 24 hours of your visit. If we do not receive a response within 24 hours or if we do not have your cell phone on le, an email will be sent. If we do not receive a response within 24 hours or have your email address on le, you will receive a telephone survey. Powers Health will call patients between 4-6 pm from the phone number 219-703-1374.The survey will take approximately ve (5) minutes.This survey includes three (3) response options:1) 1 = No 2 = Yes, somewhat 3 = Yes, mostly 4 = Yes, denitely 2) 0-10 scoring 0 = Not at all Likely 10 = Extremely Likely3) Ability to leave additional comments about your experienceThank You!We are dedicated to providing ourpatients extraordinary care.

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