research medical center inpatient rehab

Post-acute Care Needs and Benefits of Inpatient Rehabilitation Care for the Oncology Patient

Affiliations.

• 1 Rehabilitation Medicine Service, Department of Neurology, Memorial Sloan Kettering Cancer Center, 160 E 53rd St, New York, NY, USA. [email protected].
• 2 Department of Rehabilitation Medicine, Weill Cornell Medical Center, New York, NY, USA. [email protected].
• 3 Rehabilitation Medicine Service, Department of Neurology, Memorial Sloan Kettering Cancer Center, 160 E 53rd St, New York, NY, USA.
• 4 Department of Rehabilitation Medicine, Weill Cornell Medical Center, New York, NY, USA.
• PMID: 36729252
• PMCID: PMC10423402
• DOI: 10.1007/s11912-023-01366-9

Purpose of review: This study aims to assess recent literature published on the post-acute care needs of cancer patients, specifically focusing on the acute inpatient rehabilitation setting.

Recent findings: The neurologic cancer population appears to be the most studied oncologic population in acute inpatient rehabilitation studies within the past 5 years. This finding is consistent with prior findings from the past several decades. Recent trends in inpatient cancer rehabilitation note a population with lower admission functional status and shorter lengths of stay compared to prior studies. Despite these findings, the percentage discharged to the community remains high. With new treatments yielding improved survival, cancer patients may live longer and risk accumulating more functional impairments. Physicians involved in their care must understand post-acute care needs and work in a multidisciplinary group to best determine post-acute disposition. This decision remains very individualized and should consider both oncologic and functional needs.

Keywords: Acute inpatient rehabilitation; Cancer rehabilitation; Neurologic rehabilitation; Oncologic rehabilitation.

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Publication types

• Research Support, N.I.H., Extramural
• Inpatients*
• Length of Stay
• Neoplasms* / rehabilitation
• Patient Discharge
• Retrospective Studies
• Subacute Care

Grants and funding

• P30 CA008748/CA/NCI NIH HHS/United States

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The Blokhin National Medical Research Center of Oncology of the Russian Ministry of Health is the largest oncological clinic in Russia and Europe, one of the largest oncological clinics in the world, which has the latest equipment and all advanced methods of diagnosis and treatment of cancer.

We see our goal as continuous improvement of the quality and availability of cancer care. To achieve this goal, we are working on improving the system of organizing medical care and introducing the latest technologies.

The structure of the center includes five divisions:

• Research Institute of Clinical Oncology named after N.N. Trapeznikov, designed for 900 beds;
• Research Institute of Pediatric Oncology and Hematology, designed for 150 beds;
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On the basis of the center, there are 8 departments of medical academies and universities.

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Rehabilitation in clinics of Moscow

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Rehabilitation is a complex of the actions directed to recovery of health after diseases or injuries. The set of the rehabilitation centers among which there are versatile and specialized medical institutions which deal with some specific problem is abroad opened.

Features of rehabilitation abroad

Most often the people who had a stroke, a trauma or heavy operation after which were forced to be long without the movement become patients of the rehabilitation centers. Correctly made program of rehabilitation allows them to restore quickly enough physical activity, to return to normal life.

Not in all cases perhaps complete recovery. If damages very serious, specialists of the rehabilitation centers teach patients to live in the new state, help to master skills of management of a wheelchair or uses of crutches, other auxiliary devices.

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Rehabilitation institute — inpatient, inpatient rehabilitation in enid.

The Rehabilitation Institute at St. Mary's Regional Medical Center is a 22-bed inpatient rehabilitation facility. We offer comprehensive inpatient rehabilitation services including 24-hour nursing care, on-staff dedicated rehabilitation physician and neuropsychologist, physical therapy, occupational therapy, speech therapy, case managers and dietary services.

Watch as Dr. Sara Oldham, Medical Director of the Rehabilitation Institute, discusses the types of patients they treat, the services they provide and the goals of the institute.

Our program is dedicated to treating individuals who can benefit from intensive inpatient therapy (at least three hours a day, 5-7 days a week) and 24-hour medical management, and who are being treated for the following conditions:

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Contact the Rehabilitation Institute

If you would like to learn more or would like to refer a patient, please call us at  580-548-5001 .

We take patients from St. Mary's, other hospitals and from home. Our highly trained staff is dedicated to helping each patient set goals and gain as much independence as possible during their 2-3 week rehabilitation stay. Because families are important to patient recovery and success, we provide immediate and intensive family training as part of our program. Our goal is to design an individualized program for each patient so they can improve their function, confidence and independence on the road to recovery.

The Rehabilitation Institute is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF) .

Patient success story: Randy Caywood

Randy suffered a stroke in 2023. He chose St. Mary's Regional Medical Center's Rehabilitation Institute for his inpatient therapy. In his own words, Randy describes his therapy and how it helped him start taking steps towards a successful recovery.

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Top 10 percent of inpatient rehab facilities in U.S.

The Rehabilitation Institute was ranked in the top 10 percent of 868 inpatient rehabilitation facilities that qualified to be ranked in the IRF database of Uniform Data System for Medical Rehabilitation.

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Physical therapy

Physical therapy services are provided on the average 1.5 hours a day, 5-7 days a week during an inpatient rehabilitation stay. Physical therapists will complete a comprehensive evaluation for each patient and establish a patient-driven treatment plan consisting of the patient's strengths and weaknesses, long-term and short-term goals, and specific treatment strategies. They will work with the interdisciplinary team, the patient and their family to help ensure all physical therapy goals and treatment strategies are carried out throughout the patient's stay.

The focus of physical therapy treatment for inpatient rehabilitation is joint mobility, range of motion, pain management, motor function/strength, sensory awareness, posture, balance, transfers, wheelchair mobility/management, standing, gait, advanced ambulation skills, endurance, reconditioning, skin care, adaptive equipment needs, community mobility, home evaluations, patient/family education and development of home exercise programs.

Occupational therapy

Occupational therapy services are provided on the average 1.5 hours a day, 5-7 days a week during an inpatient rehabilitation stay. Occupational therapists focus on treatments to improve activities of daily living including eating, bathing, dressing, work activities, home management, leisure activities and community activities. They also focus on sensory motor skills, cognitive integration, psycho-social skills and visual/perceptual impairment remediation.

Occupational therapists work with the interdisciplinary team, the patient and their family to help ensure all occupational therapy goals and treatment strategies are carried out throughout the patient's stay. They provide families with hands-on education to ensure they will be comfortable assisting the patient with activities of daily living upon discharge.

Speech therapy

The inpatient rehabilitation speech language pathologist is responsible for evaluating and treating adult patients with speech and language disorders, dysarthria (slow slurred speech), aphasia, cognitive impairments, swallowing problems (dysphagia), apraxia, voice disorders, neglect, visual field cuts, reading and writing impairments and fluency disorders. The focus of speech language pathology is to improve communication, swallow function and cognition so the patient may be as independent and safe as possible as they return to their prior level of function.

All our speech pathologists are trained to perform and make recommendations based on modified barium swallows to help ensure a patient's safety during all oral intake. They also can provide e-stim to improve speech and swallow function. The medical director will determine the need for a speech language pathology evaluation with input from the interdisciplinary team. The speech language pathologist will complete the evaluation, make recommendations and establish a patient-driven treatment plan consisting of the patient's strengths/weaknesses, long-term and short-term goals and specific treatment strategies.

Neuropsychology

The need for neuropsychology services will be determined by the medical director with input from the interdisciplinary team. The neuropsychologist will assist patients in making sound emotional and behavioral adjustments to their disability, assess and make recommendations concerning cognitive function, assist with treatment planning and provide the patient and their family with education, coping strategies and recommendations for continued success.

Our rehabilitation nurses are specifically trained to provide 24-hour care under the supervision of the medical director and other physicians involved in the care of the patient. They assess and develop plans of care for bowel and bladder management, medication management, skin care and disease management. Our nurses assist patients in practicing and using the skills they have learned during their daily rehabilitation therapy. Rehabilitation nurses also spend time educating and training the family to assist and care for any medical needs the patient may have at discharge.

Medical Director

Dr. Oldham manages all medical concerns and issues and helps ensure the patient is medically stable and functioning at their highest level. She educates and keeps families informed on how the patient is doing medically and how they are progressing in the rehabilitation program. The medical director helps ensure patients will have a smooth discharge from the rehabilitation unit by making sure medication, follow-up services and needed equipment have been ordered. The medical director also arranges consulting services and medical coverage as the patient's needs dictate.

Social worker/case manager

The rehabilitation social worker/case manager will serve as the primary liaison between the patient, the family and the interdisciplinary team and will assist in the patient's overall emotional adjustment and discharge planning. Their goal will be to provide continuity to the treatment process for the patient and family from admission through follow up. They will help the family make discharge plans, procure needed equipment and help ensure services needed at discharge are in place.

Support groups

Traumatic brain injury (tbi) support group.

The TBI Support Group meets the third Tuesday of every month from 6:30 – 7:30 p.m. in the Rehabilitation Institute Conference Room 5 South at St. Mary's Regional Medical Center.

Learn more about the TBI Support Group →

Referral information

Patients who are referred to the inpatient rehabilitation program must have a substantial functional decline that would be improved by intensive inpatient therapy, close supervision of a physician and 24-hour rehabilitation nursing care.

Admission criteria

• Patient must be medically stable so they are able to participate in intensive rehabilitation
• Patient requires the care of a rehabilitation physician to coordinate their medical needs with their functional rehabilitation needs
• Patient requires 24-hour care by a rehabilitation nurse
• Patient requires active and ongoing therapeutic interventions of at least two therapies: physical, occupational, or speech language therapy
• Patient can actively participate in at least three hours of intensive therapy each day for a minimum of five days a week
• Patient must be at least 18 years old
• There is a reasonable expectation that the patient will achieve measurable improvements of practical value to improve their functional capacity or adaptation to impairments

The Rehabilitation Institute accepts referrals from physicians, nurses, healthcare providers, patients and families. To be admitted, a pre-admission screening must be completed to determine whether the patient has the potential to participate in and benefit from a comprehensive inpatient rehabilitation program.

If you would like more information or would like to make a referral, please call us at 580-548-5001 .

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Allied Services Moscow Rehab Center

• Category: Outpatient Physical Rehabilitation Center
• Location Type: Hospital

About This Location

Our team of rehab experts provides comprehensive physical, occupational, and speech therapy services. Outpatient therapy is a highly effective way to help you recover from injuries or live well with a chronic illness.

We treat a wide range of conditions including treatment for:

• Back, neck, hand, and other injuries
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• Joint replacement
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Typically, your outpatient therapy program will begin with an assessment of your needs. You will then receive an individualized treatment plan with a schedule of regular appointments with the rehab professional who best fits your needs and goals.

Therapy services are covered by most insurance plans. Receiving physical therapy at one of our conveniently located Rehab Centers is simple. With Direct Access, you don't need a referral. You can start without the expense and inconvenience of another physician’s appointment and referral.

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• Moscow Drug Treatment and Alcohol Rehab in Idaho – Ashwood Recovery
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Alcohol and Drug Rehab in Moscow, ID: Addiction Recovery Explained

Unfortunately, drug and alcohol addiction is a problem that affects people all over the country; even in places that are highly unlikely, such as Moscow, Idaho. It has the power to tear families apart, and it can quickly ruin a life unless something is done to allow for recovery to take place.

In 2010, Moscow, Idaho's population was 23,800. It is located in Latah County, and more than 60% of the people who live in that county reside in Moscow. Moscow is home to the University of Idaho and New Saint Andrews College. It is known as a quiet community that's filled with great families and plenty of opportunities for arts and entertainment.

For those who live in Moscow, Idaho who struggle with addictions to either drugs or alcohol, they primarily feel hopeless. It seems as though they'll never escape their addictions, no matter how hard they try. Statistics indicate that the addiction problem in Moscow is very serious. In fact:

• There are about 1,078 marijuana users in Moscow, Idaho
• 136 people will be arrested this year on drug-related charges
• There are more than 170 cocaine addicts in Moscow, Idaho
• 80 people are currently addicted to hallucinogens in Moscow
• Close to 500 people are addicted to prescription drugs
• Officials are expecting there to be around 103 DUIs this year

Fortunately, there is an answer for those with alcoholism or drug addictions. Drug rehab centers in Moscow, Idaho are able to provide the help and support that's needed during this critical time in their lives.

Choosing Alcohol Detox and Drug Detox in Moscow, ID Prior to Addiction Treatment

Many times, people don't realize all that's involved in going to alcohol and drug rehab centers. It's often not enough to receive counseling for an addiction because the physical symptoms of withdrawal can become very powerful, and lead to relapse. Those who opt to go to inpatient drug rehab or outpatient drug treatment without going through a detoxification process first often find that their withdrawal symptoms overpower their will to quit, and quite often, they end up returning to using.

Alcohol detox and drug detox are a very important part of the recovery process for many reasons. It is essential to detox the body from all of the toxins that remain after the substances have been stopped. This shortens the duration of the withdrawal period, helps to alleviate the most common withdrawal symptoms, and also helps to guard against any medical complications that can arise during the earliest stages of recovery.

Some of the most common drug and alcohol addiction withdrawal symptoms include:

• Chronic headaches and muscle aches
• Extreme flu-like symptoms
• Anxiety and panic attacks
• Feelings of confusion or disorientation
• Difficulty sleeping at night
• Increase in appetite and weight gain

Medical complications that can arise after drugs or alcohol have been stopped include:

• Symptoms of depression that can lead to suicidal behaviors
• Increased risk of strokes
• Increased risk of developing seizures
• Increased risk of heart problems, including heart attack
• Cravings that can lead to relapse and possible overdose

Rehab Facilities in Moscow, Idaho: Offering Options for Recovery

The way that many rehab facilities are structured has been changed in recent years due to the demand for more convenient and flexible forms of treatment. At one time, inpatient drug rehab was considered to be the norm, and almost everyone received a recommendation for this type of addiction treatment. However, inpatient drug rehab is not appropriate for everyone, and there are those who aren't able to make that type of commitment, but who still need to recover.

Outpatient drug treatment options are an excellent alternative to inpatient treatment, and they can be just as effective from the right rehab facilities. For people who work during the day, or who have small children at home, intensive outpatient drug treatment offers them the opportunity to recover from their addictions without having to commit to an inpatient program. This change has caused an increase in recovery rates, and it's certainly something to consider for those who need that option.

Alcohol and Drug Rehab Centers in Moscow, ID: Aftercare and Lifelong Recovery

It is important to note that recovering from an addiction is not something that occurs in a matter of weeks, months, or even years. Recovery is a lifelong process, whether someone is an alcoholic or has a drug addiction. For that reason, getting the right kind of aftercare is always recommended in order to maintain a quit after drug rehab or alcohol rehab are over.

Continuing to go to support groups, staying involved in a 12 Step Program, and working closely with a personal sponsor are all important ways to protect recovery. Many alcohol and drug treatment centers offer their services in a step-down type of process that gives patients the correct level of support during every stage of their quits.

Drug and Alcohol Treatment Centers in Moscow, Idaho Offer Help for Families

For families who have loved ones who are in need of help from alcohol and drug rehab centers, it can be very stressful to watch someone they care about battle an addiction. Many times, their pleas for that person to get help go unheard, or they may feel as though they're not sure what to say to address the problem.

Intervention services are available through many addiction treatment centers, and they have been very effective at helping families communicate a need for addiction treatment. During an intervention, several people are able to voice their concerns in a controlled and supervised setting, and admission into rehab facilities can happen directly afterwards.

In addition, family sessions are offered in many drug and alcohol rehabs that keep families informed about their loved ones' progress in treatment.

Identifying a Need for Alcohol and Drug Treatment Centers in Moscow, ID

One of the most challenging parts of making the decision to get help for an addiction is understanding whether a not a true addiction is present. A lot of alcoholics and drug addicts believe that they are in control of their substance abuse behaviors. They feel they can stop using whenever they want to, and so, they often don't reach out for help when they should.

It can be helpful to know the signs to look for that can identify a drug or alcohol addiction. These may include:

• Excessive weight loss
• Strange or repetitive speech patterns
• Changes in personal hygiene
• Lack of interest in work, school or social activities
• Being secretive about drug or alcohol use
• Struggling to deal with stress
• Continued use despite the consequences that can result
• Losing control over the amount and frequency of drug or alcohol use
• Being defensive about using drugs or alcohol

If these or any other key indicators are present, an addiction should be assumed. An addiction specialist can assist in recommending the appropriate type of treatment.

What is the Cost of Moscow, Idaho Addiction Treatment Programs?

Today, health insurance companies are required to provide benefits to help with paying for addiction treatment centers. These benefits will help to lower the cost of drug and alcohol detox, and they can be applied to all forms of addiction treatment. Changes in U.S. healthcare laws have made it possible for anyone to who needs professional help to access it immediately, and this has resulted in many more people reaching out for information about drug and alcohol treatment centers.

The best way to determine coverage is to contact alcohol and drug rehab centers and do an intake over the phone. This process results in a recommendation for treatment, and the admission staff member can contact the health insurance company to ask about coverage. Quite often, this method will result in full payment for drug and alcohol treatment centers, and the patient doesn't have to pay anything out of pocket. However, it's important to note that all health insurance plans are different, and coverage may vary. Even so, any copayments should be small.

Ashwood Recovery: One of the Top Alcohol and Drug Treatment Centers in Moscow, Idaho

There's no denying that there is a serious drug and alcohol addiction problem in Moscow, Idaho. Unfortunately, far too many people are struggling with addiction, and they're unaware that there's a way for them to recover. Many try to stop using for years on their own, only to be pushed further into their addictive behaviors.

Here at Ashwood Recovery, we've had the privilege of helping many people from Moscow, Idaho, and we've watched them overcome their addictions to drugs and alcohol. As one of the best alcohol and drug treatment centers in the State of Idaho, we maintain a strong commitment to providing our patients with an excellent level of care that will allow them to be successful.

If you would like more information about how Ashwood Recovery can help you, or someone you love, please contact us right away.

Our Ashwood Location

Our new outpatient facility is located in Boise, and will serve The Boise Metropolitan Area. It will provide a safe & therapeutic environment for both our staff and patients.

7941 West Rifleman Street Boise, ID, 83704

We are here to help. Contact us today and get the answers you need to start your journey to recovery!

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