Stroke

The effects of stroke are diverse and can be profound, affecting a person’s body, mind, and sense of self.  It can immediately change family dynamics down to the very roles in life played by the patient and family members. Inpatient Rehabilitation's stroke program is “patient-family focused” and responsive to the individual needs of each person served.  An interdisciplinary team of highly qualified professionals closely collaborates with each other and the patient and family members to help restore function and maximize the quality of life with an overall challenge to assist the patient to return to a sense of self.  

The mission of UPHS - Marquette’s stroke program is to provide the highest level of care for our stroke patients by utilizing an interdisciplinary patient-family-centered approach that challenges the patient to regain a sense of self.  This mission is observed from the time of the initial assessment in the inpatient rehabilitation department through long-term follow-up in the community, which may or may not include outpatient services.

UPHS - Marquette’s stroke program includes acute Inpatient Rehabilitation and outpatient services.  These services allow for a lifelong follow-up of deficits caused by stroke. A consistent medical team can provide continuity of care through the components. UPHS - Marquette is often the destination that patients are sent to from many local acute care hospitals throughout the Upper Peninsula and beyond.

UPHS - Marquette’s stroke program has a designed team of professionals who work collaboratively to provide quality stroke rehabilitation services.  The physiatrist is the designated team leader who prescribes a rehabilitation program specifically designed for each patient.  An interdisciplinary team conference occurs at least weekly, which provides the mechanism for the coordination of care and addresses changes in the physical, emotional, social, and vocational status of each patient.  Goals are documented in the individual admission assessment that is utilized for subsequent team conferences. Team members include physicians, nurses, occupational therapists, physical therapists, speech therapists, case managers, respiratory therapists, dieticians, and social workers.  

Brain Injury

With more than 1.5 million Americans affected by Traumatic Brain Injury (TBI) per year, the need for a rehabilitation resource for these patients and their families and/or support systems remains absolutely critical.  At UPHS - Marquette, we provide a patient-centered approach that focuses on challenging patients to regain their lost functional independence through an individualized plan of care focused on overall recovery.  

The interdisciplinary team at UPHS - Marquette will challenge the various aspects of the patient’s injury to help facilitate early and successful recovery.  The team will not only address the medical needs of the patient but will also focus on the physical, emotional, psycho-social, and cognitive needs that the patient has after suffering a brain injury.

Based on the needs listed above, our individualized team approach helps brain injury patients to:

• maximize arousal and responsiveness
• develop new cognitive and behavioral strategies to compensate for any deficits
• improve physical function and mobility to enhance the skills needed to perform daily activities
• overcome the psychological and social problems that often interfere with the adjustment to an independent life at home, work, and/or in the community 

 The Brain Injury Program at UPHS - Marquette also focuses on providing patients and families and/or support systems the education that is essential for a successful recovery.  From a general orientation to brain injury to individualized educational sessions with treatment encounters, our educational process is facilitated early on in the rehab process to allow patients and families to have a better grasp of the changes occurring in their present lives.

Spinal Cord Injury

Spinal Cord Injury rehabilitation at UPHS - Marquette focuses on the delivery of a comprehensive, highly integrated, and intensive program of medical, nursing, and therapy care to address the complex needs of each patient with the exception of those patients who are still on ventilators.  The Spinal Cord Injury program at UPHS - Marquette is able to take patients with any cause of spinal cord injury. 

We provide the earliest possible start to rehabilitation and work to optimize the abilities and independence of our patients so that they may return home. This goal-directed approach enables patients to:

• improve physical function and mobility
• develop the skills and strategies to perform daily activities
• utilize adaptive technologies that facilitate activities at home, work, and in the community
• overcome the psychological and social problems that often interfere with adjustment to life ahead

 The Spinal Cord Injury program at UPHS - Marquette also provides patients and families/support systems with the appropriate education that is necessary to help facilitate life after a spinal cord injury.  The educational process begins with a general orientation and progresses to individualized therapy and nursing sessions to help patients overcome each of their obstacles.  A significant component of this educational process is to also provide patients and families with the appropriate psycho-social support to help adapt to the lifestyle changes which might be a result of the injury.

Amputee

UPHS-Marquette provides an integrated and multidisciplinary approach to treating patients with amputation.  The overall goal of the program is to provide the patient and their families/support systems with the skills and education to continue with their regular lives with an amputation.  

Our comprehensive approach to amputee rehabilitation focuses on the post-surgical, prosthetic, and outpatient/reintegration phases to:

• address proper wound care and limb management
• increase an individual's strength, flexibility, coordination, and endurance, and decrease pain
• provide the expert fitting of a prosthesis to meet personal lifestyle needs when functionally ready
• train individuals to use their prostheses with confidence and comfort, and avoid complications 

 The rehabilitation program at UPHS-Marquette also provides patients and families/support systems with the appropriate education that is necessary to help facilitate life after an amputation.  The educational process begins with a general orientation and progresses to individualized therapy and nursing sessions to help patients overcome each of their obstacles.  A significant component of this educational process is to also provide patients and families with the appropriate psycho-social support to help adapt to the lifestyle changes which might be a result of the amputation.

Admissions Qualifications:

Our team will review and assess your patient/family member before admission to ensure your patient meets the requirements for Inpatient Rehabilitation. A person may be admitted from the hospital setting, emergency room, observation unit, another facility, or directly from home. Admission to Inpatient Rehabilitation does not require an entire three-day stay at a short-term hospital.

To qualify for admission, patients must:

1. Have medical necessity (conditions that require ongoing medical management)
2. Require rehabilitation physician supervision (at least 3 visits per week)
3. Require a minimum of two therapies (PT, OT, or ST)
4. Be able to complete a minimum of three hours of therapy daily a minimum of five our of seven days per week (3 hours/day, 5 days/week)
5. Require 24-hour rehabilitation nursing interventions and assessments by specially trained rehabilitation nurses
6. Demonstrate the willingness to actively participate in an intensive rehabilitation program
7. Demonstrate ability to make significant practical improvement in a reasonable period of time and have realistic goals of returning home

Admission diagnoses:

1. Stroke
2. Brain injury
3. Spinal cord injury
4. Multiple trauma
5. Amputations
6. Neurological disorders
7. Arthritis
8. Cardiac
9. Pulmonary conditions
10. Orthopedic injuries
11. Debilities and other diagnoses for medically complex conditions

Every referral we receive is given consideration. Every admission decision is made on a number of factors and reviewed on an individual basis.

Best option for patients who:

• Would benefit from more intensive physical involvement including consultation with specialists (urology, hospitalists, cardiology, etc…)
• Can tolerate and benefit from at least three hours of therapy daily
• Have the potential to learn how to care for themselves
• Have moderate to severe disability
• Would benefit from round-the-clock skilled nursing
• Have comorbidities such as diabetes, hypertension or congestive heart failure

We also treat:

• Impaired physical mobility
• Self-care  deficits (bathing, dressing, grooming, toileting)
• Impaired cognition
• Sensory-perceptual deficits
• Impaired communication
• Potential for injury secondary to physical limitations
• Impaired safety/awareness/judgment
• Impaired swallowing
• Environmental factors for community re-integration
• Adaptive equipment use
• Debility

To make a referral please fax to 906.629.6512 or contact a clinical liaison at 906.235.7165. If you do not receive a return call within 24 hours please contact the nursing desk at 906.449.3800.