Inpatient Rehabilitation

After suffering a debilitating illness or injury, many people need help rebuilding strength and recovering independence. Central Iowans needing this kind of support can turn to the well-qualified staff at the Mary Greeley Acute Rehabilitation Center.

Acute Rehabilitation Center

The Mary Greeley Acute Rehabilitation Center staff focuses on inpatient rehabilitation in a 17-room facility, creating individualized plans for medical care, therapy and education. Acute Rehab is located on the third floor of the east wing of Mary Greeley Medical Center. The unit has its own dining room, kitchenette and laundry, which helps patients practice and regain daily living skills.

Inpatient rehabilitation staff includes physicians, rehabilitation nurses, physical and occupational therapists, therapeutic recreation specialists, speech-language pathologists, social workers, dieticians and other specialty staff. The team comes together weekly with each patient and family to review and refine the patient’s individualized plan of care.

We also work closely with patient’s family and loved ones, and will assess their ability and willingness to advocate for the plan of care, including providing education, physical training, and counseling.

Types of Patients

A variety of people may need inpatient rehabilitation as they recover from an illness or injury, such as:

• Brain/Head Injuries
• Cardiac and Pulmonary Conditions
• Degenerative & Progressive Neurological Disorders
• Guillain-Barre’
• Hip Fractures and Replacements
• Multiple Sclerosis (MS)
• Multiple Trauma and Amputations
• Neuropathy and Myopathies
• Parkinson’s Disease
• Peripheral Nerve Injury
• Spinal Cord Injury
• Stroke (CVA)

Admission Criteria

There are different requirements for inpatient rehabilitation admission. The five reasonable and necessary criteria are:

1. Need active and ongoing therapeutic intervention of multiple therapy disciplines (OT, PT, speech and prosthetic-orthotic services; one of which must be either OT or PT)
2. Need for an intense rehabilitation therapy program
3. Ability to participate and significantly benefit from the intense rehabilitation therapy program and make measurable improvement in a reasonable period of time
4. Need for physician supervision by a rehabilitation physician
5. Need for intensive and coordinated interdisciplinary approach to rehabilitation

In addition, each patient must have an inability to function independently with a demonstrated impairment in two or more of the following:

• Cognitive function (attention span, memory, intelligence)
• Communication (aphasia with major receptive or expressive dysfunction)
• Continence (bowel and/or bladder)
• Mobility (transfers, walking, stair climbing, wheelchair function)
• Perceptual motor function (spatial orientation, depth or distance perception)
• Self-care activities (drinking or feeding, dressing, maintaining personal hygiene, toileting, donning brace or prosthesis)

Services You Might Receive

There are a variety of services that help the inpatient rehabilitation team create a unique plan of care for each patient. Those may include:

• Physical therapy, occupational therapy, and speech/language pathology, minimally 3 hours per day at least 5 days per week
• 24/7 Rehabilitation Nursing
• 24/7 close Medical Management directed by a physician with specialized training and experience in rehab medicine and the Hospitalist Team or Primary Care Physician
• Medical, diagnostic, laboratory and pharmacy services within the hospital
• Psycho-social counseling
• ADL evaluation and training
• Mobility and gait evaluation and training including prosthetic training
• Cognitive and perceptual evaluation and training
• Oral motor and swallowing skills assessment and management
• Home evaluation to assess need for adaptive equipment environmental modifications
• Wheelchair positioning and mobility training
• Community re-entry activities
• Mediation management
• Orthotics/Prosthetics
• Pain management
• Bowel and bladder training
• Pet therapy
• Family conferences and post discharge follow up

Your Goals

Walking. Dressing. Self-care. Simple movements. These actions might not seem like big accomplishments, but for people with a disabling injury or illness, functional independence is critical to resuming daily life. On average, patients stay 12 days in the Acute Rehabilitation Center. Functional outcomes for our patients exceed that of both regional and national averages.

Car Simulator

Delores “Dee” Croker was admitted to Mary Greeley Medical Center in early June. As she recovered from her stroke she experienced Mary Greeley first hand.

Dee shared, “All the nurses and helpers were wonderful! No one was grouchy – no one. When I needed help, they came quickly even when they were busy. They were all so pleasant. Of course Dr. Michael Bird was A+, as usual. My neurologist, Dr. Semira Ramic was just wonderful too.”

Once Dee was ready for the next step, she was transferred to the Acute Rehabilitation Center. Acute Rehab is located on the third floor of the east wing of Mary Greeley and has its own dining room, kitchenette and laundry, and car simulator to help patients practice and regain daily living skills.

Dee continued, “I didn’t know that Mary Greeley had this type of rehab available but the great care continued. I was thrilled to have all the staff come to me instead of the other way around. We walked the halls and the stairs. We practiced getting in and out of the car simulator. We took some pretty great imaginary road trips. They made work fun and helped me get back to doing what I want to do. After the therapists worked with me at the hospital and Acute Rehab other therapists followed up with Home Health Care. It was very warm and it helped so much to bring the service to the door.

Gifts to the Foundation allowed a car simulator to be purchased for Acute Rehab. Every patient on the 17-bed floor uses this piece of equipment as they prepare to return home. The simulator provides an opportunity for patients to practice getting in and out of their vehicle and fastening their seat belts. It also alerts them to real-life situations, such as where they will put a walker, while they still have staff support to help them figure out solutions. Thank you!

Learn More

Download our brochure to learn more, or call 515-450-4999. In addition, services in the Acute Rehabilitation Center are covered by Medicare and most private insurances, with certain criteria at admission and during a stay.