Acute Inpatient Rehabilitation

Acute Inpatient Rehabilitation
WellSpan Dixon Foundation Health Center
30 North 4th St.
Lebanon, PA 17046

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The Mr. and Mrs. Robert L. Miller Rehabilitation Services Center is an acute inpatient rehabilitation unit. Located in a newly renovated area on the first floor of the WellSpan Dixon Foundation Health Center, this unit specializes in comprehensive rehabilitative care for individuals age 18 and older. This unit has all private rooms and private bathrooms.

Patients can be admitted from the hospital, home, assisted living, or nursing home after their functional status is evaluated. Patients admitted for acute rehabilitation must be medically stable and demonstrate a reasonable expectation to benefit and tolerate a comprehensive rehabilitation program. The inpatient rehabilitation program is designed to meet the needs of each patient and includes at least 3 hours of therapy per day. This therapy time includes a combination of physical, occupational and speech therapy as indicated by the needs of the patient. Therapy time is divided through the course of the day in order to meet individual needs.

Patients must have a deficit(s) that requires retraining in an acute rehabilitation setting under the guidance of an interdisciplinary team. This retraining should include rehabilitative care with the focus of enhancing the self care and mobility function of the patient. Examples of diagnoses in the Inpatient Rehabilitation Unit include (per CMS guidelines):

  • Stroke
  • Spinal cord injury
  • Congenital deformity
  • Amputation
  • Major multiple trauma
  • Fracture of femur (hip fracture)
  • Brain injury
  • Neurological disorders (multiple sclerosis, motor neuron diseases, polyneuropathy, muscular dystrophy, and Parkinson’s disease)
  • Burns
  • Active, polyarticular rheumatoid arthritis, psoriatic arthritis, and seronegative arthropathies
  • Systemic vasculidities with joint inflammation
  • Severe or advanced osteoarthritis (osteoarthrosis or degenerative joint disease) involving two or more major weight-bearing joints)
  • Knee or hip replacement, or both, during an acute hospitalization immediately preceding the inpatient rehabilitation stay and also meets one or more of the following specific criteria:
    1. The patient underwent bilateral knee or bilateral hip joint replacement surgery during the acute hospital admission immediately preceding the IRF (Inpatient Rehabilitation Facility) admission.
    2. The patient is extremely obese with a Body Mass Index of at least 50 at the time of admission to the IRF.
    3. The patient is 85 or older at the time of admission to the IRF.

There is 24-hour rehabilitation nursing care provided on the Inpatient Rehabilitation Unit.

The interdisciplinary team consists of:

  • Medical director (physical medicine and rehabilitation)
  • Rehabilitation nursing
  • Physical therapy
  • Occupational therapy
  • Speech/language pathology
  • Social services/discharge planning
  • Nutritional services
  • Psychology services
  • Spiritual services
  • Recreational therapy
  • Audiology

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