Leflore Rehabilitation

Sometimes life can take an unexpected turn. That blood pressure problem that’s been nagging you can escalate into a stroke, leaving you with weakness in an arm or leg or difficulty with speech. Poorly controlled diabetes may damage the small blood vessels in your feet and present your doctor with no choice except an amputation. Neurologic diseases slowly rob you of your balance and fine motor skills and you find yourself struggling with such simple daily activities as walking to the mailbox or buttoning your shirt. Orthopedic injuries or joint replacement require rehabilitation to strengthen weakened muscles or training with prosthetic devices. And a heart attack or chronic pulmonary disease can lead to a limited lifestyle robbed of its quality.

Greenwood Leflore Hospital can handle all of those acute events, whether its a stroke, a broken hip or a heart attack. But once the initial disease is under control, you may be faced with challenges that you never anticipated. The role of Leflore Rehab is to assess your needs and develop a treatment plan that will bring you back to a full and productive life as quickly as possible.

Physicians

Leflore Rehab’s Medical Directors are Dr. Henry Flautt, Jr. and Dr. Charles Nause, Jr.

Dr. Flautt is a board-certified internist who earned his undergraduate and medical degrees from the University of Mississippi. After completion of his Internal Medicine residency at UMMC, he returned to Greenwood for private practice in 1994. Dr. Flautt has served as Chief of Staff at Greenwood Leflore Hospital and as President of the Delta Medical Society.

Dr. Nause earned his undergraduate degree at the University of Mississippi and completed his master’s degree at Mississippi State University. He was awarded his Doctor of Osteopathy degree from the University of Health Sciences at Kansas City in 1983, followed by a Family Medicine residency at St. Vincent’s Hospital in Jacksonville, Florida. Dr. Nause is board-certified in Family Medicine and has served as Chief of Staff at Greenwood Leflore Hospital.

Dr. Cynthia Willingham is a consulting physician for Leflore Rehab. She is a Board Certified Physiatrist and member of the American Academy of Physical Medicine and Rehabilitation. Dr. Willingham is a graduate of the University of Arkansas School of Medicine and received her post-graduate training at the Medical University of South Carolina in Charleston.

Illnesses and Injuries Treated at Leflore Rehab

Cerebrovascular Accident (Stroke): Bleeding in the brain or occlusion of the blood vessels leading to the brain are the pathologies involved in cerebrovascular accidents, also known as CVA or stroke. Depending on the portion of the brain involved, CVAs can leave a patient with weakness in arms, legs or face. More diffuse brain damage can be manifested by decreased awareness or mental processing, and speech patterns or recognition may be affected as well.

In some cases, the damage inflicted by a stroke will improve with time. Rehabilitation is critical, regardless, in order to enhance the potential for improvement or resolution of weakness and speech limitations.

Amputations: The loss of an arm or leg, whether through an accident or through surgical amputation, is a life-altering event which can limit anyone’s ability to work, play or enjoy the day-to-day activities of life. Leflore Rehab has trained physical therapists and occupational therapists who work with amputees to learn new ways to cope with the challenge of a missing extremity, with or without prosthetic replacement.

Neurological diseases: Diseases of the nervous system, such as multiple sclerosis, Parkinson’s and polyneuropathy, often develop slowly and gradually rob the patient of motor skills which are vital to normal functioning. Leflore Rehab’s programs are designed to monitor these changes and teach patients how to cope with difficulty in ambulation, fine motor skills and communication.

Orthopedic: With an aging population, hip fractures and replacements and knee surgery are more and more common. After surgery, physical rehabilitation is the key element in restoring proper function, strengthening muscles which may have weakened through limitation of activity, and learning to get out and enjoy life again. In-patient treatment is coordinated with the patient and family and outpatient treatment plans are developed to continue the patient’s progress toward full mobility.

Arthritis: Osteoarthritis, rheumatoid arthritis and psoriatic arthritis are progressive diseases of the joints which cannot be cured. The role of rehabilitation in these syndromes is to maintain joint function and help the patient deal with life’s daily activities with a minimum of discomfort.

Cardiac: Chronic heart disease and myocardial infarctions, also known as heart attacks, can leave patients with weakened heart muscles and difficulty in exercising or even performing such routine chores as housework or yard work. Cardiac surgery can correct some heart problems but also leaves the patient with the need to strengthen the damaged tissue. Leflore Rehab can play a role in this recovery through careful exercise and stamina development.

Pulmonary: Chronic lung conditions such as COPD or chronic bronchitis can limit even the simplest activities, and Leflore Rehab can assist patients with breathing techniques and general conditioning to maximize their activity level.

Goals and Treatment Options at Leflore Rehab

General:

  • 24 hour physician coverage with physicians who have specialized experience in physical rehabilitation
  • Daily MD visits during the week
  • Therapy available 7 days a week
  • Community re-entry opportunities
  • Wii-Hab: Rehabilitation using the Wii device to assist motor function, balance, and problem solving skills.

Arthritis – Goals:

  • Optimize range of motion and prevent deformities
  • Joint protection
  • Decrease pain and improve quality of life
  • Energy conservation techniques
  • Increase strength and endurance
  • Educate on the importance of weight management and adequate nutrition

Arthritis – Treatment can include:

  • Medications, including non-steroidals (anti-inflammatory medications)
  • Modalities such as heat, ice, ultrasound, electrical stimulation
  • Access to aqua therapy
  • Therapeutic exercise
  • Relaxation techniques
  • Gait training on various assistive devices to maximize safety and decrease pain levels
  • Splinting (or braces)
  • Access to our Patient Education Center
  • Consultation from specialists such as orthopedists and podiatrist
  • Further diagnostic testing as indicated

Cardiac – Goals:

  • Energy conservation and work simplification techniques
  • Medication education
  • Be set up with appropriate cardiac diet with the assistance of our registered dietitian
  • Learn how to accurately check pulse and heart rate, and what to do if you find abnormalities
  • Be able to verbalize signs of recurrent disease and/or complications
  • Improve quality of life
  • Increase strength and endurance
  • Educate on the importance of weight management and adequate nutrition

Cardiac – Treatment can include:

  • Exercise program that is individually tailored to you with MET level restrictions based on your current cardiac condition.
  • Energy conservation and work simplification techniques
  • Access to our Patient Education Center
  • Consultation from specialists such as cardiology and vascular surgery
  • Further diagnostic testing as indicated

Ortho – Goals:

  • Reduction of pain
  • Reduction of edema (or swelling)
  • Restoration of range of motion
  • Increase strength and endurance
  • Return to independence with self care and ADLs

Ortho – Treatment can include:

  • Medication management for pain and swelling
  • Modalities including ice, retrograde massage, electrical stimulation, and heat (when indicated)
  • Therapeutic exercise that adheres to any weight-bearing restrictions your surgeon has given you
  • Compression garments
  • Neuromuscular re-education
  • Splinting (or braces)
  • Adaptive equipment to increase independence with ADLs and improve overall safety
  • Daily wound care
  • Access to our Patient Education Center
  • Consultation from specialists such as your orthopedist (if on staff)

Speech – Goals:

  • Improve impairments in speech intelligibility, comprehension, expression and swallowing

Speech – Treatments can include:

  • Aphasia treatment for deficits in verbal and written language and auditory or reading comprehension
  • Cognitive-linguistic treatment for deficits in problem solving, orientation, memory and thought organization
  • Swallowing treatment for increasing the strength and endurance of swallowing and chewing muscles with modification of diet texture and instruction in safe swallowing
  • Instruction in use of speaking/swallowing valve for tracheostomy patients

Treatment Team

Leflore Rehab has gathered a complete team of highly trained professionals to coordinate the challenges of rehabilitative care. From doctors to therapists to social workers and dieticians, these caring individuals merge their talents and skills to assess each patient’s problems and craft a workable plan for inpatient therapy and eventual return to their own home.

Patient and family: In a rehab setting, the patient’s job is to be motivated and focused on getting back to a normal lifestyle. From day one, the family is part of this process, through emotional and physical support for their family member to regular conferences with physicians, nurses and therapists. A patient with a dedicated and informed family is the one who will go home to a productive and safe environment.

http://www.aapmr.org/patients/conditions/neurologic/Pages/familystroke.aspx

Physician: Leflore Rehab’s doctors are committed to working with each individual patient and their staff to develop a manageable therapy plan. If needed, they will consult Greenwood Leflore Hospital specialists for oversight with cardiac, pulmonary, neurological and orthopedic issues. They had daily contact with the therapists and support staff to discuss each patient’s progress and needs.

http://www.aapmr.org/patients/aboutpmr/Pages/physiatrist.aspx

Nurses: Leflore Rehab’s team of nurses provide 24-hour care individualized to each patient’s medical problems. They are trained not only in routine nursing skills but also the emotional and psychological challenges of rehabilitation medicine.

http://www.rehabnurse.org/pubs/role/Role-Rehab-Staff-Nurse.html

Physical therapists: These highly trained therapists are the core providers in rehab medicine. They work with each patient on a daily basis to improve mobility, balance, strength and mastering life skills to enhance their experience after discharge.

http://www.apta.org/PTCareers/RoleofaPT/

Occupational therapists: OTs concentrate on daily living skills, both those related to simple chores such as feeding, dressing and caring for oneself and also work-related skills.

http://www.aota.org/about-occupational-therapy.aspx

Speech language pathologists: Strokes or brain injuries can leave the patient with difficulties in speech and language processing. Leflore Rehab’s speech therapists will do a careful evaluation of the patient’s deficits and work with them on restoring full language capacity.

http://www.asha.org/public/

Case manager: The rehab’s case manager will coordinate all aspects of the patient’s medical care and therapy schedule to maximize the time spent on the unit.

Social worker: These professionals can assist the family with arranging an appropriate setting for the patient after discharge and advice on financial and social problems which may arise during hospitalization.

Respiratory therapists: These Greenwood Leflore Hospital technicians will assist with the breathing problems that may accompany chronic lung disease or heart problems.

Dieticians: Proper nutrition is essential for the healing process, whether that involves stroke, heart disease, surgery or diabetes. Greenwood Leflore’s dieticians can advised patients and their families on ways to improve dietary choices at home.

Specialty physicians: When a patient has a multifactorial disease, it may be necessary to consult specialists to assist in care at Leflore Rehab. Greenwood Leflore Hospital’s staff includes medical specialists in cardiac, pulmonary and renal medicine and surgeons to cover orthopedic, neurosurgical, urologic and wound care problems.

CARF Accreditation

carf

Leflore Rehab has achieved all the elements necessary to be awarded full accreditation from the Commission on Accreditation of Rehabilitation Facilities (CARF).

Patient Outcomes

Here at Leflore Rehab, we compare our patient’s average length of stay to the nation and region. The average length of stay is how many days the patient stayed at the acute rehab facility. The lower the average length of stay, the faster the patient was able to go home. As you can see, our average length of stay for these diagnosis’ are less than or equal to the nation or region.  

Average length of stay for the past 30 days as of February 6, 2018:

 Stroke:
Leflore Rehab- 11.00 days
National- 16.12 days
Regional- 15.83 days

Orthopedic:
Leflore Rehab- 12 days
National- 12.37 days
Regional- 12.65 days

Neuro: (Spine surgeries, Multiple Sclerosis, Parkinson’s Disease, etc.)
(Last 60 days due to no data within the last 30 days)
Leflore Rehab – 9.00 days
National- 12.76 days
Regional- 13.19 days

Non-Traumatic Brain Injury:
Leflore Rehab- 13.00 days
National- 15.03 days
Regional- 14.57 days

General Rehab:
Leflore Rehab- 9.78 days
National- 11.38 days
Regional- 11.26 days

We also compare our percentage of patients that are discharged home. Our goal at Leflore Rehab is to rehabilitate our patients, so that each patient can return home and function as independently as possible in their home environment. As you can see, Leflore Rehab has good discharge to home percentages compared to the region and nation. Tracking and trending this information tells us what areas need to be improved and also what improvements have been made in our therapy regimen.

This information has been gathered over the last 30 days as of February 6, 2018:
Leflore Rehab Discharge Home Overall Average= 76.64%
Overall National Average = 72.55%
Regional average = 73.53%

These are specific diagnosis percentages of patients discharged home over the last 30 days as of February 6, 2018:

Stroke:
Leflore Rehab 75%
National Average 68.33%
Regional Average 63.75%

Non Traumatic Brain Injury:
Leflore Rehab 50%
National Average 69.02%
Regional Average 69.47%

Ortho:
Leflore Rehab 100%
National Average 77.09%
Regional Average 79.04%

Neuro: (Spine surgeries, Multiple Sclerosis, Parkinson’s Disease, etc.)
(Last 60 days due to no data within the last 30 days)
Leflore Rehab 100%
National Average 72.03%
Regional Average 73.74%

General Rehab:
Leflore Rehab 66.67%
National Average 76%
Regional Average 79.4%

 

Leflore Rehab Gym and Independent Living Center

This dedicated inpatient gymnasium is equipped with a wide range of therapeutic devices for improving balance and strengthening muscle tone. Physical therapists and occupational therapists work each day with patients at Leflore Rehab to improve their mobility and prepare them for life outside the hospital. In addition to the traditional therapy modalities, the gym includes video equipment such as Nintendo Wii and Xbox Kinect.

Referrals

Referrals are accepted from Greenwood Leflore Hospital physicians, community physicians and nurse practitioners, home health agencies, family members or the patient themselves. Each referral will be assessed by an admission screener and the Medical Director to determine whether Leflore Rehab is the appropriate facility to meet the patient’s needs.

To begin the referral process or if you have questions, please call 662-299-5340 or 662-459-1234.

Patients may be referred by physicians, nurse practitioners, rehabilitation agencies, insurance companies, home health care, or by self-referral.

Referrals may be called directly to the rehabilitation case manager at 662-299-5340 or to the rehabilitation floor at 662-459-1234. Physician offices may fax medical records to 662-459-1241. The Rehabilitation case manager will notify you of the recommendation and admission time frame.

When referral information is received, the rehabilitation case manager will schedule an appointment to evaluate the patient as soon as possible. This evaluation will be reviewed by the Rehabilitation Medical Director who approves patients for admission to the Rehab. The Rehabilitation case manager will contact the referral source regarding status of patient evaluation and when an inpatient bed will be available.

Potential Patients

Individuals who, as a result of injury or illness, have difficulties which include:

  • Balance and coordination
  • Swallowing
  • Moving in bed or from one place to another
  • Performing activities of daily living such as eating, grooming, dressing, bathing, and homemaking
  • Memory and judgement difficulties, speech or language problems, as well as physical limitations
  • Weakness or limited motion in arms, legs or trunk

Admissions Criteria

The Leflore Rehabilitation Center admits patients seven days a week. Referrals are received from physicians, social workers, family members, case managers, insurance representatives, and patients themselves. A potential rehabilitation patient must:

  • Be medically stable
  • Require the services of two or more therapies, i.e. PT, OT or ST
  • Have the potential to improve function or achieve independence
  • Have identified discharge placement
  • Be willing to participate with the team in the rehabilitation program
  • Require physician accessibility and rehabilitation nursing. We can admit directly from home or doctors’ office as well as within the hospital.

Patients with Disabling Illnesses

The Leflore Rehabilitation Center provides services for patients who have experienced functional losses due to disabling illness or injury such as:

  • Multiple Fractures
  • Other Multiple Trauma
  • Amputation
  • Orthopedic Disorders
  • Neuromuscular Disorders
  • Stroke
  • Multiple Sclerosis
  • Parkinsonism
  • Polyneuropathy
  • Guillain-Barre Syndrome
  • Debility