Gateway’s Inpatient Rehabilitation Center offers comprehensive rehab services for those with disabling effects of injury, illness, or surgery. All patients are treated in a therapeutic environment by a skilled, experienced nursing and therapy staff specializing in rehab services. Under the direction of our medical director, our staff is dedicated to helping patients and their caregivers overcome or adapt to the effects of disabilities, so they can return to an active and independent lifestyle as quickly as possible.

Common Conditions
Gateway’s Inpatient Rehabilitation Center offers a wide range of programs including, but not limited to:

• Orthopedics (Fractures, Joint Replacement)
• Strokes
• Major Trauma
• Neurological Disorders (Multiple Sclerosis, Parkinson's Disease, Guillain-Barré)
• Brain Injuries
• Amputations
• Rheumatoid Arthritis
• Spinal Cord Injuries
• Burns
• Polyneuropathy
• General Debilitation from medical complications

Admission
To be considered for the Inpatient Rehabilitation Center you will need to meet the following guidelines setup by the Centers for Medicare & Medicaid Services:

• Have a physician referral
• Be medically stable
• Understand the scope of the rehabilitation program and be willing to participate in three hours of therapy a day
• Require the treatment of two or more therapies (physical, occupational, and/or speech)
• The need for 24-hour nursing care under physician management
• Be free of uncontrolled, infectious disease
• Be 18 years of age or older

Rehabilitation Team
The following team members will play an important role during treatment.

The Inpatient Rehabilitation Liaison coordinates the admission by receiving referrals, obtaining pre-admission screen and presenting screen to the rehab team for approval. If accepted to the Center, the Liaison will obtain insurance authorization for your stay. The Liaison also facilitates communication with the patient, physician and staff.

The Medical Director provides overall clinical direction and is the attending physician for all patients admitted to the Center. Your primary physician will resume your care upon discharge from our center, and will oversee your rehabilitation if you begin outpatient rehab.

Rehabilitation Nurses are specially trained to practice and reinforce skills that patients are taught in therapy. Your nurses will also educate you and your family how to manage your health care needs after you return home.

Physical Therapists concentrate on the functional activities associated with mobility and improvement of strength and endurance. Patients work with physical therapists to become more independent with bed mobility, walking and/or wheelchair mobility, stairs and transfers.

Occupational Therapists help patients improve their coordination, balance, endurance and activities of daily living such as eating, grooming, dressing and bathing. Occupational Therapist also recommends and educates patients on adaptive equipment use and home management tasks.

Speech Language Pathologists focus on improving speech, language cognition and swallow functions.

Social Workers help patients and family/caregivers understand and adapt to rehab needs. The social worker coordinates discharge and serves as the patient’s liaison with community resources. For example, a Social Worker can help arrange any medical equipment that may be needed in the home.

Registered Dieticians help patients develop proper diets in order to help prevent future health problems.

Orientation
Each patient’s routine and daily activities are tailored to his specific rehabilitation needs, but generally a treatment plan may include:

• Walking and balance activities
• Exercise
• Functional activities
• Activities of daily living (dressing, bathing and home management tasks)
• Memory and cognitive re-training
• Patient/family training sessions

Along with occupational, speech, and physical therapy evaluations, each patient receives a treatment plan developed for their individual needs. From that point, every aspect of the patient’s care is reviewed weekly in team meetings consisting of a physician and staff from nursing, rehabilitation, dietary, and social work who coordinate care for the best possible outcome. All patients are required to participate in therapy a minimum of 3 hours per day.

Length of Stay
Upon admission to the rehab center, a patient evaluation is conducted and a projected discharge date is set. However, the discharge date is subject to change depending upon the patient's progress. Family/caregiver training will be provided prior to discharge. The patient, along with the family/caregiver, will be informed of all progress so that appropriate arrangements can be made before discharge.

Will Insurance Cover My Stay?
We accept all insurance. If you do not have coverage for inpatient rehabilitation, or have limited coverage, you will be notified. We’ll give you payment options, as well as other treatment alternatives prior to admission.

Visitation
Patients are normally involved in therapy sessions in the morning and early afternoon. Visiting hours are Monday through Friday, 4 to 9 p.m., and Saturday and Sunday, 1 to 9 p.m.

Things to Bring
Rehabilitation stresses the importance of returning to a home like environment. Therefore, we suggest you wear casual everyday clothing during the day and pajamas at night. Please bring the following:

• Comfortable, loose fitting pants or shorts
• Shirts or blouses
• Undergarments and socks
• Shoes with rubber soles (no open heel shoes)
• Sweater or sweatshirt
• Pajamas and slippers
• Toiletries
• Any corrective devices you normally use, such as hearing aides, eye glasses, dentures, prosthetics etc.

For More Information
For more information, contact our Inpatient Rehabilitation Liaison at 931-502-4001.