Parkview Inpatient Rehabilitation Center

Parkview Health is a comprehensive stroke center that supports your recovery from acute care through inpatient rehabilitation and then to our outpatient specialty stroke clinic. 30-40% of the patients who receive services from the Parkview Rehabilitation Center have experienced a stroke. In our stroke program at inpatient rehabilitation, you will actively participate in your own recovery. Our goal is to help promote function at the start of your stroke recovery. Your caregivers are encouraged to participate in the program as an important part of your team.

Like our stroke program, the brain injury program provides the highest level of expertise and quality of care through evidence-based practice. Caregiver involvement is encouraged throughout the program to support the highest level of functional recovery. Many members of the care team hold sub-specialty certificates in brain injury including physicians, therapists, and nurses. The program meets rigorous national standards for quality and is focused on helping you achieve the most favorable results possible.

Certified brain injury specialists

To provide the highest-quality rehabilitation care possible, our rehab team includes staff members who have received specialized certification from the Academy of Certified Brain Injury Specialists. These rehabilitation professionals have a detailed understanding of the impairments in physical function, information processing and behavior caused by specific types of brain injury. Well-versed in effective treatment approaches, these members of our rehab team assess available therapies and assistive equipment on an ongoing basis, incorporating new choices into patients’ treatment plans as appropriate.

Rancho Los Amigos Cognitive Scale

Patients admitted to the brain injury program must show responsiveness at or above level III on the Rancho Los Amigos Levels of Cognitive Function Scale. This neurological tool is widely used by rehabilitation facilities to describe and measure a patient's level of functioning and progress over the first year of recovery. The Rancho Los Amigos Levels of Cognitive Function Scale also helps guide clinicians in the development of individualized treatment programs.

Rancho Los Amigos Cognitive Scale

Our amputee program is the only program in northeast Indiana that covers the full spectrum of care from acute care to prosthetic fitting and delivery. Our team works closely with surgeons and prosthetists to maximize your functional recovery. Our program also includes access to an outpatient multi-discipline specialty amputee clinic that can ensure the prosthetic process is seamless.

Learn more about the multispecialty amputee clinic at Parkview

At the Parkview Rehabilitation Center, our 50 private patient rooms allow a quiet, restorative environment for patients during their stay. Each handicap-accessible patient room is equipped with:

• Adjustable hospital bed facing a large window.
• Bathroom with walk-in or roll-in shower
• Cable TV
• Free Wi-Fi internet access
• Couch or large chair that can be converted into a bed for a caregiver.
• Access to Parkview Hospital Randallia cafeteria, which is open daily from 6 a.m. to 8 p.m. and offers a wide variety of hot and cold meal options.

A multidisciplinary team of specialists work together to provide care for patients and their caregivers at Parkview Rehabilitation Center. This team includes:

• Rehabilitation program coordination by PPG - Physical Medicine and Rehabilitation providers, including physiatrists and nurse practitioners specializing in rehabilitation.
  • Nurse practitioners are master’s degree-prepared nursing specialists who offer patients and caregivers personalized educational opportunities.
  • Other physician specialists are available by referral.
• Clinical liaison to support to communication and guidance of admission from acute care to inpatient rehabilitation.
• Nursing staff provide daily medical care that is personalized to every patient.
• Case coordinators, including social workers for resource support, provide coordination of care and discharge planning, and serve as liaisons with other team members, including insurance case managers.
• Physical therapists take the patient through a program to increase strength, balance, endurance, and mobility.
• Occupational therapists assist in maximizing independence with occupations including activities of daily living like dressing, bathing, home management, bill paying, and other daily tasks.
• Speech language pathologists address deficits with communication, swallowing, writing, thinking, and reasoning skills.
• Registered dietitians provide nutritional education and input for patients who follow specialized diets.
• Pharmacists provide medication oversight and education.
• Diabetes educators to aid in education and maintenance of diabetes.
• Respiratory therapists to provide support for all respiratory/breathing needs including care of tracheostomy or other oxygen supply.

The Parkview Rehabilitation Center offers several features designed to enhance recovery for patients.

Activities of Daily Living Suite

This area affords patients and caregivers the opportunity to learn and practice domestic skills in a home-like environment. You will be able to complete meal preparation, laundry, and practice getting in and out of a real vehicle.

Transitional Living Unit 

The Transitional Living Unit (TLU) resembles a small, accessible apartment complete with bedroom, sitting area, kitchen, and accessible bathroom. Following the recommendation of your rehabilitation team, the TLU is available to patients and their caregivers prior to discharge as part of a patient’s individual rehab program. Residing in the TLU allows you and your caregiver to practice the skills necessary to safely return to living at home.

Community re-entry program

When appropriate, you and your caregiver may go “on the road” in the Parkview Rehabilitation Center van to practice skills you have learned in the hospital setting. Each outing has a particular goal and is supervised by therapy staff members. Typical outing destinations include restaurants, grocery stores, and malls. Staff members help you and your caregivers identify and overcome obstacles that may be faced in the community after discharge.

Therapists may incorporate any of the following into a patient’s treatment care plan as appropriate:

• Bioness® devices can assist with movement for patients who are experiencing weakness in arms and legs because of stroke, illness, or injury. Small, lightweight devices using mild electrical stimulation may be used to help with hand and foot movement. Parkview Rehabilitation Center uses the NESS H200® Hand Rehabilitation System and the NESS L300™ Foot Drop System by Bioness, a leading manufacturer of advanced technology devices improving mobility and independence for people with neurological or spinal cord damage.
• LiteGait® gait therapy can help patients who have difficulty with balance and mobility. This piece of equipment uses a harness to support part of the patient’s weight and provides stabilization as he or she practices walking under the supervision of a physical therapist.
• VitalStim®, non-invasive treatment for patients who have dysphagia, can help overcome difficulty swallowing.

Bioness®, NESS L300™ and NESS H200® are trademarks of Bioness Inc.

LiteGait® is a registered trademark of Mobility Research.

VitalStim® is a registered trademark of Empi, Inc.

Robotic Assisted Therapy

Parkview Rehabilitation Center has robotic-assisted therapy to complement traditional rehabilitation for patients with various neurological impairments, amputations, orthopedic disabilities, or other traumatic conditions impairing their ability to walk.

The G-EO Evolution™, made possible through generous donations to the Parkview Foundation, is a robot used for gait training, a form of physical therapy used to improve a person’s ability to walk. The G-EO simulates normal walking and stair climbing with individualized levels of assistance, speed, and body-weight support. This advanced rehabilitation technique is used by Parkview’s treatment team to enhance patients’ motor learning more efficiently than traditional therapy alone.

G-EO Evolution™ is a trademark of Reha Technology.

To be admitted to the Parkview Rehabilitation Center, patients must:

• Be medically stable, alert, and willing and able to participate.
• Be free of mechanical ventilation.
• Benefit from a minimum of three hours of intensive therapy per day.
• Need 24-hour rehabilitation nursing care as well as 24-hour availability of a rehab-credentialed physician.
• Need at least two of these forms of therapy: occupational, physical or speech. Third-party payors may require physical therapy plus occupational therapy or speech therapy.
• In the case of a brain injury, show responsiveness at or above Level III on the Rancho Los Amigos Levels of Cognitive Function Scale.
• Be age 6 or older.
• Every patient referral for admission will be reviewed. Patients are evaluated individually based on medical needs, functional status, and insurance.
• Accommodations may be made for each patient’s unique culture, age, gender, sexual orientation, spiritual beliefs, socioeconomic status, language, behavior, and other factors, as relevant.

Insurance coverage will be verified and pre-certified prior to admission. A hospital financial counselor can assist you in arranging for payment of charges not covered by insurance. For more information, contact the financial counselor at 260-373-8812.

You may be discharged as a patient when:

• Goals have been met.
• A level of function has been reached that would enable patient to continue treatment at a lesser level of care, e.g., outpatient setting, extended care facility, or a home program and no longer requires an intensive inpatient setting.
• Patient and caregiver are not participating in or cooperating with the therapeutic program.
• Intensive management by a credentialed rehab physician, 24-hour rehab nursing, and/or two therapy disciplines is no longer indicated, thus the patient is not requiring inpatient rehab level of care.
• The patient and/or lay caregiver request to discharge prior to the team's recommended date of discharge.

To refer a patient to Parkview Rehabilitation Center, call the rehab admission specialist at 260-266-4359.

In response to the referral, the rehab admission specialist will:

• Review documentation of patient information to determine need/eligibility for acute inpatient rehab as the appropriate level of care.
• Complete a face-to-face assessment if the patient is within the Parkview system and within a geographic area that permits on-site evaluation.
• Verify and pre-certify insurance coverage prior to admission.
• Review the pre-admission screen with the rehabilitation physician.

If the patient referral is accepted, the following will be required:

• A physician’s order to admit, along with orders for medications, treatments and other elements of care
• Nurse-to-nurse report phoned to 260-373-3659

For questions, contact the rehab referral line at 260-266-4359.