Stroke: patients who have had a stroke, sometimes referred to as a
CVA (cerebral vascular accident).
Brain Injury: Patients who have had an injury to the brain either
by traumatic means such as automobile accidents, or non traumatic means such
as tumors, encephalitis, or a lack of oxygen to the brain for an long period
of time.
Neurological disorders: Patients who have neurological diseases
such as Multiple Sclerosis, Parkinson’s disease, Guillian Barre’, Muscular
dystrophy etc
Spinal Cord injury: patients who have had a spinal cord injury either
caused by a traumatic event (i.e. diving accident) or from non-traumatic events
such as a tumor in the spinal cord or pressure on the spinal cord from disk
herniation.
Amputee: Patients who have had an amputation of a major portion of
an arm or leg. Most often patients who come to rehabilitation have had a leg
amputation.
Arthritis: Arthritis that is severe or advanced and is in at
least 3 joints.
Pain Syndromes: Patients whose pain is their primary issue
and they don’t fit into one of the other categories.
Orthopedics: patients who have had joint replacements or other orthopedic
surgeries. Sometimes patients who have had back or surgery will fall into
this category.
Cardiac: Patients who have had cardiac surgeries or long-term cardiac
problems that affects their ability to care for themselves.
Pulmonary: Patients who have had a recent pulmonary illness or long-term
pulmonary problems.
Multiple Trauma: patients who have 2 or more major bones fractured
and have had surgery to either repair a fracture or internal injury. Often
these patients will also have a brain or spinal cord injury.
Debility: These patients are people who have become weakened by long
illnesses or other long-term problems. They come to rehabilitation to improve
their strength and endurance to allow them to be more functional at home.
Medically Complex: Patients who have had multiple medical problems
and have become debilitated as a result of those medical problems.
Patient Referral
Patients Come to Spalding by Referral from a physician most often after a stay
in an acute general hospital. Patients also come to Spalding from other care
settings.
The kinds of doctors that refer patients to Spalding are varied, but
orthopedic physicians internal medicine physicians, neurologists and neurosurgeons
are some of our most popular referral sources.
How do we know that Patients get better at Spalding?
Spalding uses a scale called the Functional Independence Measure (FIM) to rate
patients’ abilities when they come in to the hospital, weekly during their stay,
and when they leave the hospital. Those scores are then compared to national
averages to make sure Spalding patients are getting the best and most effective
care and treatment available.
On average, patients come to Spalding about 2 days sooner after injury or becoming
ill than the national average. They make larger functional gains while here
and stay 3 days less than the national average. An average of 82% of patients
leave Spalding and go back to the community (home or assisted living).
Patient Satisfaction:
Spalding is proud of the fact that our patients are satisfied with their care
and often sing our praises when called for follow-up. They often acknowledge
specific staff members they became especially attached to during their stay.
Inpatient and Outpatient Satisfaction scores have remained above 90% (Satisfied
or Very Satisfied) for more than 2 years running.
Physician Satisfaction:
The Spalding Medical staff is small and a specialist in physical medicine and
rehabilitation (Physiatrist) directs the care of each patient that is admitted
to Spalding. Many other specialty physicians are also available to provide consultations
on problems that my come up during a patient’s stay. We have recently completed
the 2004 survey of physicians and their satisfaction with Spalding. Some of
the scores are listed below:
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