Hospitals: What to Expect of Inpatient Stay
Rehabilitation Hospital Services
See all of NRH's services
You or your family member can request a tour of the facility by calling 603-681-3030. If time does not allow a scheduled tour, we can accommodate a walk-in request.
Your acute care case manager will need to call 603-681-3030 and request a pre-admission screen. You can specifically request Northeast Rehab be contacted. One of our clinical liaison staff members can come to the hospital to review your medical record and speak directly to you, if you are available.
Once accepted by Northeast Rehab, your acute care case manager will arrange the day and time of your transfer from the Acute Care Facility to Northeast Rehab. We accept admissions 7 days per week.
What will my day be like?
Your length of stay will depend upon your individual needs and progress toward the goals set by your rehab team. Although the treatment plan and schedule is customized for each patient, you can expect a typical day to include:
- Morning: bathing, dressing, breakfast, therapy sessions and rest time
- Afternoon: lunch, rest time and more therapy sessions
- Evening: dinner, free time, family visits and recreational activities
Northeast Rehab provides a variety of recreational activities for you to attend during non-treatment times. Each nursing unit is equipped with a computer, books, puzzles and games. In addition, special evening activities and movies are scheduled throughout the month.
Who Will be on my Rehab Team
A customized plan of care is designed for each patient. In general, the goal of rehabilitation is to restore, to the greatest extent possible, independence and emotional well being. The plan aims to improve skills in a variety of areas including walking, general mobility, strength, endurance, communication, memory, personal care and other daily activities.
Your team will consist of (click on titles for full descriptions)
- Board Certified Neurologist or Board Certified Rehabilitation Physician
- Rehabilitation Nurse
Each patient is assigned a primary nurse and a licensed nursing assistant when they arrive at Northeast Rehabilitation Hospital. We are proud to have Certified Rehabilitation Registered Nurses (CRRN) caring for our patients. These nurses have received certification from the Association of Rehabilitation Nurses.
The nursing staff is responsible for the following activities:
- Establish a plan of care with the patient and other team members
- Assist with all personal care and work closely with the therapist in promoting the patient's highest level of function
- Continuously evaluates the patient's physical, mental and medical response to interventions utilized
- Administer medications and treatments as ordered and work closely with the patient in providing associated education
- Work with the physiatrist to maintain medical stability
- Educate the patient and family in all aspects of care
- Case Manager
Case Management helps the patient and family plan for discharge. The Case Manager helps with:
- Relaying information from weekly team meetings
- Insurance and reimbursement issues
- Referrals for services after discharge
- Locating community resources
- Facilitating communication between team members, the patient, and family as needed
- Evaluates and supports the patient in the adjsutment to disablity
- Physical Therapist
Physical Therapy (PT) helps the patient work toward maximizing their independence and quality of life by focusing on physical mobility training.
PT activities may include:
- General mobility at home or in the community
- Range of motion/flexibility of the legs
- Strengthening or muscle re-education
- Walking/gait training
- Stair climbing
- Transfer training
- Bed mobility training
Additional services provided by PT are:
- Architectural and functional home visit
- Body weight supported gait training
- Orthotic clinic
- Prosthetic clinic
- Wheelchair clinic
- Occupational Therapist
Occupational Therapy (OT) helps the patient work toward maximizing their independence and quality of life by focusing on Activities of Daily Living (ADL), that is, functional activities that the person performs every day.
OT activities may include:
- Sexuality Education
- Functional Transfers
- Functional Communication (writing, typing, using the phone, etc.)
- Home management (cooking, housekeeping, laundry, shopping, childcare, etc.)
Additional Services provided by OT are:
- Adaptive Equipment use for self-care and home management
- Bioness® Ness® H200
- Upper body functioning
- Upper extremity and hand splinting
- Assessment and treatment for cognitive deficits
- Assessment and treatment for visual perceptual deficits
- Driving Assessment Program
- Vision Clinic
- Architectural or functional home visit
Northeast Rehabilitation Hospital provides comprehensive nutrition services to all patients. The Nutrition Department is ready to accommodate patients with the following special circumstances:
- Tube feedings
- Total parenteral nutrition
- Modified textured foods
In addition, they provide supplemental beverages, such as Ensure Plus, to supply patients with adequate calories and protein needed to support their healing process. They work closely with patients to educate them about their dietary requirements, not only while in the hospital, but also for when they go home.
- And you
Other members may include:
- Respiratory Therapist
Respiratory Therapy works to improve and maximize lung function, as well as prevent breathing complications. Our Respiratory Therapists also manage supplemental oxygen needs and tracheotomy care.
- Speech Language Pathologist
Speech Language Pathologists (SLP) provide evaluation and treatment for patients experiencing communication, cognitive, or swallowing difficulties following a stroke or other neurological dysfunction.
Speech Therapy activities may focus on:
- Understanding what is said
- Speaking clearly and meaningfully
- Assessment and treatment of swallowing difficulties
- Assessment and treatment of cognitive difficulties, such as memory or concentration
Additional services provided by Speech Therapy are:
- Modified barium swallow (MBS) study
- Animal facilitated therapy sessions
- Standardized cognitive assessment
- Therapeutic Recreation
Therapeutic Recreation (TR) assists the patient with the resumption of a satisfactory, healthy leisure lifestyle.
The following are areas of focus that can be addressed during TR sessions:
- Leisure skill development/re-development
- Education on adaptive recreation equipment and techniques
- Use of leisure activities to enhance the patient's social competence, such as self-esteem, confidence, and self-worth
- Community integration through structured out trips
- Leisure education to increase awareness of available community resources and organizations
- Peer visitation to assist with the adjustment issues associated with a newly acquired disability
The psychologist specializes in evaluating and treating issues involving general coping or adjustment to disability. In addition to offering counseling for problems such as depressed or anxious mood, the psychologist can provide training in self-help techniques to help manage problems such as pain, insomnia, overeating, smoking and substance abuse. Training in relaxation techniques is especially helpful for many of these problems, and can often be learned in just one or two sessions. Lastly, the psychologist can also work closely with other team members to develop a plan to minimize any psychological "obstacles" to your overall progress.
The role of the neuropsychologist is to provide a detailed evaluation of specific mental abilities such as memory, attention or learning. It is sometimes quite important to evaluate these areas, as difficulties could interfere with your ability to process all the information that comes your way in rehab. Neuropsychological difficulties are not uncommon among persons with neurological illness or injury. If deficits are found, there may be treatments available to help improve your functioning in these areas. Furthermore, if your team is aware of any neuropsychological difficulties, they can present new information to you in a way that best matches your areas of mental strength.
A psychiatrist is a medical doctor who specializes in dealing with both the mental and physical aspect of psychological disturbance. Northeast Rehabilitation Hospital has a consulting psychiatrist that assists not only patients but also advises the medical staff on how to best evaluate and treat persons with mental disorders. These can include depression, anxiety, post-traumatic stress disorder, dementia and other conditions as well.
- Certified Prosthetist/Orthotist
Certified Prosthetists and Orthotists measure, design, fabricate, fit, or service prosthetic limbs and orthotics (braces). They are key members of the Northeast Rehab Prosthetic and Orthotic clinics.
The audiologist can provide a hearing screening or hearing evaluation in order to assess the patient's hearing status and/or rule out the presence of a significant hearing loss. The audiologist is also available to conduct basic hearing aid checks. If the patient is having problems with his/her hearing aid(s) - the audiologist will troubleshoot the function of the hearing aid and can make simple repairs on-site (if repair materials are available) or make appropriate recommendations if a more comprehensive repair is necessary.
Northeast Rehabilitation Hospital recognizes that the healing process must include all dimensions of a person's life. Pastoral Care Services provide emotional and spiritual support for patients and their families, responding to the needs of persons of all beliefs. A Pastoral Care Chaplain assists patients and families in finding meaning and purpose in life events and enables growth within their own spirituality or religious beliefs and practices. The Chaplain assists patients and families in fostering hope: in changing what can be changed and in coping positively and peacefully with what cannot be changed.
Requests for visits and services of other religious affiliations may be made through the Chaplain's office.
A Chaplain is available to meet with you and/or your family to address your spiritual needs. The ministry is characterized by a pastoral presence that provides attentive communication, respect, concern and compassion as well as a ministry of prayer.
Pastoral Care Services are available:
- When you feel lonely, worried, distressed.
- When you feel like giving up.
- When you need someone to listen.
- When you wish the sacraments of your church.
- When you want someone to pray with you.
- When you are experiencing a major life change.
The interpreter will provide services to a patient who has been identified to have a communication barrier due to Limited English Proficiency (LEP). The interpreter will interpret information in the patient's primary language and facilitate communication between patients and their family members and the hospital staff.
- Family and Friends
What kind of training does Northeast Rehab staff receive?
Our rehabilitation professionals are continuously trained to keep pace with the latest developments. Our education and training program includes professional development opportunities and specialty certifications for all clinical staff. Our staff participates in community outreach programs to raise general awareness of the challenges faced by persons with disabilities.
Who will pay for my hospital stay?
Your insurance coverage is verified during the pre-admission process. Most health insurances, such as Medicare and others will cover your care at Northeast Rehabilitation Hospital. Depending on your coverage or policy, you may be responsible for a percentage of the bill.
For your convenience, a patient registration representative is available to speak with you prior to admission and/or after admission to verify your insurance information and review your questions.
What do I bring to the Hospital?
Clothing: Please have family and friends bring in your favorite comfortable clothes and shoes from home. Loose fitting clothing that is easy to put on and take off is suggested as well as essentials as pajamas, a robe and slippers.
We ask that your family do all of your personal laundry and provide your with a clean supply of clothes.
Personal Items: To make your stay enjoyable, many patients bring personal items from home. Suggested items are reading materials, family pictures, music player with earphones, and person toiletries. Please do not bring valuables such as money or jewelry. Northeast Rehabilitation Hospital Network cannot be responsible for replacing lost or misplaced items. A hospital safe is available for securing small items such as a wallet if you wish to have them on premises.
Medications: It's important that you bring a list of medications taken at home, including over the counter medications such as vitamins and herbal medications . This list plus the list of medications sent by the referring facility will be compared to assure an accurate medication profile.
No medications should be brought from home since all necessary medications will be provided by our in-house pharmacy.