VNA Rehabilitation Therapy
Physical and occupational therapists and speech-language pathologists work closely with patients, caregivers and their families to help patients live as independently as possible.
- Home safety evaluation, education and modifications
- Pain management
- Bed mobility and transfer training
- Balance training
- Walking and stair climbing
- Strengthening and stretching
- Endurance training
- Posture training
- Orthotics and artificial limb training
- Equipment recommendations including wheelchair assessment
Non-invasive near-infrared light therapy
- Ideal for diabetes patients suffering from painful, numb feet
- Reduces pain and increases circulation for persons suffering from peripheral neuropathy
- Improves balance and walking
Introduction to Lymphedema:
What is Lymphedema?
Lymphedema refers to swelling in the body due to a blockage of the lymph passages.
As defined by the National Lymphedema Network, it is an accumulation of lymphatic fluid in the interstitial tissue that causes swelling, most often in the arm(s) and/or leg(s), and occasionally in other parts of the body.
Lymphedema is a chronic disease that typically requires lifelong management. In some cases, it improves with time, but swelling can be permanent. It can also cause seeping and open wounds when there is too much fluid.
There are two types of lymphedema: primary and secondary. Primary, which can be present at birth, results from problems in the development of the lymphatic vessels. Secondary lymphedema occurs when the lymph vessels are damaged, or the lymph nodes are removed. It can appear years after a treatment or surgery such as mastectomy, knee replacement and much more.
"Our bodies change and Lymphedema can occur at anytime," says Pamela Bebenroth, VNA Physical Therapist and Certified Lymphedema Therapist. "The key is proper treatment for your needs today, and the education for proper management in the long-run."
Lymphedema Care For the Home Healthcare Patient
Lymphedema care for the homebound is generally considered a skilled practice. You must work closely with your provider to understand your situation, what and what not might be covered by your insurance, and your long-term management plans for the condition.
Every patient has unique needs when it comes to lymphedema. Specialized treatment plans are delivered by an interdisciplinary team of medical professionals, including: doctors, physical therapists, occupational therapists, nurses, certified wound nurses, and certified lymphedema therapists.
General Tips for Lymphedema Patients
According to Bebenroth, there are several universal tips for patients, but all must follow the plans and advice of their doctors and therapists:
- Elevate extremities.
- Conduct exercises as prescribed.
- Keep area or wounds clean through proper washing.
- Apply lotion and other prescribed skin recommendations.
- Use compression, bandage and garment etiquette and proper hygiene.
- Stay vigilant to change: Contact your doctor or call 911 with hot, red, or painful affected areas, accompanied by fever.
"The best feeling is when we see a patient able to wear their own shoes again, or other similar achievements," added Bebenroth. "One patient joked that they were afraid to step on their leg again because it had become much thinner with treatment. We see success stories like this all of the time and encourages our patients to stay dedicated to their plan."
Therapy Connect Program
Provides in-home rehabilitation following:
- Joint Replacement
- Fracture Repair
- Spine or other Orthopedic Surgery
Why Therapy Connect?
- Prompt start of care within 24 hours of hospital discharge
- Intensive therapy - daily as needed
- Designated therapists assigned to work directly with your physician
- Adherence to physician post-operative protocols
- Patient referral back to physician after VNA release from therapy.
- Activities of daily living
- Arm and hand function, strengthening, coordination
- Cognitive, perceptual, developmental skills
- Homemaking, leisure and work skills
- Joint protection
- Home assessments and modifications
- Coping and stress management
- Assertiveness training
- Interpersonal and social skills
- Spoken language retraining
- Reading and writing retraining
- Swallow safety instruction
- Improve or restore a person's skill in the areas of
- paying attention
- reasoning and understanding
- decision making
- higher level cognitive abilities
- Voice and speech clarity instruction
- Communication device instruction
Please call 216-931-1400 or 1-877-698-6264 for more information or to schedule Rehabilitation services.