Spring 2014 - Marianjoy.org

MARIANJOY MATTERS
Physical Medicine and Rehabilitation for Adults and Children
VOLUME 16: Issue 2
www.Marianjoy.org
No Bones About It
Pet Therapy at
Marianjoy Page 4
Become a Sustainability Partner
Page 3
Recovering Independence
after a Spinal Cord Injury
Page 6
MARIANJOYMATTERS
MARIANJOY MATTERS
MARIANJOY LEADERSHIP
HOSPITAL B
OARD OF DIRECTORS
Chairman, Maureen Beal,
National Van Lines, Inc.
Vice Chairman, John Oliverio,
President and CEO,
Wheaton Franciscan Healthcare
Treasurer, Kathleen Dvorak,
Richardson Electronics
Secretary, Thomas A. Keiser,
Wallace Road Enterprises
Kathleen Yosko,
President and CEO, Marianjoy
Padma Srigiriraju, MD,
Marianjoy Medical Group
Steven Danekas,
Swanson, Martin & Bell
Alex Demos,Professional Paving
& Concrete Company, Inc.
Patrick J. Kronenwetter, JD,
Wolin, Kelter, & Rosen LTD
John Mueller, G&W Electric
Jeffrey Oken, MD,
Marianjoy Medical Group
Dorothy O’Reilly
Noel Rao, MD, VP Medical Affairs,
Marianjoy Medical Group
Walter Reilly
James Sutherland
FOUNDATION B
OARD MEMBERS
Chairman, John Mueller,
G&W Electric
Vice Chairman, John Wallerius
Treasurer, Brett Dale, Huck Bouma, P.C.
Secretary,Scott Cross,
The Northern Trust Company
George Bradshaw,Huck Bouma, P.C.
John Millner,
John J. Millner & Associates, Inc.
Robert Mudra
Scott Park,Wayne Hummer Investments
Mimi Rose,President, Marianjoy Auxiliary
Matthew Wanzenberg,
Wanzenberg and Associates
Kathleen Yosko,
President and CEO, Marianjoy
PRESIDENT’S ADVISORY COUNCIL
Maureen Beal,National Van Lines, Inc.
Michael Birck,Tellabs, Inc.
Donald H. Fischer
Will Gillett
James Huck
Peter Huizenga, Huizenga Capital Management
Timothy Moen,Northern Trust Bank
Robert J. Schillerstrom,Ice Miller, LLP
Donald Sveen
Jeffrey Swallow,
Magnetrol International, Inc.
Kathleen Yosko,
President and CEO, Marianjoy
Dear Friends,
Although sustainability may be a current trend, we at Marianjoy have long recognized our
responsibility to preserve and care for the environment that has been entrusted to us. Our campus
gardens, water falls, prairie paths and numerous trees thoughtfully incorporate the healing effects of
nature into the rehabilitation care that we provide. Additionally, we have implemented numerous
steps to promote sustainability with proactive energy conservation efforts, recycled waste programs,
and building designs that reduce environmental impact. Many of these initiatives are highlighted
in this issue.
However our sustainability efforts go beyond minimizing our carbon footprint. As community
leaders and stewards of the healthcare continuum, we are also committed to sustain Marianjoy as
a premier provider of rehabilitative care. To assure our ongoing success, we continue to advance
the programming in our world-class facility so that we can incorporate cutting-edge technologies
into each patient’s plan of care. A current example of this objective is the completion of Phase III of
our Legacy Project, currently underway and scheduled for completion in the Fall. These program
additions include the creation of a new environmentally-sound Aquatic Therapy Center and Rain
Garden, a state-of-the-art Marianjoy Assistive Rehabilitation Technology Institute (MARTI) and a
Conference and Education Center equipped with the newest technology.
Notably, you too are an important part of the sustainability of Marianjoy. Whether you or someone
close to you has benefitted from our care, devoted time as a volunteer, or supported our efforts with
a generous donation, we welcome you to the Marianjoy family and warmly thank you for helping us
sustain our future.
We hope you will join us this Fall for our Grand Opening and experience first-hand these exciting
innovations to our campus services.
Many Blessings,
Kathleen Yosko,
President and CEO,
Marianjoy Rehabilitation Hospital
Kathleen Yosko poses with Bailey
and Bella, Marianjoy's Pet Therapy
dogs. Read about them on page 4.
Building for a Sustainable Future
Become a
Sustainability Partner
Before it became newsworthy, Marianjoy has been investing in efforts to promote
environmental sustainability. As stewards of a 60-acre wooded campus, the conservation of
natural resources continues to be an ongoing priority. Surrounded by native prairies and serene
gardens, the philosophy of care at Marianjoy embraces the concept that the practice of physical
medicine and rehabilitation is naturally holistic. Land and energy conservation practices have
created a sustainable environment that support this holistic atmosphere at Marianjoy.
The construction of Phase III of the Legacy Project, now underway, has placed an emphasis on
incorporating a variety of sustainability measures.
To remain a resource to the community,
we must cherish our resources. Your
partnership will support sustainability
initiatives including:
• Maintaining and replenishing natural
prairie plants in the Rain Garden
These measures include:
• Creation and implementation of projects
designed to reduce environmental impact
• Solar Thermal Panels will naturally heat pool water in the Aquatic Therapy Center and
reduce energy consumption.
• Preservation and evolution of our Live
Rooftop Garden
• The installation of a Rooftop Garden with potted trees and modular planting trays will assist
in absorbing excess rainwater.
• The development of an environmentally sound Rain Garden, replacing the existing
retention pond, will provide a natural filter to slow water runoff.
Focusing on sustainability requires thoughtful, forward-thinking strategies. Multiple initiatives
have been integrated into a comprehensive plan for Marianjoy’s environmental management
systems, waste reduction, recycled materials, water conservation, and energy use.
The ABC’S of Marianjoy’s Sustainability Efforts
A
utomatic light switches reduce
energy consumption by turning off
lights during low-traffic times
B
attery recycling program
prevents contaminants entering
landfills (330 lb. in 2013)
C
H
IPAA-related waste is
confidentially recycled (30 tons in
2013)
I
ncandescent light bulbs are
gradually being phased out in favor
of energy-efficient LED bulbs
J
ardboard and paper recycling
repurposes paper waste (36 tons in
2013)
D
yson Air Blade Hand Dryers
eliminate paper towel waste
E
ducation of associates ensures
proper recycling and disposal practices
F
G
reecycling allows associates
to share, rather than discard,
unused office supplies
oing Green Newsletter is
published quarterly for the Marianjoy
associates
anitorial services use
natural cleaning supplies
whenever possible
Sustainability Partners will be
acknowledged in a display on the
Live Rooftop Garden.
Call 630-909-7509 or visit
MarianjoyFoundation.org
to learn more.
N
atural gas generators
burn cleaner and more safely
than diesel or kerosene
O
nline personnel information
allows associates confidential
direct access thus conserving
paper use
lastic cafeteria containers
are recyclable, eliminating the
use of foam containers
U
sed electronics are recycled
to repurpose valuable metals and
components
V
an transport fleet has flexfuel vehicles able to use ethanol
W
ater reduction efforts
include switching to microfiber
mops (61,000 gallons in 2013)
K
Q
X
L
R
Y
ickoff campaign for
pharmaceutical waste disposal
provides for safe disposal of
unused medication
ow-emission glass helps
regulate heating and cooling thus
reducing energy consumption
M
ission Integration Plan
emphasizes the stewardship of our
environment and resources
uantity of plastic cutlery use
in cafeteria measurably reduced
(34% in 2013)
idesharing program
allows interested employees to
carpool
S
T
olar thermal panels
heat pool water and
conserve energy
erox machines and
printers upgraded to print
double-sided
early benchmarking of
waste streams allow tracking
of waste reduction efforts
Z
ero: The amount of
Mercury in use at Marianjoy
oilet flush valves
use less water
3
MARIANJOY MATTERS
No Bones About It:
Pet Therapy
Marianjoy’s Pet Therapy
Inspires Patients
Although pet therapy has become popular recently in
rehabilitation, Marianjoy’s Therapeutic Recreation program
recognized its impact early on, offering dog therapy shows
and group goal-oriented therapy for almost 20 years. Now,
Marianjoy’s own Pet Therapy Program has expanded to include
interactive one-on-one dog therapy with patients by request.
It not only brings a smile to our patients’ faces—it makes a big
difference in their recovery.
Above, Marianjoy Patient
David Brongiel, interacts with
Bailey, a Marianjoy
Pet Therapy Dog.
When he arrived at Marianjoy
with a Traumatic Brain Injury,
his initial goals were to
sit up and swallow. Now,
nearing discharge, he has
regained speech and walking
capabilities—thanks in part
to Marianjoy's Pet Therapy.
To learn more about Pet Therapy,
visit Marianjoy.org.
4
The program, called “Canine-Assisted Therapy,” led by
Marianjoy occupational therapist Andrea Demola, was
developed to be multidisciplinary in assisting speech,
occupational, and physical therapies. The goals of the
program include increasing upper-extremity range of
motion, balance, mobility, and coordination; as well as
improving communication, language, and cognition.
Therapy dogs differ from service dogs, which are trained to perform
specific tasks for persons with disabilities, such as the visually impaired, deaf, or
otherwise medically impaired. Certified by Therapy Dogs International®, the therapy
dogs, on the other hand, are trained to provide emotional support, encouraging and
inspiring patients.
Marianjoy's daytime therapy dogs, black Labrador retrievers Bailey and Bella, along
with their owner/therapist Christine Murphy, impact dozens of people with each visit.
“The dogs make patients relax and smile,” Murphy explains. Rima Birutis, Marianjoy
pediatric speech-language therapist, agrees, adding that Murphy is instrumental in
guiding the emotional connection between patients and Bailey and Bella. “The dogs
are so gentle and giving,” says Birutis. “It’s amazing how many pediatric patients who
wanted to keep to themselves, reluctant to participate in therapy, will embrace the
dogs within 15 minutes. It makes the children open to rehabilitation.” Murphy says the
reaction is almost instantaneous: “When I walk in with one of the dogs, heads turn and
conversation starts. The patients get excited and start asking questions, forgetting what
is bothering them or what obstacles they have to hurdle. Before they know it, they are
doing the activity that seemed impossible before.”
A Favorite Part of Therapy
David Brongiel, a head engineer at his company, is one patient who has benefitted from
pet therapy. When he arrived at Marianjoy with a Traumatic Brain Injury, his initial
goals were to sit up and swallow. Now, nearing discharge, he has regained speech and
walking capabilities—thanks in part to Marianjoy's Pet Therapy. “The change in David
was immediate,” says Rita, David’s wife. “The peace, soothing, and unconditional love
the dogs have given him have been so important.” David’s family says that the dogs
have improved his confidence and motivation. “They are one of my favorite parts of my
rehabilitation program,” says David. “They’re really attentive to what I’m doing. Even if
I’m not as loud or clear as I want to be, they respect my commands, and that gives me
the confidence to keep trying.”
Murphy says that David is a great example of how pet therapy can help patients achieve
their goals. “Even if patients may not be able to speak, you can see a change in their
eyes. You can feel them relax. They accomplish a task that they never thought they
could.”
Medical Insight
Patrick Walsh,
Director of
Psychology & Brain
Injury Coordinator
at Marianjoy
Rehabilitation
Hospital
From a health
and medical perspective, pet therapy
is beneficial for a number of reasons.
First, we are social organisms by
nature. Social isolation is known
to be stressful physiologically and
psychologically; individuals with
access to companionship tend
to enjoy better physical health.
However, in human-to-human
interactions, words can sometimes
interfere with shared emotional
experiences, whereas pet therapy
enhances that emotional connection
beyond verbal communication.
A big part of why people enjoy pet
therapy interactions is because they
experience the animal’s positive
reaction to them. Pet therapy likely
inspires people to work harder at
recovery by fostering a positive
attitude, sense of optimism, and an
enhanced sense of well-being.
Patients of all ages connect with pet "therapists" at Marianjoy.
Dogs Can Learn New Tricks—And They’re Inspiring
Besides individual therapy, the Marianjoy Therapeutic Recreation team also organizes a monthly
dog therapy show for patients, their families, and guests. Each therapy dog demonstrates their
specific abilities, while their owners describe their dog's background and special training.
“The benefits of dog
therapy extend beyond
just the interaction
between patients and
the dogs. It’s not only an
emotional benefit, but
also a clinical one.”
In addition to entertaining the crowds, some of the therapy dogs
are inspiring in other ways. “Patty was a prizewinning race-dog,
until his hips gave out during a race,” says Mary Jane O’Connor
of her greyhound. “He dragged himself to the finish line; he was
that dedicated. His racing career was over—but he found a new
mission with pet therapy.” O’Connor says that patients find hope
and encouragement to push harder when they meet Patty and
hear his story.
Wrigley, the show’s golden retriever, has been a favorite at
Marianjoy for 11 years. He has something in common with many
of the patients: surgery on both of his knees, in addition to other
injuries. However, those challenges haven’t changed his sweet personality or perseverance—an
attitude towards rehabilitation that patients find inspirational.
Tracy Ekstrom,
Marianjoy Therapeutic
Recreation Specialist
“The benefits of dog therapy extend beyond the interaction between patients and the dogs,”
says Tracy Ekstrom, therapeutic recreation specialist. “The dogs actually help the patients with
social skills, too, encouraging them to interact with each other by sharing memories and stories.
It seems that people like to connect through their love for these animals. It’s not only an emotional
benefit, but also a clinical one.”
PET THERAPY CLINICAL OUTCOMES
NEUROLOGICAL BENEFITS OF PET THERAPY
EFFECTS ON THE RELEASE OF NEUROTRANSMITTERS IN THE BRAIN
INCREASED OXYTOCIN LEVELS
LINKED WITH BONDING
INCREASED DOPAMINE
LEVELS LINKED WITH
REWARD-MOTIVATION SYSTEM
DECREASED CORTISOL LEVELS
ASSOCIATED WITH
REDUCED STRESS
"Animal-Assisted Therapy in Mental Health,"
The Society of Companion Animals Studies Journal, 2010
IMPROVED
VERBALIZATION
INCREASED
ALERTNESS
80%
IMPROVED
MOBILITY
86%
IMPROVED
MOOD
92%
63%
Pet Therapy
BY-THE-NUMBERS
Therapy Dogs International, Inc., 1999
5
MARIANJOYMATTERS
Recovering Independence
After a Spinal
Cord Injury
Louis Meno, an engineering graduate from Purdue University, works on industrial design
projects involving boilers and hydronics. On Memorial Day weekend in 2013, Louis and
his friends headed to the Indy 500 race. While there, in an impulsive moment, Louis fell
unexpectedly and sustained a spinal cord injury.
“You need to
figure out what
you want and a
new way to live
your life. My
therapists helped
me get there.
I needed to set
goals and ask for
their help.”
Louis Meno
Louis was rushed to a local hospital and immediately into
surgery. He had fractured the C5 and C6 vertebrae in his neck,
resulting in quadriplegia, paralysis from the chest down. His
physicians recommended intensive inpatient rehabilitation;
Louis and his family chose Marianjoy.
“I didn’t know what to expect, and I was scared,” Louis says.
“I just kept praying to God that somehow, some way, I would
get all of my movement and sensation back.”
Louis’s intensive rehabilitation program included physical and
occupational therapy. With limited hand strength, he required
assistance with dressing, bathing, and transferring in and out of
his wheelchair.
“My occupational therapists worked with me to learn how to
feed myself again,” Louis explains. “We also began working on
transferring from my wheelchair to the bed or to the therapy
mat and back again. I was so weak that I needed a lot of
assistance, but they kept pushing me.”
According to Monica Blaauw, Marianjoy occupational therapist, Louis had specific goals.
“Louis wanted to be able to use his cell phone, computer, and the TV remote, so we adapted
these items to help him use them independently," Monica says. "We also taught him a
technique called tenodesis, which means that he would flex and extend his wrist in order to
facilitate passive finger movements to help with gripping and handling objects. Another goal
was Louis's desire to return to work, so we helped improve his computer abilities as well.”
Louis spent several weeks as an inpatient and then continued in Marianjoy’s outpatient therapy
program for seven months, improving and gaining new skills. Today, he is working 30 hours a
week from home, hoping to return to the office soon. His next step is to drive again through
Marianjoy’s Driver Rehabilitation program, where he’ll learn to use specialized equipment.
For now, Louis is increasing his independence through the use of his new power-assist
wheelchair.
6
Customized Equipment Aids in Independence
“Louis received a customized manual
wheelchair with power-assist wheels,” explains
Sandy DuPree, a physical therapist who works
in Marianjoy’s Wheelchair and Positioning
Center, which specializes in custom-fitted
seating. “This chair will reduce the strain on his
arms and allow him to propel longer distances
in the community, as well as navigate carpet
and inclines independently without excessive
fatigue.” With a touch of a button, Louis’s chair
converts from a manual-push wheelchair to
a power-assist wheelchair. For every manual
thrust of the wheels, the motor can double or
even triple the wheel rotation, conserving his
physical energy. The power-assist wheels have
a quick release so the chair can be converted to
a manual wheelchair, making transportation of
it in a vehicle easier and avoiding the need for
ramps or power-operated lifts.
“I didn’t think I would ever be able to transfer
or take care of myself, but here I am, doing it.
I can cook, I’m working part-time, and I am
able to use a phone and computer,” says Louis.
“You need to get to a point mentally where
you take responsibility for your recovery. You
need to figure out what you want and a new
way to live your life. My therapists helped me
get there. I just needed to set goals and ask for
their help.”
To read more of Louis's story,
visit Marianjoy.org.
WWW.MARIANJOY.ORG
Medical Insight
SPINAL CORD INJURIES
Dr. Vasilios
Stambolis
Medical Director,
Marianjoy Spinal
Cord Injury Program
The complexities of the spinal cord
injuries we see at Marianjoy vary.
The spinal cord, which is located
within the spinal column, consists
of nerves that extend from the brain
and transmit signals throughout the
body. An injury to the spinal column
can lead to damage of the cord.
Depending on the affected location
on the spinal cord, paraplegia, which
is paralysis of the lower body—or
quadriplegia, which is paralysis of all
four limbs—may result.
When a patient is admitted to
Marianjoy, a thorough assessment
is completed to determine how
the injury has impacted the body
and overall function. Our team of
clinicians and therapists collaborate
with the patient to determine their
needs and goals. A rehabilitation
program is then designed, which
may include tools, technology, and
resources to enable individuals to
return to a lifestyle of their choosing.
273,000
Approximate number
of people living with a
Spinal Cord Injury (SCI)
in the U.S.
12,000
Number of new Spinal
Cord Injuries (SCI) each
year in the U.S.
─ www.uab.edu/nscisc 2013
Lives in Motion is a Marianjoy spinal cord
resource group that meets monthly at
Marianjoy's main Wheaton campus location.
This group offers Spinal Cord Injury (SCI)
patients, their family members, and/or
caregivers the opportunity to learn from each
other. As a forum to discuss real-life issues
and concerns regarding a spinal cord injury,
clinicians from the Marianjoy SCI team share
their expertise regarding home modifications,
wheelchairs, exercises, nutrition, sexualilty,
social re-integration, and vocational
rehabilitation.
For more information on meeting dates, times,
and topics, contact Monica Blaauw, Marianjoy
Occupational Therapist, at 630-909-8410.
CAUSES OF SCI SINCE 2010
─ www.uab.edu/nscisc 2013
36.5%
VEHICULAR
28.5%
FALLS
14.3%
VIOLENCE
11.4%
OTHER
9.3%
SPORTS
80.7%
Of those who sustain a
Spinal Cord Injury that
are male.
─ www.uab.edu/nscisc 2013
Sandy DuPree, a physical therapist who works in
Marianjoy’s Wheelchair and Positioning Center, evaluates
the fit of Louis's wheelchair.
7
MARIANJOY
Rehabilitation Hospital
Wheaton Franciscan Healthcare
26W171 Roosevelt Road
Wheaton, Illinois 60187
800-462-2366 • www.Marianjoy.org
Facebook.com/MarianjoyRehab
@MarianjoyRehab
ABOUT MARIANJOY Marianjoy Rehabilitation Hospital is a state-of-the-art facility with 128 beds for acute and subacute care. Marianjoy offers inpatient
rehabilitation programs in stroke; brain and spinal cord injury; musculoskeletal and neuromuscular disorders; and pediatrics. Our Wheaton campus features
uniquely designed accessible gardens, a labyrinth, a chapel, and a meditation room. Marianjoy maintains an extensive network of inpatient, subacute,
and outpatient sites, as well as physician clinics throughout the Chicagoland area. Marianjoy Rehabilitation Hospital was founded in 1972 by the Wheaton
Franciscan Sisters and is a member of Wheaton Franciscan Healthcare.
For
Outpatient
Physical Rehabilitation
Insist on Marianjoy
As a leader in the field of rehabilitation, Marianjoy’s outpatient therapy
offers a treatment program designed with your specific needs in mind.
From the simple to the most complex cases, Marianjoy provides:
• One-on-one individualized therapy sessions
• Licensed physical, occupational, and speech-language therapists
who are nationally recognized for leadership in their respective fields
• Specialized treatment programs to address sports injuries,
concussions, pain management, orthopedics, and joint replacement
• Comprehensive therapy programs for stroke, brain injury, spinal cord injury, neuromuscular disorders, and pediatric rehabilitation
• Access to board-certified Marianjoy physicians, specialists in physical
medicine and rehabilitation, who can provide you with ongoing
medical care and treatment
To schedule an appointment for Marianjoy’s Outpatient Services,
please call 630-909-7150 or visit InsistOnMarianjoy.org.
26W171 Roosevelt Road, Wheaton, Il 60187
Inpatient
Wheaton
•
•
800-462-2366
•
www.Marianjoy.org
• Outpatient • Subacute • Physician Clinics
Downers Grove • Oakbrook Terrace • Oak Park • Palos Heights