A short presentation of its work
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General information
The Clinic for Medical Rehabilitation and Geriatrics of the Henriettenfoundation in Hannover started its work in 1972 and is one of the oldest geriatric hospitals in Germany. It is university-affiliated, situated in a large town and has 38 acute care and 50 rehabilitation beds on three wards. A geriatric day clinic with 24 places is affiliated.
The clinic belongs to a larger hospital with about 500 beds, owned by a foundation, the "Henriettenstiftung".
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Therapeutic team
9.6 doctors, about 40 nurses, 8 physiotherapists, 8 occupational therapists, 2 speech therapists and others constitute the therapeutic team. Additional therapeutic strategies are applied, e.g. training of caregivers or organisation of family support as well as social help after discharge.
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Therapies
A part of the therapies is performed in a group setting, the majority is done in a single patient setting. Patients with stroke are treated according to the Bobath concept.
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Admission and discharge
Like in many other hospitals of the same type important characteristics of the work are multidisciplinary team approach and multidimensional assessment. Admission is decided according to clinical judgement in the course of a structured telephone call with the referring doctor. The admission guidelines are rather broad, only few patients are denied. Discharge is discussed and decided in a team setting, e.g. when no further rehabilitation progress is to be expected.
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Assessment
Assessment is done by means of a barthel Index, the MMSE, the GDS and the timed up and go-Test. Other assessment intruments like a number of cognitive tests are available, but not applied with all patients.
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Current data of the clinic
A permanent quality control, based upon basic and assessment data is performed. As an example, discharge to previous living conditions ranged over 80% during the last years.
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Specialities
broad therapy and diagnostics in internal medicine
rehabilitation of stroke patients
memory department for outpatients
instruction programme for relatives of stroke patients
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