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• Sports Therapy • Lymphedema Management • Work Conditioning • Orthopedics • Functional Capacity Evaluations • Vestibular Rehab • Women’s Health & Incontinence Treatment • Splinting • Aquatic Therapy • Back & Neck Therapy • Wound Care • Speech Therapy • Pregnancy & Infant Massage, Labor Support Massage • Cardiac & Pulmonary Rehab • Stress Testing • McKenzie Techniques • Smoking Cessation • Home Safety Assessments • Job Site Analysis & Ergonomic Assessments • Memory & Cognition Therapy • Barium Video Fluoroscopy Swallow Studies • Kinesotaping • Strain/ Counterstrain Techniques

The Rehab Report
V O L U M E 6 J U L Y 3 0 , 2 0 0 9

Quicker Access For Patients
Days Between Receipt of Referral & Start of Care

Patients Waiting Less Time for Therapy Services at Sarnia Square
Over the last few months we’ve been working hard to improve patient access and the overall patient experience with our services. We’ve recently added more staff to provide direct patient care, modified and developed a new scheduling process in our inpatient & outpatient care settings, which has allowed the patients to be available to receive the services they need in a manner that is friendly and convenient for the patient. In our outpatient therapy department we’ve improved processes to allow the patient to start therapy within 3 days or less from receiving the referral. If you would like more information or would like to refer your patients for therapy services please call 507-457-4329. Therapy Services at Sarnia Square: Monday–Thursday, 7:00 a.m.—6:00 p.m. Friday, 7:00 a.m.—4:30 p.m. Inpatient therapy services are provided 7 days per week for physical therapy and 5 days per week for occupational therapy and speech-language pathology.

Welcome Aboard!
In an effort to improve patient access, as well to keep up with the continued growth of patient volumes, the therapy departments have further expanded their staff to include two new physical therapists, Lucas Barbknecht, DPT and Stephanie Rae, DPT. Growth is also occurring within our Speech Therapy Department as well. We are pleased to announce our newest staff member, Amy Sauerer, SLP, who will be available casual on-call to meet the demands that exceed the capacity of our current speech-language pathologist, Carol Meyer-Boldon, SLP.

Lucas Barbknecht, DPT
joined the Physical Therapy Department in June. Lucas has interest in outpatient orthopedics, aquatic therapy, and acute care. Stephanie Rae, DPT Also joined Physical Therapy in July, with interest in sports medicine, Pilates, and inpatient/outpatient services. Amy Sauerer, SLP began work in Speech-Language Pathology in mid-July. She has interest in pediatrics, autism, and geriatric services.





Starting as Strangers, Leaving as Friends: A Patient Success Story
Winona Manor, Keith was not yet ready to come in for outpatient therapies so he received 2 weeks of Home Care PT and OT during which he received recommendations about safety and functioning in his home. At the end of the 2 weeks, he was ready to transfer to outpatient PT and OT at Sarnia Square. There he met his primary Physical Therapist and Physical Therapist Assistants who challenged him through balance and gait activities, muscle retraining, strengthening and stretching exercises to help him regain a higher level of safe mobility. With the help of his Occupational Therapist and Occupational Therapist Assistant, he worked on activities to improve the function of his left hand, arm and shoulder girdle. He was taught how to isolate muscles to get specific movement so he could better use his left arm and hand. Keith was highly motivated to follow the home exercise programs set up for him by PT and OT to maximize his recovery. He was also involved with determining appropriate activities that he could work on to further his progress. States Keith, “I am a very analytical person. If I want to do something, I will think of a way to try and make it work”. In August of 2008, he set 3 goals for himself. “One was to try and play a round of golf, which I was able to accomplish with the help of a good friend. The score did not really matter, it was just such a satisfying feeling to be able to do it.” “The second goal was to be able to go on the annual guys’ fishing trip to Lake Winnie in early September.” Again, with the help of friends, the trip was a success. “This summer (2009) my goal is to fish with an open face reel. I have already progressed to where I can reel with my left hand.” Keith’s third goal was to try grouse hunting in northern Minnesota. The first trip didn’t bring him success with getting a bird, but helped him to be able to problemsolve so that his second trip in October 2008 was more successful. “This time I was able to take five birds, four with assistance, then finally one on my own with no one else along.” Keith says, “I will be forever thankful to all the people who worked so hard to help get me to this point in my recuperation. While the stroke took away most of my abilities to enjoy playing golf, hunting, shooting pool, bowling and various other physical activities, I found a new challenge in learning new ways to enjoy them again and others I can work toward. The stroke, while very trying, does have a bright side after the fact. Look at all the new things I have learned, not to mention the many new friends that would have remained unknown had it not happened.” We at Winona Health Rehab feel we are the fortunate ones to have had the chance to be involved in the rehabilitation of this very focused and determined gentleman. We thank Keith for allowing us to share his amazing story with others!

Keith 1 year later after his stroke

By Barb Parent, OTR/L & Diane Montgomery, PT—Life for Keith Krousey was full. He was enjoying his retirement from a busy banking career, filling his days with golfing, fishing, hunting, home maintenance and landscaping, and the list goes on and on. Then on May 19, 2008, everything changed. Keith awoke that morning thinking he had slept in a position that caused his arm to fall asleep. However, he then realized he was not able to use his entire left side. Keith was brought to the Emergency Room at Winona Health where he was diagnosed with having a stroke and was admitted to the hospital. While in acute care, among many other caring professionals, Keith met Physical Therapists, Occupational Therapists, and the Speech Therapist from the Rehabilitation department. After spending a few days in the hospital, he was transferred to Lake Winona Manor where his rehabilitation continued. Keith says, “I spent about 4 weeks in the Manor learning what I could do to help myself and regain some of my mobility”. Upon discharge from Lake

New Director of Occupational Health
Corrie Searles, MPT– The Director of Rehab Services was recently named new Director of Occupational Health Services. Corrie will be working hard, along with others in the department, to continue expanding and developing the Occupational Health program to meet both internal and external customer needs.

Angels in Our Midst
Linda Shepardson, PT, Veronica Wry, PTA and Barb Parent , OTR/L recently were recognized as Guardian Angels by an anonymous donor to the WH Foundation following services received through Home Care. The Guardian Angel program recognizes excellent service by staff through designated donations to the Foundation by former patients or families.



“I went to Therapy thinking I was going to end up in a motorized cart because my back was so bad. Thanks to Steve and staff I’m now back to walking and my core strength is improving. I have never been so satisfied with a service from Winona Health.” —A Satisfied Customer June, 2009

Women’s Health: What Is It?
What Does A Women's Specialized Women’s Health Services offered through Health Physical Therapist Do? Physical Therapy include: • Pelvic Pain The emphasis of the health • Support for women Pre-Post-partum sciences on fitness and wellness • Urinary incontinence has brought to women's • Lymphedema attention a need to pay closer • Osteoporosis

attention to their bodies during recreation, work, and Meet our Trained Women’s Health Clinicians: throughout life. Many physical Cindy Teske, PT~ Cindy has over 20 years therapists have specialized of practice and specializes in the following training which will benefit areas: Outpatient setting with emphasis on women with a variety of medical chronic pain and women’s health. conditions. These therapists use every facet of their physical Linda Kuhn, PT~Linda Kuhn has over 24 therapy training to evaluate and years in practice as a PT and specializes in treat female clients, promoting outpatient and acute care with interest in and enhancing health through the women’s health and orthopedics. life span. All treatments are individually designed after Becca Cleland, PTA~Becca Cleland has thorough evaluation.—Source: over 6 years in practice as a PTA and has experience in outpatient and acute with interest in lymphedema, women’s health, and

Staff Spotlight: The Faces Behind the Names
Spotlight on: Spotlight on: Spotlight on:

Steve Seltz, Physical Therapist
Steve has been a licensed Physical Therapist for over 34 years since graduating from the University of Minnesota. Steve has been a proud employee of both the Winona Clinic and Winona Health for over 25 years, and was awarded the 2009 Living Service Excellence Award for his dedication to not only Winona Health but his patients and co-workers. Steve’s interests include outpatient and acute care with interest in orthopedics and manual therapy.

Lindsey Henderson, Occupational Therapist
Lindsey graduated from Winona State University with a BS in exercise science and St. Scholastica in Duluth, MN with Master of Arts in OT. Since then she has become a Certified Lymphedema Therapist. Lindsey brings over 9 years of experience to the patients she serves here at Winona Health. Lindsey sees patients in outpatient Occupational Therapy, Home Health care and Acute Care. Lindsey also has special interest in hand therapy, wound care, orthopedics, and low vision rehab.

Jenelle Jacobsen, Rehab Aide
Jenelle has dedicated the last 28+ years to providing excellent patient care here at Winona Health as one of our Rehab Aides. Jenelle provides support to patients and clinicians in both Physical Therapy and Occupational Therapy at Sarnia Square. Jenelle is also very active in the Aquatic Therapy Program offered through outpatient PT. She is a true asset to our department and patients.








The Therapy Department Mission: To inspire, motivate, and educate by promoting functional patient outcomes

Continuing Education Notes
Continuing education and mastering the skills necessary to meet the needs of the patients we serve holds high value for us. As such, the following staff have attended continuing education this past quarter: • • • • • Teri Lee, PTA Aquatic Therapy Jenelle Jacobsen, RA– Aquatic Therapy Cindy Teske, PT & Linda Shepardson, PT– Oasis Training Corrie Searles, MPT - Lean Training Lisa Yahnke, PTA - Modalities

Did You Know?
Cardiac Rehab is now responsible for coverage of both diagnostic & nondiagnostic stress testing studies, as well as pacemaker checks for patients of Winona Health?

Occupational Health Nurse Recognized
Cathy Johnson, RN-BSN-COHN, spoke to the Lion’s Club on April 9th 2009. This letter was submitted to Rachelle Schultz, CEO, regarding her presentation: Dear Ms. Schultz: “We just wanted to let you know how much we thought of Cathy’s presentation, it was the best one this year...she’s extremely informative and gave such a pleasant presentation!.”

Cathy Johnson, RN-BSN-COHN
is one of the Winona Health Occupational Health nurses, having been so for over 20 years. She has been with Winona Health for the past 2 years. For more information about the Occupational Health services at Winona Health, call 507.457.3212. or check us out on the Pulse under Occupational Health. Open Monday-Friday from 8:00a.m.-4:30 p.m.

The Occupational Health Department Mission: To assist employers in maintaining and improving the health, safety and well being of their employees. The Occupational Health Department Vision: To be recognized as the Occupational Health provider choice providing a wide range of off and on-site services to businesses and industries.

Read What Customers Have to Say About Our Services
“I could go on and share so many ways the staff helped me, but would just say, I am so happy that I chose Winona Health for my rehabilitation and know the mental and physical care cannot be duplicated that I received. I would encourage anyone with a rehabilitation situation to take their problems to the Winona Health PT Department, and know they will come up with the solutions to one’s problems, just like they did for me”. —Submitted by a grateful patient—— “During my son’s parent teacher conference this past week, the focus of the meeting shifted to talk about the teacher’s experience at Winona Health and the wonderful care that was received in the Occupational Therapy department. My son’s student teacher explained how the therapists cared for him and helped him move from not using his arm to regaining almost all of the function in his arm. What a pleasant surprise to hear his story and hear his story and hear about my co-workers in a setting that was not work related. So Kudos to Barb and Lindsey for good work that they do everyday but the impact on a person’s life is not always realized”. —-Submitted by a grateful co-worker—