T HE R OLE OF PM&R IN P ROVIDING Q UALITY H EALTHCARE
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Transcript of T HE R OLE OF PM&R IN P ROVIDING Q UALITY H EALTHCARE
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THE ROLE OF PM&R IN PROVIDING QUALITY HEALTHCARE
U N D E R S T A N D I N G
Physical Medicine and Rehabilitation (PM&R) Oakwood
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What is PM&R?What is PM&R?
Physical Medicine and Rehabilitation
Established Medical Specialty
Restore or Maximize Function
“Quality of Life” Specialty
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What Conditions Do PM&R Physicians (Physiatrists) Treat?What Conditions Do PM&R Physicians (Physiatrists) Treat?
Musculoskeletal Conditions
Acute and Chronic Medical Conditions
Severe Disabilities
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Conditions Conditions
Any Type of Musculoskeletal Pain Sports-Related Injury Birth Defect Traumatic Brain Injury Spinal Cord Injury Multiple Sclerosis Incontinence
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ConditionsConditions
Neck and Back Pain Headaches (Tension) Stroke Amputation Cancer Nerve Injury Severe Burn
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ConditionsConditions
Spasticity Arthritis Tendinitis Work-related Injury Repetitive Stress Injury Muscular Dystrophy
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PM&R Inpatient Consult Services Comprehensive evaluation of all patient rehabilitation needs above
and beyond disposition.
Recommendation for therapeutic interventions while still in acute inpatient hospital setting.
Continuity of care with inpatient, sub-acute, LTAC, home, and outpatient services.
Availability of WSUPG follow-up with sub-acute program.
Support for teaching and research programs in PM&R Oakwood at WSU.
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Advanced Diagnosis and TreatmentAdvanced Diagnosis and Treatment EMGs
Nerve Conduction Studies
Nerve Blocks (for Pain and Spasticity)
Botox Injections (for Spasticity and Pain)
Injections (for Osteoarthritis)
ITB Pump Maintenance (for Spasticity)
Coordination with Anesthesiology/Pain Management
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Low Back Pain – StatisticsLow Back Pain – Statistics
4 out of 5 Americans experience low back pain
Most frequent cause of disability for people < 45
Estimated annual cost to society >$100 billion
2nd most common reason for primary care visit
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Low Back Pain: PM&R ApproachLow Back Pain: PM&R Approach
Comprehensive clinical exam & medical history
Assessment of patient lifestyle, occupational risks
Potential for future complications
Goal setting
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Low Back Pain: Treatment PlanLow Back Pain: Treatment Plan
Diagnosis and intervention
Pain and sleep medication
Physical therapy program (aquatic and land)
Patient counseling and education(Neuropsychologist)
Measure progress (functional capacity, work site evaluation and ergonomics)
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Low Back Pain: ResultsLow Back Pain: Results
Pain control often relief
Return to work
Patient practicing self-management prevention techniques (strong patient education)
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“Quality of life has long been the goal of PM&R. We strive to achieve that goal by looking at the multiple problems of patients, minimizing those problems, and optimizing function.”
PM&R – The PM&R – The ““Quality of LifeQuality of Life”” SpecialtySpecialty
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Wayne State University Physician Group - Department of PM&R Oakwood18181 Oakwoood Blvd, Suite MOB 411Dearborn, MI 48201 Annette G. DeSantis, MDAashish A. Deshpande, MDSteven R. Hinderer, MD, MS, PTYongmin Liu, MDHeidi B. Martin, PsyD (Neuropsychologist)Jay M. Meythaler, JD, MD (Program Chair)Parmod K. Mukhi, MDP. Tyler Roskos, PhD, ABPP (Neuropsychologist)Michael K. Yoshida, MD, PhD
Administrative Offices – 313-438-7373
PM&R Outpatient Locations include Dearborn, Novi, and Southgate.
WSU Academic PM&R Group
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Important Phone Numbers
For Patient Appointments Call:
313-438-7373 (Dearborn)248-465-0100 (Novi)734-284-0865 (Southgate)
PM&R Oakwood Inpatient Consults:
Pager 313-436-2848, #0151