Tia dobi portfolio piece - Kaiser Permanente Member Marketing
BUILDING A FAMILY ON A
FOUNDATION OF TRUST.
“She was right there
with me the whole time.
She gave me information.
She gave me choices.”
—Elaine Granados on
Dr. Colleen Wittenberg
Member and Marketing Communications
Developing a close relationship with her Kaiser Permanente
physician delivered hope and a healthy baby to a first-time mother.
For Elaine Granados, a normal conception
was a miracle. She had been prepared to
have problems conceiving because of a
previous ectopic pregnancy. “But before
I knew it,” she exclaims, “I got pregnant!”
Then, just weeks into her pregnancy,
Elaine started spotting. She rushed to
the emergency department at Kaiser
Permanente Riverside Medical Center,
where doctors found a mass protruding
from her cervix. Was she miscarrying?
Colleen Wittenberg, MD, chief of obstetrics
and gynecology, came to examine the
worried mother-to-be. Amid the bustle of
the emergency room, Dr. Wittenberg found
a tiny heartbeat.
Elaine followed up with Dr. Wittenberg for a
biopsy, which revealed that the mass was a
large polyp that was forcing her cervix to
dilate. Dr. Wittenberg believed that Elaine
had a 25 percent chance of losing the baby
if they removed the polyp. But without
surgery, the chance of miscarriage doubled.
Worried about the risk that surgery would
place on the baby and Elaine, her family
advised her against it. “But I trusted in
Dr. Wittenberg,” explains Elaine. “I went
with my gut feeling and followed her
recommendations. Thank God they were
the right ones.”
After recovering from the surgery, Elaine
developed weakness in her cervix, which
posed another threat of miscarriage. Dr.
Wittenberg put a stitch around Elaine’s
cervix and monitored her closely, seeing
Elaine twice a week until she was ready
On the morning of the delivery, Dr.
Wittenberg removed the suture and per-formed
the delivery herself. “It was great
that Dr. Wittenberg was there to deliver my
baby,” says Elaine. “She was there from the
beginning. I wouldn’t have wanted any
Elaine sums up the whole experience this way:
“I felt blessed to have Kaiser Permanente.”
Today Elaine, Marissa, and proud papa David
are all doing fine. Marissa, now 2 ½, has the
passions of any little girl her age: crayons,
playing in the pool, and SpongeBob
Marissa is a little smaller than other kids her
age, but that doesn’t worry Elaine and David.
“We’re not worried about her being petite
because she has this attitude where she gets
her way,” Elaine explains. “She’s like a little
dog with a big bite.”
And there’s one other thing about Marissa that
both parents agree on: “We can’t imagine life
The next step
The Center for Reproductive Health
Many Kaiser Permanente members have coverage for
the diagnosis and treatment of infertility, and some
members have coverage for in vitro fertilization (IVF)
procedures if IVF is listed as a covered benefit in the
Evidence of Coverage for their Kaiser Permanente
health benefit plan. Otherwise, the services described
in this brochure are provided on a fee-for-service
basis, separate from and not covered under your
health plan benefits. Clinical services are provided
by providers or contractors of The Permanente
Medical Group, Inc. Kaiser Foundation Health Plan,
Inc., and Kaiser Foundation Hospitals may receive
compensation for providing facilities and/or other
support in connection with these services. For specific
information about your health plan benefits, please
see your Evidence of Coverage.
Photos of models shown, not actual patients.
You want to start a family, but it hasn’t been
easy. When you’re looking for a solution,
it’s good to be on familiar ground. Choosing
Kaiser Permanente for your in vitro fertilization
(IVF) is one of the best decisions you can make.
Kaiser Permanente has been taking care
of Californians for 60 years. The Center for
Reproductive Health in Fremont offers IVF
services as well as an egg donor program.
We offer advanced, innovative equipment and
technology, and we’re staffed with excellent
doctors and scientists in the field. Every step
of the way, your personal infertility doctor will
be involved, and your records will be accessible
and secure. So when you choose us for your
IVF, you can count on high-quality medicine,
coordinated care, and peace of mind.
In vitro fertilization.
Take the next step with
someone you know.
And someone who
In vitro fertilization
and egg donor program
The Center for Reproductive Health
Fremont Medical Center
39141 Civic Center Drive
3rd Floor, Suite 350
Fremont, CA 94538
Monday–Friday, 8 a.m. to 5 p.m.
Saturday–Sunday, by appointment only
1-888-886-0079 (toll free)
What is “in vitro fertilization”?
In vitro fertilization (IVF) is the process of combining a woman’s egg
and a man’s sperm outside the body, in a laboratory. An embryo forms
in the laboratory, and after a few days, it’s placed in the woman’s uterus.
What you can expect: The IVF cycle has three phases.
IVF Fertility Evaluation of
the Couple and Stimulation
of the Woman’s Ovaries
with Fertility Drugs
The fertility of both the
male and female partners
is evaluated. To increase egg
production, the woman’s
ovaries are stimulated with
hormone injections, and egg
development is monitored
through ultrasound scans and
blood tests. At the appropriate
time, ovulation is triggered with
an HCG hormone injection.
Kaiser Permanente’s reputation for excellence
attracts some of the most qualified physicians
in the nation, and so we’ve assembled a team
of excellent doctors. Our doctors practice
together as a group, each focusing on his or
her specialty, while consulting with trusted
peers when necessary. They are dedicated to
helping you achieve your dream of parenthood
by providing personalized care in a supportive
and caring atmosphere.
Quality medicine. Coordinated care. And peace
of mind. That’s what you expect from Kaiser
Permanente for all your other health needs.
And that’s what you can count on for your IVF.
To learn more
For more information about IVF or the egg donor
program, please call 1-888-886-0079 or visit us
online at www.kpivf.org.
Egg Retrieval, Fertilization,
and Embryo Transfer
Eggs are retrieved directly
from the ovaries using an
The eggs are then placed
together with sperm in a
special culture. If fertilization
occurs, the embryos develop
in an incubator over several
days before the woman
returns to The Center for
We’ll determine if pregnancy
has occurred and then plan
for additional follow-up care.
Your cost: Single-cycle plan pricing
You are charged one fee for an IVF procedure, which
typically includes the following:
• Cycle monitoring
• Egg retrieval
• Embryo culture
• Embryo cryopreservation and storage
for up to six months
• Embryo transfer
• Facility fee
• Lab tests
• Sperm preparation
The single-cycle plan fee does not include the following:
• Assisted hatching
• Intracytoplasmic Sperm Injection (ICSI)
• Reproductive urologic procedures
• Preimplantation Genetic Diagnosis (PGD)
• Frozen embryo transfer
• Donor eggs or sperm
Egg donor program
The egg donor program provides an integral option for
treating women with infertility who otherwise would not
be able to conceive on their own. We assist patients in
the donor selection process, coordinate all screening
and cycle monitoring for both donor and recipient,
and provide education and support throughout the
process. Our experienced staff will guide both the
donor and recipient every step of the way.
*Your infertility physician may increase or change your medications
or dosage which may increase the IVF medication fee. Medication
fee based on Kaiser Permanente membership status.
Financing is available.
Photo: dv1340038 Getty RoyFree low res. Need to purchase.
f o r w e l l n e s s . f o r w o m e n .
AN EVENT CELEBRATING EVERYDAY HEALTH FOR WOMEN AND GIRLS
Photo: fst052024 Getty RoyFree low res. Need to purchase.
f o r w e l l n e s s . f o r w o m e n .
ALICE WATERS NATALIE COUGHLIN
LEE BALANCE, MD JENNIFER CHERRY TERRY FRANKLIN, RD
SARA GOTTFREID, MD KELLY HOOD, MD VIVIAN IGRA, MD
DEBBIE POSTLETHWAITE, RNP, MPH SHERRY PRUITT, PhD
MARCELLA RAIMONDO, MPH SABINE VON GLINSKI, MD JANE WIRTH
Alice opened Chez Panisse in 1971, with the philoso-phy
of serving only the highest quality products,
only when they are in season. Over the course of
three decades, Chez Panisse has developed a net-work
of mostly local farmers and ranchers whose
dedication to sustainable agriculture assures Chez
Panisse a steady supply of pure and fresh ingredients.
In 1996, in celebration of the restaurant’s twenty-fifth anniversary, she
created the Chez Panisse Foundation to help underwrite cultural and edu-cational
programs such as the one at the Edible Schoolyard that demon-strate
the transformative power of growing, cooking, and sharing food.
Alice is author and coauthor of eight books, and the recipient of numer-ous
awards, including Bon Appetit magazine’s Lifetime Achievement
Award in 2000 and the James Beard Humanitarian Award in 1997.
Natalie Coughlin has built a reputation as the most
versatile, dominant swimmer in the world. She
seized five medals at the 2004 Olympic Games
in Athens-two gold, two silver, and one bronze.
Natalie's performance is considered the best in
Olympic history by any American woman.
In doing so, Natalie became only the third American woman to win
five swimming medals in a single Olympics. Natalie has broken mul-tiple
world records in the 100 m backstroke, is the current world record
holder, and still remains the only woman ever to swim this event under
the one minute mark. Overall, Natalie has broken six world records,
34 American records and 11 University of California, Berkeley records.
Currently, Natalie has her sights set on the 2008 Olympics in Beijing.
She was recently selected as the 2005 National Spokesperson for
“Kick Butts Day,” a youth-focused, coast-to-coast event put on by
the Campaign for Tobacco-Free Kids.
JENNIFER CHERRY, PRIVATE FITNESS COACH
Jennifer Cherry owns and operates Fit Image Consulting in Alameda.
Sheis an ACE certified Private Fitness Coach and Master Fitness by
She entered the fitness industry in 1989 with a background in ballet
and competitive ice-skating. Jennifer helps her clients achieve their
fitness goals by developing realistic programs that are manageable
and effective. Her innovative approach is what makes her one of the
most successful fitness coaches in the Bay Area.
Lifestyle Exercise: How to Find the Time and Stick to It! We
all know the importance of exercise in creating a balance of physi-cal
and mental health. Yet, reaching personal fitness goals can be
challenging, especially when exercise can seem like another chore
in an already hectic schedule. Can exercise really be fun and life-style
friendly? Yes! Personal fitness trainer Jennifer Cherry knows
the perils of personally peeling pounds. She'll show you how to lose
weight, keep it off, and prevent adding those pounds in the first
place. Let her motivate and educate you to choose the kinds of exer-cises
that fit both your body and your schedule for fitness success.
LEE BALANCE, MD
Dr. Balance attended the University of Chicago (now Pritzker) Medical
School after graduating from Michigan State University. Following
medical school, he completed an internal medicine training program
at Lincoln Hospital in the South Bronx.
After three years of private practice in western Massachusetts,
he moved to northern California and began working in emergency
rooms. For the next several years, while continuing his emergency
room work, he pursued training in many alternative medicine, includ-ing
acupuncture, acupressure, hypnosis, and meditation. He joined
Kaiser Permanente in 1988, working first in the Hayward Emergency
Department then transferring to the Vallejo Medical Center, where
he continues to work in the Orthopedic Department and serves as
Chief of Alternative Medicine and Continuing Medical Education.
He is board certified by the American Board of Internal Medicine and
the American Board of Emergency Medicine. He received his medical
acupuncture training through UCLA and is a member of the American
Academy of Medical Acupuncture. When not at work he enjoys out-door
activities, including bicycling and water sports.
Complementary and Alternative Medicine (CAM) in the Early
21st Century. CAM is often used to improve quality of life and
manage various medical conditions. Dr. Lee Balance answers some
very important questions such as “Does acupuncture really work,
and if so, for what?” and “Should I use St. John’s wort when I am
feeling down?” Many people think that because CAM is natural,
it must be safe. However, anything that has possible benefits also
has possible adverse effects. Attend this informative workshop and
learn about the different types of CAM, its safety and effectiveness,
and its potential to interact with other treatment methods.
SABINE VON GLINSKI, MD
Dr. Sabine von Glinski was born in Munich, Germany, and grew up
speaking German as her first and familial language. Most of her child-hood
was spent in the mountains outside of Golden, Colorado. Prior
to attending college in the United States, she studied in France and
obtained her baccalaureate from a lycee just outside of Paris.
Her undergraduate education was in physics with a degree from
the University of California, Berkeley. She had intended to pursue an
interest in magnetospheric and ionospheric physics, but fortunately
remained a bit more earthbound and ended up pursuing a degree in
medicine from the University of Colorado at Denver. Further training
in orthopedics included clinical research with numerous publications in
the field of joint arthroplasty or replacement at the University of Utah,
an orthopedic residency with the San Francisco Orthopedic Residency
Program, and a fellowship in trauma orthopedics in Hanover and
Berlin, Germany, through the organization AO North America.
Prevention of Sports Injuries and Injuries of Daily Life. Athlete
and orthopedic surgeon, Dr. Sabine von Glinski will share tips on
the best ways to prevent injuries during physical activity. She will
also discuss strategies for recovery from sports-related injuries and
surgeries. Whether you run, bike, swim, shoot hoops with your fam-ily,
or tote babies or briefcases, learn how to perform any activity
safely; and recover quickly when you don't. Come with your ques-tions
and talk with this expert about the preventions and treat-ments
for maximizing performance, reducing fatigue and improving
ergonomics—at any age.
TERRI FRANKLIN, RD
Terri Franklin is a registered dietitian at the Kaiser Permanente Walnut
Creek Medical Center, where she instructs individual members on
special nutritional needs and teaches cholesterol, diabetes, heart
smart, and healthy kidney classes.
She received her BS degree in foods and nutrition at California State
Polytechnic University in Pomona, California, and completed her
dietetic internship at University of California, San Francisco Medical
Center. She has a CDR (Commission on Dietetic Registration) certifica-tion
and food safety certification. Her hobbies include water aerobics
and Pilates, old movies, and reading.
Healthy Eating: The Skinny on Popular Diets. Is the South
Beach Diet really today’s healthiest carb diet? Does Atkins allow
you to eat satisfying amounts of delicious, nutrient-dense foods
and still drop pounds? With dieting products and plans everywhere
in the media, how do you separate fact from fallacy? Nutrition
expert and registered dietitian Terri Franklin gives you the straight
scoop on these popular diets and the effects of dieting in general.
Learn about successful weight loss and management strategies for
a healthy lifestyle. Find out how eating the right foods—and avoid-ing
others—helps us live whole, well, and wise.
KELLY HOOD, MD
Kelly Hood, MD, has been practicing medicine for 12 years and joined
Kaiser Permanente in 2002. She is board certified by the American
Academy of Dermatology. Dr. Hood received her medical degree
from Louisiana State University and completed a residency program
at Tulane University Medical Center.
She is a member of the American Academy of Dermatology, the
American Society of Dermatologic Surgery, and the San Francisco
Dermatology Society. She is also a spokesperson for the American
Academy of Dermatology.
Dr. Hood is passionate about women's health and education, and has always
enjoyed cutting-edge cosmetic and general dermatology. When she is
not working, she enjoys spending time with her husband and twin sons.
Take Care of the Skin You Are In. Your skin is the largest organ
of your body. Keeping facial skin beautiful means sorting through
more choices in the marketplace than ever before. Botox®, facial
peels, anti-wrinkle creams and others—how do you navigate the
latest advances in plastic surgery and dermatology? From options
to best choices, what works and what hurts, how much and how
often, talk to an expert about the latest cosmetic procedures to
decide what’s safe and effective for your skin. Dermatologist and
surgeon Kelly Hood will also show you nonsurgical ways to care for
your skin and make it look its best as it undergoes many changes
SARA GOTTFRIED, MD, RYT
Sara Gottfried, MD, RYT, learned yoga first from her great-grandmother
and began a daily practice in 1989 while at Harvard Medical School.
She was drawn toward integrative medicine at Harvard and completed
intensive seminars with Herb Benson, MD; Deepak Chopra, MD; David
Eisenberg, MD; and Ted Kaptchuk, OMD.
Following medical school, Dr. Gottfried finished her training at the
University of California, San Francisco, in Obstretics and Gynecology.
She joined Women's Health at Kaiser Permanente in 1998 and prac-tices
integrative medicine at the Park Shadelands Medical Offices
in Walnut Creek, California. As a yogini, her practice is rooted in
the Krishnamacharya lineage and draws upon the teachings of TKV
Desikachar (Viniyoga), BKS Iyengar and Patricia Walden (Iyengar
Yoga), and Ana Forrest (Forrest Yoga). A believer in adaptating yoga
to the individual, she prescribes common yoga poses alongside western
medicine to her patients. In 2003, she began teaching pre- and post-natal
yoga as well as workshops in Berkeley, where she lives with her
husband and two daughters.
Yoga. Certified yoga instructor Sara Gottfried teaches the ancient
healing practice that affects our total well-being: physical, psy-chological,
physiological, emotional, and spiritual. From the “om”
breath to posturing, yoga rejuvenates the body while replenish-ing
the spirit. This harmony makes yoga different from stretching.
Who doesn’t want the benefits of improved lung respiration, blood
circulation, muscle tone, flexibility, and mental focus? Practice this
“movement meditation” that can put the ahh back in your physical
alignment, and eases menstrual pains, anxiety, and depression. Get
a yoga education, and be ready to try the demonstrations. There
are no prerequisites for this class—you don't have to be able to
touch your toes before you begin.
DEBBIE POSTLETHWHAITE, RNP, MPH
Debbie Postlethwhaite, RNP, MPH, is an Ob/Gyn nurse practitioner
at Kaiser Permanente's South San Francisco Medical Center. She is
also projects director of Women's Health Leadership in Northern
California, and an investigator for the Kaiser Permanente Women's
Health Research Institute.
Much of her work centers on developing effective strategies to reduce
unintended pregnancies and their negative outcomes and on improv-ing
preconception health. She enjoys running with biking with friends,
and attending sports events with her son.
Protecting Future Generations. This workshop will briefly dis-cuss
the most important steps you and your daughters can take,
whether you are planning a pregnancy now, in ten years, or if you
are unsure whether you want children at all. Simple things like taking
a multivitamin containing folic acid can greatly reduce the chances
for brain and spinal cord birth defects called neural tube defects.
Planning a pregnancy by using effective birth control is also impor-tant
to reduce the risk of birth defects. These and other important
prevention topics for all women and girls of childbearing age will
be discussed in this interactive session.
VIVIEN IGRA, MD
Vivien Igra, MD, is a pediatrician at the Kaiser Permanente Walnut
Creek Medical Center. She has been practicing at Kaiser Permanente
since 1994. She is a member of the American Academy of Pediatrics,
American Medical Women’s Association, and Society for Adolescent
Medicine. She received her medical degree from Finch University of
Health Sciences/the Chicago Medical School, North Chicago, IL, and
completed her residency at University of California, Davis Medical
Center, in Sacramento. She has done a fellowship at University of
California, San Francisco Medical Center, and is board certified in
adolescent medicine by the American Board of Pediatrics.
MARCELLA RAIMONDO, MPH
Marcella Raimondo, MPH, is a senior health educator at Kaiser
Permanente. Her passion about the serious issue of eating disorders
and body image stems from her 10-year battle with anorexia. From
her experiences with the disorder and her recovery, Marcella devel-oped
a deep understanding, insight, and sensitivity about these
issues. She is also the Media Literacy Director for About-Face, a
San Francisco nonprofit that focuses on body image, eating disorders,
and media. Ms. Raimondo received her Masters in Public Health from
the University of Michigan in Ann Arbor. She interned at the Center
for Eating Disorders, giving talks to schools and colleges in Ann Arbor
and participated in eating disorder research.
Is it Really Just a Diet? In this supermodel world, how do you
love the body you're in when the media bombards us with unrealistic
images? Are the numbers on a scale reflective of your self-worth?
Join us and get answers to questions you have about eating dis-orders.
Learn how to cultivate a positive body image, and how to
be a good role model for your daughters. Former anorexia nervosa
sufferer Marcella Raimondo, MPH, and pediatrician Vivien Igra, MD,
talk openly about how to recognize the signs of eating disorders,
why weight gain is an integral part of pubertal growth, and how to
maintain healthy self-esteem.
SHERI D. PRUITT, PhD
Sheri D. Pruitt, PhD, is a clinical psychologist and the Director of
Behavioral Science Integration for Kaiser Permanente in Sacramento,
California. Her work is at the organizational level, solving problems in
the delivery of health care by applying behavioral science.
Dr. Pruitt has BS and MEd degrees from the University of Oklahoma
and MS and PhD degrees from the University of New Mexico. She
was a member of the faculty of the University of California, San Diego
School of Medicine. As a scientist for the World Health Organization
(WHO) in Geneva, Switzerland, she was the principal writer for two
WHO reports providing global strategies for innovative care for
chronic conditions. Dr. Pruitt has published extensively in the area of
behavioral medicine, examining the influence of behavior on health
outcomes. She is coauthor of a recently published book, Stop Telling
Me What—Tell Me How.
It's All About You: A Healthy Body, A Happy Mind. Psychologist
Sheri D. Pruitt, PhD, encourages us to remember the words of air-line
flight attendants: “In case of an emergency, place the oxygen
mask on yourself first!” When trying to balance the responsibilities
of family, work, and relationships, a woman's tendency is to put her
own needs last on the list. Sherry's simple, proven formula improves
physical health and mental happiness. The keys are: knowing what
to do, how to do it, and wanting it for yourself. You’ll leave this
workshop with five “how-to” skills to change any unhealthy behav-ior—
freeing you to enjoy the things in life you cherish most.
Jane has worked in the field of Health Education for 25 years at Kaiser
Permanente. She is a motivational speaker who has made presenta-tions
for the community on healthy eating, heart health, weight
management, stress management, and spiritual growth.
Jane has been certified as a Labyrinth Facilitator for seven years and
received her training through the Veriditas labyrinth movement at
Grace Cathedral, San Francisco. She facilitates labyrinth events and
has taught at Chartres Cathedral in France. Jane and her husband
Craig were featured in an article about labyrinth use in the August
2003 issue of Ladies’ Home Journal. Her personal interests include
biking, hiking, bonsai training, music, and her grandchildren.
Walk Away Your Stress: Labyrinths for Relaxation. Merge spiri-tuality
into your everyday life as motivational speaker and certified
Labyrinth Facilitator Jane Wirth shows us how to use the imagery of
a labyrinth to lessen stress. The labyrinth is an ancient symbol used
as a meditation and prayer tool because it represents a journey
to our own center and back again out into the world. The result-ing
sense of purpose relieves stress. Walk the onsite labyrinth and
experience wholeness and wellness on this spiritual journey to your
inner self. Then take the journey home to share the experience with
family and friends to better their health.
HOW TO MAKE THE MOST OF
While you’re here in the Stroke Unit, we want to make sure that you get the best care
possible. We also want to give you the information you need so you can know what to
expect while you’re here.
YOUR HEALTH CARE TEAM
Your team includes physicians, nurses, social workers, and physical, occupational, and speech
therapists. You and your family can speak directly with any of them if you have questions or concerns.
We hope you’ll join us in making decisions about your care. Please ask someone in your family to be
your spokesperson to help share your progress to your family and friends.
WHILE YOU’RE HERE
Your doctor and health care team will meet with you. They’ll explain your tests and treatments, and
answer your questions. They may also tell you when you might be able to leave the hospital. They will
develop a plan to help you recover as much function as you can. The plan will give steps to reduce your
chance of having another stroke in the future.
First, we’ll run a number of tests. They may include:
• Checking your blood pressure, pulse, breathing rate, and temperature
• A CT scan to identify the type of stroke you had and to see what part of your brain has been
• Chest X-rays
• Test(s) to see how well you can swallow and to decide what types of solid food and liquid you
• Tests to see how well you can move, talk, see, read, write, and understand words
• Exams to see how well your body can control your bladder and bowel functions
• Tests to show how well you can dress and bathe yourself
Your treatments will depend on your condition and the results of your tests. They might include:
• Oxygen to help you breathe easier
• Insertion of an intravenous (IV) line to administer drugs
• Physical therapy to restore movement, strength, and function
• Occupational therapy to help you get back to your regular activities at home and at work
• Speech therapy to help you speak better and swallow
It’s also very important to talk with your family about your Advance Health Care Directive, a form that
allows someone else to speak for you when you cannot. If you don’t have one yet, please fill one out.
You can pick up the form in the Health Education Department at your medical center.
(please turn over)
stock owned stk143243rke
GETTING READY TO LEAVE THE HOSPITAL
Before you leave, you’ll meet with your health care team about:
• Any concerns you have about your plans to go home or to another type of
• Your medication(s) and possible side effects
• Feelings or unexpected emotional reactions you might have
• Special equipment you may need to help you move around
• The best things for you to eat and drink
• Balancing rest and activity
• Stopping smoking (if you smoke)
• Follow-up appointments with your physician and rehabilitation therapists (if required)
• Community support groups. You can find them at senior centers, adult day care centers,
recreation centers, social services, churches, and synagogues. You can also check the
Web sites of the American Heart Association (americanheart.org) and the American
Stroke Association (strokeassociation.org).
The kind of therapy you need will guide where you will go after you leave the hospital. Early
rehabilitation therapy is very important, and you may start therapy soon after you are admitted to
the hospital. During your stay, your doctor will work with the therapists and other members of
your team to decide on the right kind of therapy and the best place for your rehabilitation after
you leave the hospital.
AFTER YOU LEAVE THE HOSPITAL
Home: If your doctor feels that you are medically stable and can function safely at home, you
might be able to go home. You will be discharged with orders for home health services or
outpatient therapy. Home health services are for patients who are homebound and can’t come to
the medical center for regular appointments. (This does not include patients who simply lack
transportation.) If you don’t qualify for home health services, you will get outpatient therapy in
the Physical Therapy Department at either our Sacramento Medical Center or Roseville Medical
Center, whichever is closer to you. Outpatient care is only for those who can manage safely at
home alone, or have enough support from family, friends, or paid caregivers.
Skilled nursing facility (SNF): If you need nursing care and more intensive daily physical therapy,
you might go to a skilled nursing facility. Our patient care coordinator (PCC) will help you find the
one that’s right for you. You’ll receive all the therapies that you need right there. They will
be geared toward your specific needs.
As you improve, your therapy needs will change. The staff at the skilled nursing facility will
evaluate you on a regular basis and change your therapy as needed. Speech or occupational
therapy will also be tailored for you if you need them. If you will be going to an acute
rehabilitation center in the future, the skilled nursing facility will prepare you for the therapy
regimen that it will require.
Acute rehabilitation center: If you need intensive therapy and can do a more difficult
rehabilitation program for several hours each day, you might go to an acute rehabilitation
hospital or center. You will receive at least three hours of therapy each day. Kaiser Permanente’s
rehabilitation center is located in Vallejo.
The Stroke Information pamphlet you receive provides many details of managing your health.
If you have any questions that aren’t covered in that pamphlet or this brochure, please talk to
a member of your health care team.