(936) 564-4611 info@nacmem.org Home Patients & Visitors Services Hospital Clinics Careers Giving SERVICES At Nacogdoches Memorial Hospital, our goal is to provide you with the best care possible, to make sure you are comfortable during your stay and to keep you informed during every step of the way. This guide describes many of the programs and services we provide. USEFUL LINKS CARDIAC SERVICES EMERGENCY SERVICES GASTROENTEROLOGY HEALTHY NACOGDOCHES COALITION ICU/IMC INCONTINENCE THERAPY MEDICAL IMAGING NUTRITION SERVICES PHYSICAL REHABILITATION STROKE ACTION PLAN SURGERY WOMEN & CHILDREN CARDIAC SERVICES USEFUL LINKS CARDIAC ACTION PLAN CARDIAC CATH LAB CARDIAC IMAGING CARDIAC REHABILITATION CT CARDIAC CALCIUM SCORING CARDIAC ACTION PLAN When it comes to heart attacks, you need to get the right treatment fast. Our emergency team was challenged to integrate the healthcare industry’s most successful practices and newest paradigms into our cardiac care processes, in order to provide more efficient and effective evaluation and more appropriate and rapid treatment of patients with chest pain and other heart attack symptoms. The Nacogdoches Memorial Hospital team has drilled down into every aspect of the care, from the signage on the street and how effectively it directs someone with chest pain into the ER, to how quickly a heart attack victim is moved from the front door to the cath lab. Nacogdoches Memorial ensures that patients who arrive at the hospital complaining of chest pain or other symptoms of a heart attack receive the treatment necessary during the critical window of time when the integrity of the heart muscle can be preserved. The hospital works to educate our community about the symptoms of a heart attack and the importance of getting medical attention quickly. The average patient arrives in the emergency department more than two hours after the onset of cardiac symptoms, but what they don’t realize is that the sooner a heart attack is treated, the less damage to the heart and the better the outcome for the patient. Speedy response time saves heart muscle. Heart attacks are the leading cause of death in the United States, with 600,000 people dying annually of heart disease. More than five million Americans visit hospitals each year with chest pain. Nacogdoches Memorial’s goal is to significantly reduce the mortality rate of these patients by teaching the public to recognize and react to the early symptoms of a possible heart attack, reduce the time that it takes to receive treatment and increase the accuracy and effectiveness of treatment. Nacogdoches Memorial’s protocol-driven and systematic approach to patient management allows physicians to reduce time to treatment during the critical early stages of a heart attack, when treatments are most effective, and to better monitor patients when it is not clear whether or not they are having a coronary event. Such observation helps ensure that patients are neither sent home too early nor needlessly admitted. Key areas in which Nacogdoches Memorial has demonstrated expertise include the following: Integrating the emergency department with the local emergency medical system Assessing, diagnosing, and treating patients quickly Effectively treating patients with low risk for acute coronary syndrome and no assignable cause for their symptoms Continually seeking to improve processes and procedures Ensuring the competence and training of personnel Maintaining organizational structure and commitment Having a functional design that promotes optimal patient care Supporting community outreach programs that educate the public to promptly seek medical care if they display symptoms of a possible heart attack. CARDIAC CATH LAB Nacogdoches Memorial Hospital implements positive outcomes-focused processes to make sure patients who present heart attack symptoms in the ER or by ambulance, have speedy access to our cardiac catheterization lab. The national standard “from door to balloon” is 90-minutes or less. We are proud to say we beat the national average.Our “door-to-balloon” angioplasty response time is at 62 minutes, way under the standard, but now, we’ll shoot to move it even further, to 50 minutes. Carving off more time is important, because time is heart muscle. The cardiac catheterization lab care team has many years of experience serving Nacogdoches Memorial patients. Extensive critical care, trauma and ICU experience, qualified RNs and LVNs, and certified radiology techs ensure top quality healthcare for our heart patients. CARDIAC IMAGING Your heart is unique. To determine the treatment that is right for you, our team of specialists uses a full range of the most advanced noninvasive and minimally invasive tests, like CT Cardiac Calcium Scoring, to take a closer look at your heart and blood vessels. The cardiologists and radiologists in our Cardiac Imaging Center have extensive expertise with all of our state-of-the-art equipment. From magnetic resonance imaging, which creates still and moving pictures of your heart as it is beating, to multislice spiral CT, which provides shorter scanning times and better resolution, our experts utilize their vast scientific and technical expertise to detect and diagnose cardiovascular problems from the inside. CARDIAC REHABILITATION OUR REHAB Cardiac Rehabilitation is designed for anyone who has experienced stable angina (chest pain), a heart attack, or any type of heart surgery. Nacogdoches Memorial Hospital’s Cardiac Rehabilitation Program is divided into four phases, with each patient’s exercise prescription custom designed for that individual, based upon his or her capabilities. Participants entering the program are given an exercise test designed to quantify patient symptoms, assess functional abilities and prescribe levels of exercise for individual programs. Clinical professionals monitor each patient’s exercise tolerance by tracking respiratory rates, heart rates, pulse oximetry and pulmonary function. Home exercise programs are designed for individual patients and are taught prior to discharge so our patients can continue to exercise on their own, with self-monitoring techniques learned during their program. The goal of the Cardiac Rehabilitation program is to increase the functional capacity of patients, assisting individuals in attaining a normal activity level in their daily lives as a preventative treatment to decrease the frequency of necessary hospitalizations. CT CARDIAC CALCIUM SCORING What is CT Cardiac Calcium Scoring? CT cardiac calcium scoring is a non-invasive screening low-dose CT Scan that detects calcium deposits in the coronary arteries, which supply blood to the heart. Calcium deposits in the coronary arteries may indicate the development or presence of coronary artery disease. CT cardiac calcium scoring is done to provide additional clinical information to your health care provider for diagnosing the early development of coronary artery disease. This screening test may be recommended by your health care provider if you are a male over the age of 45 or a female over the age of 55 and have risk factors for coronary artery disease (CAD), but have no clinical symptoms such as chest discomfort or shortness of breath. The major risk factors for CAD are: Abnormally high blood cholesterol levels High blood pressure Diabetes Smoking Overweight or obese Physical inactivity Family history of heart disease If you think you could benefit from a CT Cardiac Calcium Scoring Screening, please contact your health care provider and ask for a referral. Call 936-568-8563 for more information. No special preparation is necessary in advance for a CT cardiac calcium scoring test. You may continue to take your usual medications, but avoid caffeine and smoking four hours before having test. This study is performed Monday-Friday from 8am – 5pm and does not require scheduling, just walk in and present the orders from your health care provider. While the scanning only takes a few minutes to complete, you should allow 30 minutes for the entire procedure. Things to know: Your test will be interpreted by a Radiologist and results sent to your referring health care provider. EMERGENCY SERVICES USEFUL LINKS AMBULANCE SERVICES FASTTRACK LEVEL III TRAUMA CENTER AMBULANCE To provide the highest level of emergency care, physicians dedicated exclusively to emergency medicine work full-time in Nacogdoches Memorial Hospital’s emergency room, along with a highly trained staff of nurses and support personnel. Three ambulance substations are strategically placed to reduce emergency response time to all parts of the county. Our ambulances are actually Mobile Intensive Care Units, furnished with the same advanced equipment and technology utilized in the Emergency Department. At least one Advanced Cardiac Life Support-trained paramedic and one EMT are dispatched to every 9-1-1 call. The EMS field crew is composed of more than 40 paramedics and EMTs. All EMS dispatchers are trained and certified in their field. Whenever possible, “retired” ambulances are refurbished and donated to area volunteer services to enhance and complement Nacogdoches Memorial Hospital’s emergency outreach. For non-emergency and nursing home transfers, call (936) 568-8508. In emergencies, always remember to dial 911. WELCOME TO NACOGDOCHES MEMORIAL HEALTH Nacogdoches Memorial Hospital is proud to celebrate 90 years of caring for our community. Our outstanding team combines compassion and kindness with the latest technology and advanced treatments to deliver the care you need, when you need it most. That has always been our goal and it will continue to be our focus. We are Nacogdoches Memorial Health. Where people come first. FASTTRACK Addressing specific needs of the community, the Nacogdoches Memorial Hospital ER FastTrack service provides expert care for after-hours needs like sprains, strains, infections and other non-emergency (but still urgent) medical care. LEVEL III TRAUMA CENTER – When you have a real emergency, you need a real hospital. Located in the center of Nacogdoches, we employ a qualified medical team trained to excel in meeting the ER needs of our community. Unlike freestanding emergency rooms, the Level III Trauma Center at Nacogdoches Memorial Hospital is backed by the resources of an entire health system, including a 30,000-square-foot world-class surgery center right on site, should you need them. In fact, our ER has been recognized as Best of Nacogdoches which is no surprise when you consider our team is better equipped than ever to provide exceptional patient care to every generation of every East Texas family. Our goal is to have a team waiting, ready to go to work, whenever a trauma patient comes in. Everyone on the Nacogdoches Memorial Hospital care team knows their role, and processes are streamlined and standardized to serve patients better. Nacogdoches Memorial Hospital’s commitment to serve as a Level III Trauma Centers includes a promise to: • Retain a trauma surgeon on hospital staff 24 hours a day, seven days a week • Offer general surgery • Keep dedicated ER physicians in house, 24 hours a day • Have anesthesiologists and other specialists on-call and promptly available • Have nursing care standards that are up-to-date for trauma • Offer 24-hour lab services • Maintain an intensive care unit Designation as a Level III Trauma Center assures Nacogdoches residents that if they are involved in a trauma, Memorial Hospital is not only where they want to be – it is absolutely where they need to be. GASTROENTEROLOGY Dr. Carl Jones More room. More teamwork. More advanced technology. It all adds up to more comfort for patients at Nacogdoches Memorial Hospital’s renovated gastrointestinal lab. By expanding to five procedure rooms, an x-ray room and a dedicated recovery room, the self-contained GI Lab is now a full-service facility with a specially trained staff that cares for patients from start to finish. In most hospitals the GI Lab is just one of many services in the surgery department, but Nacogdoches Memorial Hospital’s unique concept allows the specially trained staff to admit, prep and offer post-operative care to patients, all within one dedicated unit. The renovated GI Lab now offers services usually available only in larger cities, so patients can experience the highest level of treatment and care without having to travel. Bravo pH Monitoring, considered the gold-standard for diagnosing gastroesophageal reflux disease, is a catheter-free testing method that lets patients maintain their usual diet and activities. The lab also offers radiofrequency ablation, which uses radio waves to selectively destroy potentially precancerous cells associated with Barrett’s esophagus. A roomier GI Lab that provides a more comfortable experience — it’s another way Nacogdoches Memorial Hospital is providing exceptional healthcare to every generation of every East Texas family. Our physicians are highly skilled in a full range of medical procedures, and our team of gastroenterologists and endoscopists are committed to helping prevent, treat and manage digestive diseases. HEALTHY NACOGDOCHES COALITION USEFUL LINKS ACTIVE NACOGDOCHES DON’T IGNORE HEART ATTACK SYMPTOMS DON’T IGNORE STROKE SYMPTOMS EAT WELL FIT IT IN HEALTHY NACOGDOCHES COALITION LIVE WELL MISSION PARTNERS ICU/IMC CRITICAL CARE ACTIVE NACOGDOCHES It’s important for you to get out and get active, Nacogdoches! Although it is easy to do a variety of physical activities around your house, sometimes it’s nice to get out of the house and enjoy some fresh air. Nacogdoches has a great network of local trails for walkers, runners, cyclists and hikers to enjoy. A walk along the trails of Nacogdoches, accessible from several sites, can transport a hiker from a city environment to near wilderness conditions. Restrooms and water fountains are located in some areas. You’ll find points of interest, a brief history and a Trails of Nacogdoches map below to help plan your trek accordingly. Along Nacogdoches Trails A Dream Come True Lanana and Banita Creek Trails are the fulfillment of a dream of the late Dr. Frances E. “Ab” Abernethy, former professor of English at Stephen F. Austin State University (SFASU). The Nacogdoches trail clearing began as a US Bicentennial project in 1976 and became a Sesquicentennial project when Texas celebrated its independence from Mexico in 1986. To complete Lanana Creek Trail between the campus of SFASU and downtown, Dr. Abernethy invested hundreds of hours. He worked to secure materials and recruited muscle from friends, service clubs and crews from the City of Nacogdoches Parks and Recreation Department. In 2014, Dr. Abernethy began creating a trail along the Banita Creek. In 2015, a Trail Committee was formed to assist Dr. Abernethy in obtaining funds and working on the trail. Today, the Lanana Creek Trail is accessible from downtown all the way to the North Loop of Nacogdoches. We are forever indebted to Dr. Abernethy, our trail blazer, for his dedication and hard work to better our community through a connected system of trails. DON’T IGNORE HEART ATTACK SYMPTOMS When it comes to heart attacks, you need to get the right treatment fast.Nacogdoches Memorial ensures that patients who arrive at the hospital with chest pain or other symptoms of a heart attack receive the treatment necessary during the critical window of time when the integrity of the heart muscle can be preserved. Warning Signs of a Heart Attack A heart attack is a medical emergency requiring immediate attention. Emergency medical personnel can begin to care for heart attack patients up to an hour sooner than if the patient drove to the hospital. Call 9-1-1 if you experience any of the following symptoms: Chest discomfort. Most heart attacks involve discomfort in the center of the chest that lasts more than a few minutes, or that goes away and comes back. It can feel like uncomfortable pressure, squeezing, fullness or pain. Discomfort in other areas of the upper body. Symptoms can include pain or discomfort in one or both arms, the back, neck, jaw or stomach. Shortness of breath with or without chest discomfort. Other signs may include breaking out in a cold sweat, nausea or lightheadedness. Learn more about the warning signs of a heart attack from the American Heart Association Risk Factors A combination of factors constitutes a healthy heart. Unfortunately, some risk factors cannot be changed. According to American Heart Association, risk factors that are unchangeable include increasing age, male sex (gender) and heredity (including race). These risks come with an increased chance of developing coronary heart disease and may require more frequent checkups than people without these risk factors. Modifiable risk factors include tobacco smoke, high blood cholesterol, high blood pressure, physical inactivity, obesity and overweight and diabetes mellitus. To learn more about how to avoid these preventable risks and decrease your chance of developing coronary heart disease, follow the link to the American Heart Association. Nacogdoches Memorial Hospital is proud to promote health and wellness in partnership with the Texas Department of State Health Services Texas Healthy Communities Program. DON’T IGNORE STROKE SYMPTOMS Stroke Awareness A stroke is a medical emergency requiring immediate attention. Strokes are the number 5 cause of death in the United States. Ischemic strokes are the most common type, consisting about 87% of stroke cases. An Ischemic stroke occurs from the growth of fatty deposits in vessel walls called atherosclerosis. Atherosclerosis can create threatening blood clots which lead to stroke. Strokes are sudden and the abbreviation F.A.S.T. will help you remember the signs and symptoms of stroke. When faced with stroke symptoms, always remember to act F.A.S.T. Face Drooping – Does one side of the face droop or is it numb? Ask the person to smile. Is the person’s smile uneven? Arm Weakness – Is one arm weak or numb? Ask the person to raise both arms. Does one arm drift downward? Speech Difficulty – Is speech slurred? Is the person unable to speak or hard to understand? Ask the person to repeat a simple sentence, like “The sky is blue.” Is the sentence repeated correctly? Time to call 9-1-1 – If someone shows any of these symptoms, even if the symptoms go away, call 9-1-1 and get the person to the hospital immediately. Check the time so you’ll know when the first symptoms appeared. —American Stroke Association Stay Aware of Other Symptoms Following the F.A.S.T. plan can save a life, but there are other threatening symptoms that may not seem as dangerous on the surface. Symptoms that appear suddenly may indicate signs of a stroke. These include: Numbness or weakness of arms or legs (especially on one side of the body) Sudden confusion, difficulty speaking or understanding sentences Vision trouble Loss of balance Severe headache If someone shows any of these symptoms, immediately call 9-1-1 or emergency medical services. Nacogdoches Memorial Hospital is proud to promote health and wellness in partnership with the Texas Department of State Health Services Texas Healthy Communities Program. EAT WELL Reasons to Eat Well Tips for Families How to Eat Well What foods should I avoid? Heart Healthy Guidelines: Dining Well Local Nutrition Resources FIT IT IN With most families having both parents at work, and having to raise kids at the same time, it can be hard to fit physical activity into your daily life. Here are a few easy ways to continue with your daily schedule and add in a little physical activity as well: Buy a set of hand weights and play a round of “Simon Says” with your kids – you do it with the weights, they do it without. Do yard work. Exercise while watching TV. While your children are at soccer practice, walk around the field and chat with your friends instead of sitting down. Go for a half-hour walk instead of watching TV. Wash the car by hand. Park further from the store or work and walk more. Play with your kids 30 minutes a day. Walk to a co-workers desk rather than send an e-mail. Health Benefits of Physical Activity Places to Do Physical Activity HEALTHY NACOGDOCHES COALITION HEALTHY NACOGDOCHES Mission The Healthy Nacogdoches Coalition is a committed group of community advocates who facilitate positive change to improve the health of the Nacogdoches Community. To speak with someone about the Healthy Nacogdoches Coalition, please call 936-569-4691. History In December 2007 community leaders and area health organizations came together to: Assess the current policy and environmental support indicators that reduce the burden of heart disease and stroke. Facilitate city and county wide changes to the community health environment that support improved heart and stroke health. Achieve Heart and Stroke Healthy City Recognition from the Texas Council on CVD and Stroke. Support ongoing heart and stroke health related health promotion programs. Follow us on Facebook @ healthynacogdochescoalition LIVE WELL Heart Healthy Heart Healthy Lifestyle Stress Management Urinary Tract Infections Stroke Prevention The Heart and Stroke Healthy City Recognition Program MISSION Mission:The Healthy Nacogdoches Coalition is a committed group of community advocates who facilitate positive change to improve the health of the Nacogdoches Community. Vision: Members of the Nacogdoches Community will embrace a healthier lifestyle. The Healthy Nacogdoches Coalition works to meet the following objectives: Promote policies and environmental strategies that increase physical activity, promote nutrition, and decrease tobacco use in Nacogdoches. Achieve and maintain Heart and Stroke Healthy City Recognition from the Texas Council on CVD and Stroke. Support ongoing chronic disease prevention and health promotion programs. Nacogdoches Memorial Hospital is a charter member of the Healthy Nacogdoches Coalition and works with the organization to promote events and practices that promote healthy living. PARTNERS OUR PARTNERS Nacogdoches Memorial Hospital is the host organization for the Healthy Nacogdoches Coalition. To ensure a long-lasting community-wide effort, the following organizations were brought together to form the Healthy Nacogdoches Coalition. Partners ICU/IMC CRITICAL CARE All 32 patient rooms in Nacogdoches Memorial Hospital’s Intensive Care Unit (ICU) and Intermediate Care (IMC) unit are private, bright and cheerful, with a window to the world and weather outside, so patients and families can be better time-oriented and more in tune with what’s happening outside the hospital room. Family is such an important element in the recovery process that Nacogdoches Memorial Hospital furnishes each room with a comfortable and spacious seating bench. A nursing alcove is shared between each pair of rooms in ICU and IMC, so nursing staff can monitor each patient’s condition and complete necessary paperwork without infringing on family time. Each room also features a refuse pass-through, allowing for removal without patient disruption, most rooms have a private bathroom, and all rooms are decorated with a stylized historical Nacogdoches photograph, detailing local points and people of interest in the late 19th and early 20th centuries. TYPICAL ICU VISITING HOURS IMC VISITING HOURS INCONTINENCE THERAPY INCONTINENCE THERAPY More Information Coming: Coming Soon MEDICAL IMAGING USEFUL LINKS CT WOMEN’S WELLNESS CENTER RESOURCES MRI NUCLEAR MEDICINE CT Nacogdoches Memorial Hospital utilizes the latest in CT technology to provide doctors with a safe and non-invasive method for producing highly detailed images of a patient’s body. Specially trained radiologists perform the tests, which use x-rays and a computer to produce cross-section pictures of the body. Nacogdoches Memorial Hospital’s state-of-the-art 64-slice Toshiba CT scanner creates sharper images with less scanning time. More Information Coming: Link: WOMEN’S WELLNESS CENTER RESOURCES WOMEN'S WELLNESS CENTER ADDITIONAL SERVICES INCLUDE BREASTFEEDING MRI Nacogdoches Memorial Hospital has continued to upgrade our in-house magnetic resonance imaging unit, maintaining the most powerful magnet available in this area and ensuring the fastest exam times and better images. Nuclear Medicine Nuclear medicine uses small amounts of radioactive material called radiotracers. Doctors use nuclear medicine to diagnose, evaluate, and treat various diseases. These include cancer, heart disease, gastrointestinal, endocrine, or neurological disorders, and other conditions. Nuclear medicine exams pinpoint molecular activity. This gives them the potential to find disease in its earliest stages. NUTRITION SERVICES USEFUL LINKS DIETARY CONSULTATION INPATIENT NUTRITION SERVICES OUTPATIENT MEDICAL NUTRITION THERAPY OUTPATIENT NUTRITION CENTER DIETARY CONSULTATION If your physician has placed you on a special diet or if you have been scheduled for certain tests, you may not be permitted to order from the room service menu or your selection may be restricted. The hospitality center will be able to assist you in making appropriate choices. If you have dietary concerns and wish to speak with one of our registered dietitians, please call (936) 569-4106. INPATIENT NUTRITION SERVICES While you are a patient, your nutritional health will be assessed by our staff of registered dietitians. If you have special dietary needs or have questions about your diet, please let your nurse know. If you have been placed on a special diet, you may be visited by a registered dietitian, who will provide you with individualized, one-on-one nutrition education. OUTPATIENT MEDICAL NUTRITION THERAPY Outpatient Nutrition Counseling Why is Nutrition Important? OUTPATIENT NUTRITION CENTER Do you have diabetes? Are you confused about what to eat? Medical nutrition therapy can help you find answers to your questions about healthy eating. Our Outpatient Nutrition Center is a service provided by a registered dietitian nutritionist and features a review of what you typically eat, comprehensive nutrition assessment and an individualized nutrition treatment plan. Call our outpatient dietitian at 936-569-4605. Whether you just found out you have diabetes or have had diabetes for years, you can benefit from meeting with our outpatient dietitian. A dietitian can help you: Understand how food affects your blood sugar. Develop a meal plan catered to your food preferences. Learn how to read labels. Plan simple, low cost meals. What to expect The first visit will last one hour. You will receive individualized counseling, during which the dietitian will review your current eating habits and develop a meal plan based on your food preferences and lifestyle. Follow-up appointments last 45 minutes and are scheduled as needed. Generally, 2-3 follow-up appointments are recommended to help you successfully meet your personal health goals. Medicare and insurance coverage Traditional Medicare covers outpatient medical nutrition therapy for diabetes 100% (no out-of-pocket cost!). A referral from your doctor is required. Medicare covers three hours of nutrition counseling the first year, and two hours every year thereafter. If your condition or diagnosis changes, you may be able to receive additional hours of nutrition therapy with another doctor’s referral. Private insurances vary in their coverage of outpatient medical nutrition therapy, but most plans will cover MNT services for diabetes. Cash pay rates are available if you do not have insurance coverage. PHYSICAL REHABILITATION USEFUL LINKS CECIL BOMAR REHABILITATION CENTER INPATIENT PHYSICAL THERAPY/HOSPITAL PATIENTS OUTPATIENT PHYSICAL THERAPY WOUND CARE CECIL BOMAR REHABILITATION CENTER 707 Woods St., Nacogdoches, Texas, 75961 (936) 568-8488 When a loved one suffers a serious illness or injury that prevents them from enjoying their everyday activities and living independently, the changes are often devastating. With these changes come the need for understanding, acceptance, compassion and a clear plan for recovery. That’s exactly what you’ll find at Cecil R. Bomar Rehabilitation Center, where our patients enjoy: • A loyal, caring team of therapists with one goal in mind: getting you back home • Excellent patient/staff ratios • More hours of therapy, 3 hours a day, 5 days a week, so you’ll get home sooner • Outstanding patient satisfaction • The only Inpatient Rehabilitation Facility (IRF) in Nacogdoches County • Emergency care just across the street at Nacogdoches Memorial Hospital We can admit directly from patient’s home, emergency department, physician’s office. Our staff will gather the necessary information when we get the referral and let you know if the patient meets criteria. Acute inpatient rehab does not require a hospital stay. Clinical Rehab Programs Falls and Restraint Management Pain Management Positioning Urinary Incontinence Wound Care Cognition Neurological Rehabilitation Medically Complex Gait Dysphagia Bariatrics Low Vision Dementia Lymphedema Technology in Action Spaced Retrieval VitalStim Assessment Rehab Assessment: Special Tests and Measures Ortho Pulmonary LSVT LOUD LSVT LOUD is the first speech treatment with Level 1 evidence and established efficacy for treating voice and speech disorders in people with Parkinson’s disease, and it offers application to other neurological disorders, as well. The research on LSVT LOUD has documented improved impact on multiple levels of functioning in people with Parkinson’s, following treatment. The benefits include increased vocal loudness, improved articulation and speech intelligibility, improved intonation, improvements in facial expression and changes in neural functioning related to voice and speech. LSVT LOUD is a standardized treatment protocol that is customizable to the unique communication goals of each patient, impacting a range of disease severity and communication impairments. INPATIENT PHYSICAL THERAPY/HOSPITAL PATIENTS The caring physical therapists at Nacogdoches Memorial Hospital work with patients with a wide range of ailments. They will evaluate your individual needs to develop a plan that’s right for you. Our care team focuses on establishing realistic goals, maximizing your mobility, maintaining your independence during your inpatient stay and preparing you for discharge. OUTPATIENT PHYSICAL THERAPY For more information on our Outpatient Therapy Services call 936-568-8551. A phyisian order is required. Nacogdoches Memorial Hospital’s Physical Therapy Department offers easy access to outpatient services through the hospital’s beautiful welcome area. The ergonomic design creates a work environment as efficient as the employees who staff it and allows for unobstructed views of all exercise areas for added patient safety. With an eye to maximum patient privacy and comfort, treatment areas are oversized and roomy, maintaining the appealing bright color-scheme apparent in other areas of the hospital. WOUND CARE When a patient has a problem wound that just won’t heal, your physician and the specially trained staff at Memorial Hospital’s Wound Care Services use the latest technology to determine the reason and provide a treatment plan unique to each patient. Many conditions may benefit from Wound Care Services, including arterial ulcers, diabetic ulcers, pressure ulcers, traumatic wounds, surgical wounds, osteomyelitis and fasciitis. STROKE ACTION PLAN Early detection and quick response times are vital when a person suffers a stroke. That’s why Nacogdoches Memorial Hospital promotes awareness and action steps when stroke symptoms are detected. Nacogdoches Memorial Hospital has a special plan of action to identify and treat stroke patients. Every second matters when someone suffers a stroke, so our action plan focuses on making the most of every moment. The hospital educates EMS technicians on stroke symptoms and, once it is determined that a stroke has occurred, our team immediately lets the ER know a stroke patient is on the way. That’s when Nacogdoches Memorial Hospital’s specially trained team of ER nurses, doctors, cardiopulmonary specialists and neurological physicians spring into action. After a neurological assessment and a CT scan, the team determines which specialized treatment will work best for the patient. Some patients may even qualify for a drug that can restore blood flow to the brain, possibly reversing symptoms and decreasing the chances of disability. After the initial diagnosis and treatment, a staff of nurses with specialized training in post-stroke care takes charge, managing every aspect of recovery, from physical therapy to nutrition, and helping families plan for the patient’s care after discharge. Don’t ignore symptoms of a stroke. Anyone could experience a stroke at any age. Symptoms include: numbness or weakness in the face, arms, or legs; trouble talking; or sudden severe headache. It’s important to call 911 instead of driving the stroke victim to the hospital yourself. EMS technicians are specially trained to recognize stroke symptoms and will alert the ER so that the stroke team can be prepared to begin treatment as soon as the patient arrives. SURGERY USEFUL LINKS DAY SURGERY JOINT REPLACEMENT SURGERY SURGERY CENTER DAY SURGERY LSVT LOUD is the first speech treatment with Level 1 evidence and established efficacy for treating voice and speech disorders in people with Parkinson’s disease, and it offers application to other neurological disorders, as well. The research on LSVT LOUD has documented improved impact on multiple levels of functioning in people with Parkinson’s, following treatment. The benefits include increased vocal loudness, improved articulation and speech intelligibility, improved intonation, improvements in facial expression and changes in neural functioning related to voice and speech. LSVT LOUD is a standardized treatment protocol that is customizable to the unique communication goals of each patient, impacting a range of disease severity and communication impairments. JOINT REPLACEMENT SURGERY If you’ve changed the way you live your life because you’re living with pain, it may be time to make a change for the better. Nacogdoches Memorial Health now offers joint replacement surgery to provide relief for patients suffering from joint pain. Some common reasons patients seek joint replacement surgery include a need to remedy the symptom(s) of pain in joints while standing or moving, decreased activity, joints that “give out” or “lock up,” abnormal stance or walk, swelling and/or loss of joint movement. Joint replacement is becoming more common, with more than a million Americans having a hip or knee replaced each year. There are no absolute age or weight restrictions, and recommendations for surgery are based on a patient’s pain and disability, not age. For more information on joint replacement surgery, contact your orthopaedic surgeon or call Memorial Health’s surgery center at 936-568-8444. SURGERY CENTER A Surgery Center that will make Nacogdoches proud We promised Nacogdoches a Surgery Center to be proud of and that’s exactly what we’ve delivered in our $40 million expansion project. While enhancing technology was key in the design of the new facility, improving outcomes and enriching the experience of patients and families was the driving focus.Suregery Center Atrium Whether you come to Nacogdoches Memorial Hospital with a hernia or a life-threatening heart condition, you can trust our highly skilled surgeons to get you back on your feet as soon as possible. A light-filled lobby, convenient access to our new Coffee Spot and comfortable waiting areas make our visitor experience more enjoyable. A window-lined atrium leading to the surgical annex allows plenty of sunshine to pour in. Soothing colors, interesting curves and unusual architectural lines give the cutting-edge facility a bright, cheerful attitude. Our surgeons work in optimal conditions to deliver high-quality treatment, limiting your pain and recovery time and offering you the best results possible. Nacogdoches Memorial Hospital’s Surgery Center nearly doubled in size to 30,000 square feet and features eight best-in-class surgical suites, with ceiling-mounted boom systems for image-guided surgery, monitoring and instrumentation. No one looks forward to having surgery, but if you need our services, you can feel confident that you’ve chosen well. Nacogdoches Memorial Hospital offers a wide range of high-quality surgical services, with specially trained staff, facilities and services for the assessment and care of patients requiring surgery. Due to the special needs of patients having surgery, the following guidelines apply: Visitors are not allowed in the operating rooms; they may stay in a special waiting area nearby. During the day shift, a volunteer patient liaison is available in the waiting area to keep relatives and friends informed of the patient’s progress during surgery. If a volunteer patient liaison is not available, the nursing staff will give progress reports to you as time allows. The surgeon will find your family and friends in the waiting area following surgery. A private consultation room is available for your needs. Just ask the volunteer liaison. WOMEN & CHILDREN BREASTFEEDING MIDWIFERY NEONATAL INTENSIVE CARE UNIT PARENTING PEDIATRICS ULTRASOUND WOMEN'S & CHILDREN'S CENTER (LABOR & DELIVERY) WOMEN'S WELLNESS CENTER Better Health Care is Our Mission NACOGDOCHES MEMORIAL HOSPITAL IS PROUD TO CELEBRATE 90 YEARS OF CARING FOR OUR COMMUNITY. 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