The aim of the Klinik Dr. Baumstark is to be the first address for follow-up and further treatment in the region after major interventions in the field of orthopaedic accident surgery and after neurosurgical interventions on the spine, so that patients can be treated comprehensively from diagnostics to acute inpatient treatment and rehabilitation at the highest level in the Rhine-Main region.
In particular, the quantitatively most significant diseases of the musculoskeletal system are closely related to age-related morbidity and functional limitations and disabilities. Therefore, in addition to specialist orthopaedic-rehabilitative treatment, competent internal medicine care for patients is indispensable. This is practised at the Klinik Dr. Baumstark through close cooperation between orthopaedic surgeons and internists.
In the Orthopaedic Department, which with a share of more than 90% of the patients treated mainly carries out follow-up curative treatments after endoprosthetic joint interventions and spinal operations, the entire spectrum of conservative adult orthopaedics is covered and, in addition, rehabilitation is carried out after accidents with injuries to the musculoskeletal system and in the neuro-orthopaedic border area.
The following diseases are treated in the Orthopaedic Department of the Klinik Dr. Baumstark:
Patients after certain indications, such as surgical interventions, endoprosthesis implantations on hip, knee, shoulder and ankle joints, spinal operations, complex consequences of accidents with e.g. severe bone fractures, but also patients with slipped discs who have not undergone surgery, can be treated at the Klinik Dr. Baumstark after treatment in the acute hospital for rehabilitation in the form of follow-up curative treatment or follow-up rehabilitation of the health insurance funds.
The follow-up treatment is usually initiated by the social workers of the acute hospital in coordination with the health insurance company and the Klinik Dr. Baumstark. It follows on directly from the acute inpatient stay.
The indication for follow-up treatment is made at the acute clinic and the patient is given an appointment for admission by the ward doctor or the responsible social worker by telephone or fax at the Klinik Dr. Baumstark via the patient service.
On the same day, the application from the diagnosis, the operation performed, concomitant diseases and complications are submitted to the senior physicians of the Klinik Dr. Baumstark for examination. If there are doubts at this time about the ability to undergo follow-up treatment or about the possibility of treatment, e.g. due to serious illnesses, the social services and the doctors treating the patient at the acute clinic are consulted at short notice.
After a review by a specialist doctor, the medical feasibility of the measure in the clinic is either affirmed or justifiably denied, or further treatment documents, such as the Barthel index, current medical assessment of mobility, etc. are requested and re-evaluated.
Admission on the desired date is usually possible. After positive examination of the follow-up treatment or rehabilitation-relevant criteria, the patient receives an invitation at short notice with confirmation of the admission date.
The main criterion for the admission of the patient to the Dr. Baumstark Clinic is, in addition to the adequate orthopaedic or internal indication, the existence of the rehabilitation or follow-up treatment capability oriented to the Barthel Index or the rehabilitation capability according to the criteria of the rehabilitation providers and thus the following prerequisites:
Contraindications result from the indication. In addition, contraindications may arise if there are serious concomitant diseases that cannot be treated at the Dr. Baumstark Clinic.
Care is taken to ensure that the diagnoses and treatment times are compatible when registering for follow-up treatment. Otherwise, it is recommended to initiate a medical treatment procedure, for example.
Inpatient rehab
The Social Code sets out citizens' entitlement to participation in work and in everyday life. Rehabilitation plays a central role in the German health care system. In addition to occupational rehabilitation, medical rehabilitation is an important element in achieving these goals. Medical rehabilitation services are provided for the Deutsche Rentenversicherung Bund (German Pension Insurance Association), so that the clinic also has a supraregional significance.
Outpatient rehab
Rehab treatments can also be carried out on an outpatient basis for suitable patients.
The Klinik Dr. Baumstark has extensive medical-diagnostic equipment at its disposal. In the orthopaedic field, these include in particular an X-ray department with digital radiography and arthrosonography. In addition, there are co-operations for CT, MRT or other examinations on large equipment, if necessary. In the internal medicine field, standard examination procedures such as ECG, stress ECG, long-term ECG, echocardiography, long-term blood pressure measurement, spirometry, sonography, Doppler and duplex are available.
With the exception of blood sugar and urine tests, laboratory examinations are carried out externally. The results of standard examinations are available on the same day. Psychological tests can also be carried out at the clinic.
As long-lasting health problems can have a negative impact on professional situations, the Klinik Dr. Baumstark offers medically-vocational oriented rehabilitation (MBOR), as a special component of medical rehabilitation in orthopedics.
The service is available to all insured individuals of the KVB (Statutory Health Insurance for Physicians and Dentists) and the German Pension Insurance who meet the requirements for inpatient or full-day outpatient medical rehabilitation.
The medically-vocational oriented rehabilitation (MBOR) offered by the rehabilitation clinic in Hesse is particularly important for rehabilitees with special vocational problems, such as:
Goals of MBOR
The aim of MBOR is to stabilise occupational performance so that patients are better able to cope with the demands of their current or intended workplace.
Further goals of these services are
Contents of MBOR
Implementation of the MBOR Concept in Orthopedics
Even before admission, prospective patients receive a questionnaire about their vocational situation along with their invitation to the clinic. The questionnaire is evaluated no later than after admission: If the evaluation indicates special vocational problems (BBPL), the patient is informed about the possibility of participating in the MBOR program during their conversation with the admitting physician. The MBOR program serves to expand and complement the disease-specific treatment program.
An important component of our MBOR concept is the integration of patients into occupational therapy: Here, there is the opportunity to individually assess the necessary movement sequences for the respective occupation in a specially designed room for the target group. Thus, the work-related stresses can be tested under realistic conditions.
Based on the insights gained from an initial assessment, a plan is developed together with the patient for training improved and more gentle movement sequences, known as workplace training.
Towards the end of medical rehabilitation, the necessary movement sequences are reviewed, just as they were at the beginning, in order to detect any possible changes in the health situation.
These observations during the stay in the rehabilitation clinic play an important role in planning targeted aftercare, which can include recommendations for vocational rehabilitation in addition to outpatient medical services.
Other components of the MBOR concept include group activities on social legal topics, psychoeducational groups, and individual discussions with the clinic's social service and psychology department. These accompanying services provided by our rehabilitation clinic aim to provide support in setting realistic rehabilitation goals. They enable the acquisition of skills that can facilitate orientation in the complex social system.
The IRENA programme (Intensified Rehabilitation Aftercare), which can be initiated by the doctor of the respective rehabilitation facility, includes occupation- and everyday life-specific training programmes. It is tied to certain preconditions for the pension-insured employed person.
The doctors at the Klinik Dr. Baumstark prescribe IRENA measures from other providers. The Klinik Dr. Baumstark itself does not carry out IRENA programmes.
