Skilled Nursing and Therapy

Skilled Nursing & Therapy

Quality of life is highest at home and we know that’s where you want to be. That’s why Genesis HomeCare is here to help you regain lifestyle choices within the familiar surroundings of home. Our skilled therapists and nurses provide the highest quality clinical care along with motivation, encouragement and health education.

Health Coach At Home

We employ a unique model called Health Coaching, which focuses on your health issues and goals.

Our Health Coach at Home model empowers you to make healthy lifestyle changes. Health coaches emphasize the importance of managing the whole person. As a team, we help patients:

  • Understand their diagnosis
  • Identify obstacles to change
  • Become motivated to actively manage their health
  • Implement new lifestyle choices
  • Learn self-care skills
  • Be inspired to adhere to treatment plans

Comprehensive Services

From pre-discharge consultation to creating a comprehensive health care plan for your unique situation, we listen to you and your family. We work with your physicians to help you regain your independence and quality of life at home. Services include:

  • Skilled nursing
  • Physical therapy
  • Speech therapy
  • Occupational therapy
  • Medical social work
  • Home health aide

Partnering for Your Benefit

Genesis HomeCare, a partnership between Genesis Health Care and Alternate Solutions HomeCare offers a wide range of in-home specialty programs, chronic disease programs, and screenings. Check the Alternate Solutions HomeCare website for details.

In-home programs include:

  • Bladder Health
  • Medication Compliance and Education
  • Memory Care
  • Rehab at Home
  • Sight Assist
  • Swallowing
  • Wound Care

Chronic disease programs include:

  • COPD (Chronic Obstructive Pulmonary Disease) Management
  • Diabetes Management
  • Heart Failure Management

Screening options include:

  • Reality Comprehension Clock Test
  • Fall Risk

All Genesis HomeCare clinicians and aides are bonded and insured.

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Home Care

Home Care

It's true. Your quality of life is highest at home, and we know that's where you want to be.

Whether you've been in the hospital and are recovering at home, have a chronic or terminal illness, or just need some personal assistance, Genesis delivers quality, compassionate care in the comfort of a familiar space.

Skilled HomeCare Services

Genesis HomeCare provides skilled nursing care, physical therapy and help with daily routines. Special programs are designed for several medical conditions.

Genesis Hospice & Palliative Care

Genesis Hospice and Palliative Care enables individuals with a terminal illness to live their lives to the fullest where they are most comfortable — in their own home, a nursing home, or in the comfort of a home-like setting at the Morrison House.

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Gastrointestinal Services

Gastrointestinal Services

It’s common to have occasional stomach problems – gas, bloating, constipation – but when you find those or other digestive problems affect the quality of your life, it’s time to get some help.

Our expert team is here to help diagnose and treat your gastrointestinal (GI) problems, from the occasional heartburn to the more severe, such as cancer. We can help you get back to good digestive health – and to enjoying your life.

 

Conditions Treated

We diagnose and treat many GI conditions at Genesis.

  • Abdominal pain
  • Acid reflux disease
  • Alcoholic liver disease
  • Cancer: colorectal, esophageal, gastric, pancreatic, bile duct/gallbladder, liver, pancreatic
  • Celiac disease
  • Constipation
  • Crohn’s disease
  • Food intolerance
  • Gallstones
  • Gastroesophageal reflux disease (GERD)
  • Heartburn
  • Hemorrhoids
  • Hemochromatosis
  • Hepatitis
  • Hernia
  • Inflammatory bowel disease (IBD)
  • Irritable bowel syndrome (IBS)
  • Rectal problems, including hemorrhoids and anal fissures/abscesses
  • Ulcers, including peptic ulcers

 

Endoscopic Procedures

Endoscopy is a way of looking inside your body using a flexible tube with a small camera on the end of it. At Genesis, we use endoscopic procedures to diagnose and treat many GI disorders. An upper scope (EGD) can detect conditions such as Barrett's esophagus, and a colonoscopy can detect precancerous or cancerous colon polyps.  The American Cancer Society now recommends that patients start colonoscopy screening at age 45. Genesis Endoscopy also offers Esophageal Manometry and Esophageal pH monitoring. Esophageal Manometry can detect swallowing problems, while Esophageal pH monitoring is the placement of a capsule inside the tube where you swallow to monitor the amount of acid in that area.

These procedures are done either at the outpatient surgery/endoscopy area at Genesis Hospital, the Genesis Surgery Center, or the Genesis Coshocton Medical Center depending on other health conditions you may have. Your physician will tell you where your procedure will be done. 

Procedures offered include: 

  • Colonoscopy (lower scope)

  • Esophagogastroduodenoscopy (upper scope)

  • Esophageal Manometry

  • Esophageal pH monitoring study

  • Sigmoidoscopy

  • Percutaneous Gastrostomy Tube Placement

  • Endoscopic Retrograde Choloangio Pancreatography

  • Fecal Microbiota Transplant

 

Imaging Tests

Sometimes imaging tests can be used to diagnose gastrointestinal problems. Below is a list of imaging tests.

  • Computed tomography (CT)
  • Upper GI Series
  • Lower GI Series (Barium Enema)
  • Magnetic Resonance Imaging (MRI)
  • Oropharyngeal Motility (Swallowing)
  • Study Ultrasound Virtual Colonoscopy

 

Our Team

Whether your gastrointestinal disorder is a mild annoyance or a major health concern, you want to know you’re being taken care of by the best. At Genesis, you can rest assured you’ll get the highest quality care.

Our team includes board-certified gastroenterologists, physicians who specialize in the diagnosis and treatment of diseases of the digestive system.

Our nurses, technicians and other members of the care team have specialized training and many years of experience. And they understand you may be nervous about your test or procedure. You’ll be treated with sensitivity and compassion whether you’re here for a routine screening or a health concern.

 

Talk to Your Doctor

If you are having problems with your digestive system, talk with your family doctor who can help you figure out the problem and how to treat it. Or, your doctor may refer you to one of our gastroenterologists for tests or procedures.

Need a family doctor? Visit our online physician directory or call our NurseLine.

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Pulmonary Rehab Transplant Success

100-pound weight loss achieved

It was 2014, and Martin Angler, a truck driver from Philo, was unloading boxes from the back of his truck. “It was just a normal day, and the work wasn’t that hard,” Martin said. “But when I got back in the cab, I felt like I was having a heart attack.”

He soon found out he was developing chronic obstructive pulmonary disease (COPD). Martin began treatment to help with his breathing, but the problem worsened. And not long after, he realized he needed to quit work.

It's time to take action

Several years passed, and Martin’s health continued to decline. His doctor told him a lung transplant could help him – but to be accepted into the lung transplant program at The Ohio State University Wexner Medical Center (OSU), he would need to lose 100 pounds. That meant there was hope. Even so, he felt discouraged knowing how much weight he had to lose.

“Then one day I woke up and decided I needed to do this,” Martin said. “So, I went on a strict diet and spent over a year working to lose the weight.”

Early in 2018, he reached his weight loss goal and called his doctor at Genesis, Emily Brawner, D.O., FCCP, Genesis Pulmonary/Critical Care Medicine, to share the good news and find out the next steps.

“It’s critical for patients to be as healthy as possible before they undergo transplant surgery,” explained Dr. Brawner. “Martin took this seriously and did the hard work of losing the weight. The next step was for him to undergo additional testing with his surgeon, as well as participate in the pulmonary rehabilitation program we offer at Genesis. We’ve developed a close relationship with the lung transplant and rehab team at OSU, which helps ensure the best outcomes for our patients.”

The testing for the transplant needed to be completed at OSU, which was over an hour away from Martin’s home. Fortunately, the pulmonary rehabilitation program at Genesis was just a short 15-minute drive away.

Preparing for the transplant

The Genesis Pulmonary Rehab program includes a team of experienced physicians, respiratory therapists, exercise physiologists, a registered dietitian and a licensed social worker who coordinate care for those with lung disease. Tisha Babcock,R.N., MSN, CCRN, CNL, director, Genesis Pulmonary and Critical Care Services, explained the process patients go through when they come to the pulmonary rehab program.

“Patients first meet with the team to discuss their lung disease and challenges they’re facing. We also do testing to get a baseline of a patient’s exercise tolerance, which allows us to set exercise goals,” explained Babcock. “We offer group education classes and support, weight training, balance training, stretching and flexibility, and more, all designed to improve their lung health and overall health.”

Ashlee Noyes, RCP, RRT, CTTS, is a rehab specialist who has worked closely with Martin since August 2019, when he first came to pulmonary rehab. She understands not only the physical and mental challenges patients with lung and breathing problems face, but also how hard it can be mentally, too.

“When Martin came to pulmonary rehab, he was on oxygen,” Noyes said. “Imagine being on oxygen, then someone tells you you’re going to start exercising. That can be a very scary thing when you feel like you can’t even breathe. So, part of what we do is help patients understand that we’re here to help them exercise safely.”

Martin completed the first part of the pulmonary rehab program by early 2019, attending two hours twice a week for 10 weeks. Much of his time was spent on the treadmill, a recumbent bike and a NuStep exercise machine. Martin also met with the team’s registered dietitian for tips and nutrition information specific to his needs to help make sure he kept the weight off.

After these programs were completed, Martin was placed on the transplant waiting list. Fortunately, he didn’t have to wait long; just a few days later, a set of lungs became available. He went in for the surgery at OSU, and the procedure was a success.

“I stayed in the hospital for 13 days. Then on Dec. 13, which is also my birthday, I was released,” Martin said.

Excellent results

After surgery, he continued to work with his OSU surgeon to meet specific goals and milestones. He also continued his pulmonary rehabilitation program at Genesis.

“He’s doing phenomenally,” explained Noyes. “He is hardly winded when he exercises.” Noyes credits Martin’s determination with his excellent results.

Martin finished the first part of pulmonary rehab and is now undergoing the maintenance program that gives patients the opportunity to maintain their health and continue exercising in a supervised environment at the Genesis Pulmonary Rehab Gym. One of the side benefits of the maintenance program is the opportunity to meet other lung disease patients going through similar challenges. The patients get to know each other, share ideas and offer support.

“Going to the pulmonary rehab program helps keep me motivated. It not only helps your strength, but your mental status, too, by talking to other people there,” Martin said.

Martin now lives his life without using supplemental oxygen. He also enjoys gardening and fishing – activities that he hasn’t been able to do for years. And one of the biggest rewards is knowing he’ll be able to play with his grandchildren, including a new granddaughter, who was born in June 2020.

For information about the Genesis Pulmonary Rehab Program, call (740) 454-4718.

Martin Angler Patient Story

Martin Angler was in need of a lung transplant and took action to lose 100 pounds in order to be accepted into a lung transplant program.

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First COVID-19 Patient's Amazing Recovery at Genesis

Patient's family waits for news of recovery

Dennis Robbins has a distinction he really didn’t want. Dennis, age 49, was the first patient hospitalized at Genesis Hospital with COVID-19. He willingly shares his story in hopes of preventing others in the community from contracting the virus.

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His journey with COVID-19 began in mid-March. Dennis had flu-like symptoms, did a telehealth call with his family doctor, completed a prescription medication, and had a chest X-ray that was clear. Dennis, who is a truck driver, began feeling better within the week and decided to travel to Michigan.

When he got home on Monday, he began feeling worse. His wife Patsy took Dennis’ temperature. “It was 106 degrees. I thought my thermometer wasn’t working,” Patsy recalled.

A high fever

Patsy’s thermometer was working. She convinced Dennis he needed to go to the Genesis Emergency Department (ED). When the nurse in the ED took Dennis’ temperature, it registered 105.5 degrees Fahrenheit.

Along with a high fever, Dennis had flu-like symptoms including body aches, muscle aches and a cough. “I coughed for about 12 hours straight,” Dennis said. Patsy, a social worker, had an inclination that her husband’s illness might be COVID-19, but she didn’t want to alarm him.

While Dennis was in the ED, the physicians and nurses called Patsy on her cell phone frequently to update her on Dennis’ condition. “Dr. Neuenschwander called, and said, ‘Your husband is very sick,’” Patsy said. In the ED, James Neuenschwander, M.D., Genesis Emergency Medicine, also had the same concern that Dennis might have COVID-19. “Dennis had the classic symptoms of COVID-19 – fever, cough and shortness of breath,” Dr. Neuenschwander said.

COVID-19 confirmed

Dennis was admitted to Genesis Hospital on the respiratory unit. Other illnesses were ruled out, and a COVID-19 test confirmed the virus. The medical staff used recommended treatments, but Dennis’ condition continued to worsen. He was unable to breathe, was put on a ventilator, and was in critical condition. “Dr. Le told me Dennis only had a 10 to 15% chance of survival,” Patsy recalled.

The COVID-19 virus was relatively new to Ohio. Dennis came to the ED on March 23. “Even as doctors, we had not directly experienced COVID-19,” said Van Le, M.D., Pulmonary/Critical Care Medicine. “Mr. Robbins was a healthy man, only about 12 years older than me, and he was dying. What we’ve learned is that the virus doesn’t just hit older, sick people, and it can kill.”

Medically induced coma

In the Genesis Critical Care Unit (CCU), Dennis was put on a ventilator and a medically induced coma to keep him from removing the ventilator. Dennis was in critical condition and his blood pressure was falling dangerously low. Dr. Le recommended Dennis be moved on his stomach, and Dennis’ condition started to improve. “This evidence-based practice from the National Institute of Health helps patients get more oxygen into the lungs,” Dr. Le said about the supine position he had used before.

Dr. Neuenschwander credits Dr. Le with Dennis’ recovery. “He and Dr. Modi (Jignesh J. Modi, M.D., Genesis Infection Diseases Specialists), saved Dennis’ life. They were heroic.”

Dr. Le is glad he was able to save Dennis’ life and is quick to credit the nursing staff. “Genesis has an excellent team of nurses and technicians, especially Meghan, Jillian and Shelby, who were beside me the first few days Dennis was in the hospital,” he said.

Nurses fill in for family

While Dennis was in the hospital, Patsy remained at home to prevent spreading the virus. The nurses kept in constant contact with Patsy through cellphone and video calls. “I was freaking out because I couldn’t be beside him. One of the nurses asked, ‘What would you do if you were here?’” Patsy told the nurse she would rub her husband’s head and squeeze his hand. The nurses connected by a video call, and Patsy saw the nurses carrying out her wishes.

When Patsy was asked what helped the Robbinses get through the COVID-19 illness, Patsy immediately answered, “The Genesis staff. They took time with him and truly cared about him. I would not have sent him anywhere else. The staff on CCU was amazing – Dr. Le, Dr. Modi, nurses Maddy, Tony, Peyton, Heidi ….” Patsy said reciting staff names. “I want every nurse to get an award,” she said excitedly.
Dennis quickly added, “There wasn’t anyone who didn’t do an outstanding job. They each gave 110%. I can’t say enough good things about this staff.”

Dennis went home after 13 days in the hospital. He is working on regaining his strength and getting back to work. The long-haul truck driver suspects he contracted COVID-19 while traveling to New York City the weeks before. Before mid-March, he didn’t have any symptoms and didn’t know he had contracted the virus when he was around his 5-month-old grandchild. The grandchild had a fever, tested positive for COVID-19, was hospitalized for two days and recovered quickly.

The Robbinses’ advice to the community is to take the virus seriously. “This virus is scary. We don’t want anyone else to suffer and go through what we went through,” Patsy said. Dennis didn’t have any preexisting health conditions, was not a tobacco user, and followed the treatment recommended by his family doctor. “If this can happen to us, it can happen to anybody,” Patsy said.

Dennis Robbins Patient Story

Dennis, age 49, was the first patient hospitalized at Genesis Hospital with COVID-19. The Robbines’ advice to the community is to take the virus seriously.

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Factory Worker With COPD Now Enjoys Fishing, Gardening

Thanks to pulmonary rehab

David Mummey has suffered from Chronic Obstructive Pulmonary Disease (COPD) for many years. So when his physician, Emily Brawner, D.O., FCCP, pulmonary critical care, suggested he start pulmonary rehabilitation through the Genesis Black Lung Program, he wasn’t sure it would help. David’s mother and brother died as a result of complications from COPD, so he didn’t think the program would improve his condition.

David stopped using tobacco several years ago but figured that 50 years of smoking cigarettes and working in dusty factory jobs had taken its toll on his lungs. Even so, he decided to give pulmonary rehab a try. “I was short of breath and just sat around. I was at the point I couldn’t put out a garden or do anything,” David said.

Give It a Try

He started phase II Pulmonary Rehab in spring 2014 three times a week at the cardiac/pulmonary rehab gym on the Bethesda Campus. The pulmonary rehab program is medically supervised and includes exercises to improve physical fitness, breathing techniques and strategies for managing COPD.

David admits the physical exercises weren’t easy. He didn’t notice an immediate improvement but continued through the program. The respiratory therapists encouraged him to stick with it. “Ashlee Clark is an angel,” he said. “I tended to push myself hard. If I started to struggle, she was right there.” After several weeks, his breathing and stamina improved markedly. “It’s made a big difference in my life. I have been able to do things I wasn’t able to do before.”

A Changed Life

David is able to go fishing with his daughter and grandchildren. He’s also been able to plant a vegetable garden – a task he couldn’t accomplish before starting pulmonary rehab. He completed phase II pulmonary rehab three times a week and is now doing phase III twice a week.

David is grateful for the care he receives through the Genesis Black Lung Program. “It’s changed my life. I’d be afraid to stop now. If I miss one time, I notice a big difference,” he said.

He’s glad he took the first step to enroll in the program. “If I hadn’t started pulmonary rehab, I might not be here today,” David says.

More information

If you have chronic obstructive pulmonary disease (COPD), or other lung issues, we want you to know the treatment you might encounter. Check out our Lung Information You Need to Know (Infographic).

David Mummey Patient Story

David Mummey started pulmonary rehabilitation through the Genesis Black Lung Program.

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Patient Stories

Respiratory Patients Share Their Stories

Read personal patient stories that provide an inside feel on how Genesis Lung Services can improve your quality of life.

Featured patient story

Our patients say it better than we can.

Factory Worker with COPD now Enjoys Fishing and Gardening | David Mummey
David had suffered from Chronic Obstructive Pulmonary Disease (COPD) for years. After completing pulmonary rehab at Genesis, David is now able to go fishing with his daughter and grandchildren.

 

Supporting Health Care in Our Communities

The Genesis HealthCare Foundation is here to promote charitable support for Genesis HealthCare System.

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Meet the Lung Care Team

Care Management Consultants

Our consultants serve as a consistent resource and are able to assist with access issues, identifying available resources, providing education and educational materials and communicating with other healthcare professionals to individualize a treatment plan that best meets your needs. Call to make an appointment with one of our consultants at 740-454-5644. Staff:

  • Jeff Arnold, R.N., ADN
  • Monica Gamble, R.N.
  • Courtney Hodge, R.N., BSN, RN-BC
  • Kimberly Meissner, Social Work, MSW
  • Cheryl Roller, R.N., CCRN, CTTS
  • Rob Williamson, R.N., BSN, CRN, CTTS

 

Respiratory

Genesis Respiratory Therapists work under the medical direction of doctors to treat all types of patients. They are involved in the evaluation and monitoring of heart and lung function as well as giving treatment.

 

Pulmonary Function Testing (PFT)

A Pulmonary Function Test is used to determine how fast air is moving through your lungs. It also measures how easy it is to inhale and exhale and how efficiently your lungs transfer oxygen to your circulatory system. Staff:

  • Yvonne Adair, CRT, BPFT, RCP, coordinator

 

Pulmonary Rehab

Our pulmonary rehabilitation exercise-based program is designed to help you learn breathing techniques to make breathing easier. Education provided by respiratory therapist, exercise physiologist and dietician. Staff:

  • Ashlee Noyes, RCP, RRT, CTTS
  • Sara Paisley, BS

 

Lung Center

The Lung Center is where we provide expert outpatient services. Common conditions treated include; black lung disease, chronic obstructive pulmonary disease and more. Staff:

  • Bryson Stair, APRN-CNP
  • Joy Stashonsky, APRN-CNP
  • Gretchen Rossiter, APRN-CNP

 

Black Lung

Our Black Lung Program is for coal miners and adults with breathing problems. It involves screenings, diagnosis, education, rehabilitation, treatment, exercise and medication assistance and more. Staff:

  • Charles Feicht, D.O., black lung testing physician
  • Michele Newlon, benefits counselor and grant administration consultant
  • Stacey Stewart, BBA, outreach coordinator
  • Tammy Mathers, R.N., BSN, ANCC-CV, TTS
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Tobacco Treatment Program

Tobacco Treatment Program

Congratulations on your decision to quit using tobacco. No matter what brought you here, the Genesis Tobacco Treatment Program offers tailored treatment plans and goal setting to help you quit successfully.

How it Works

You’ll meet with Genesis Tobacco Treatment counselors who’ll discuss treatment options with you and determine the best approach to curb your tobacco craving. You’ll also discuss appropriate nicotine replacement products—such as gum or medications—as well as a “quit date” that works for you.

Meeting with Counselors

Your individualized program includes regular sessions with counselors. At Genesis, we suggest four sessions to make sure your program is working. You can also work in additional sessions to make adjustments to your plan, learn tips from other successful quitters and prepare to curb future cravings.

Insurance Coverage

There may be some cost to you, depending on your medical insurance or Medicare. When you call to schedule an appointment, we’ll help verify insurance coverage and co-pays.

Get Started Today

If you’re ready to kick the habit, call to schedule an appointment with one of our counselors. You’ll need a referral from your doctor, but we can help you obtain that when you call.

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Pulmonary Rehabilitation

Pulmonary Rehabilitation

Breathing problems are scary, but at Genesis HealthCare System, your lungs are in the best hands. You’ll have pulmonary rehabilitation focused on lessening shortness of breath and increasing your quality of life.

Check with your doctor to see if you’re a candidate for pulmonary rehabilitation. You may be considered for our comprehensive program if you’re living with a stable, chronic lung disease such as:

  • Alpha 1 (Antitrypsin Deficiency)
  • Asthma
  • Black lung
  • Bronchiectasis
  • COPD
  • Chronic bronchitis
  • Emphysema
  • Pulmonary fibrosis
  • Other chronic respiratory disorders

David’s Story

Learn how patient David Mummey found care and support for COPD with help from Genesis Lung Services.

Exercise Sessions

Exercise sessions help you get back to breathing better. Sessions are held two days per week in two-hour sessions. Exercises include:

  • Low-level aerobic activities
  • Proper breathing techniques
  • Stretching
  • Strengthening

Exercise is proven to increase health and wellness, and by learning proper breathing techniques, you’ll be able to do more activity with less shortness of breath. All exercises are monitored by our team for your safety and progress, and we make sure you’re comfortable every step of the way.

Personalized Education

You’ll also receive education throughout your rehabilitation on achieving healthy lifestyle changes and making progress. You’ll also learn about breathing medicines, how they work and how to use them.

Maintenance Program

Upon successful completion of the pulmonary rehabilitation program, you can take advantage of our maintenance program with continued exercise at Genesis Hospital with our Pulmonary Rehab staff.

Accredited Program

Genesis HealthCare System’s pulmonary rehabilitation program is certified by the American Association of Cardiovascular and Pulmonary Rehabilitation. So you can trust you’ll benefit from:

  • Evidence-based care tailored to your condition
  • A thoroughly trained, experienced interdisciplinary team
  • Care for your emotional and social needs

Get Started Today

For more information about the program, call Genesis Pulmonary Rehabilitation.

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