Signs and Symptoms of Labor

cameron.snyderpitts
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This is a guide for you about the signs of true labor. If you have any of these signs before 36 weeks of pregnancy (nine months), please call your physician. If you do not have a private physician, call the Genesis NurseLine right away at (740) 455-4949 or 1-800-948-4949.

    The uterus (womb), which is holding your baby, is a large muscle and when it tightens you may feel your tummy getting very hard. This hardening is called a contraction.

    • Contractions occur at regular intervals lasting 60 seconds or longer.
    • Contractions get gradually closer together and stronger.
      There is increasing discomfort or pain.
    • Your cervix (the opening of the uterus) softens, shortens and dilates.
    • Contractions are usually irregular.
    • Contractions do not get closer together. They may stop after an hour or so.
    • Discomfort or pain does not increase.
    • Your cervix does not change.
    • Rest if possible on your left side.
    • Time your contractions with a watch. If one starts at 9:10 and the next one starts at 9:16, they are six minutes apart.
    • Do not eat. Clear liquids are permissible.
    • Call according to your doctor’s instructions.
    • Possible Complications in Pregnancy

    When I should Call

    • You have chills and fever with a temperature above 100 degrees F.
    • You experience prolonged nausea and vomiting.
    • You have a severe headache with blurred vision.
    • You have pain or burning during urination and/or more frequent urination.
    • You notice any sudden swelling of your face, hands or feet.
    • You plan to go to the hospital.

    When to Go to the Hospital

    • There is any leakage of water from the vagina.
    • You have severe persistent pain in the abdomen or back.
    • You experience spotting or bleeding from the vagina.
    • Fainting
    • Any leakage of fluid (any color).
    • Bleeding (if you need to wear a pad or mini pad).
    • Contractions or persistent back pain.
    • Decreased fetal movement (use kick count).
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    YoMingo Pregnancy App

    cameron.snyderpitts
    Submitted by cameron.snyderpitts on

    YoMingo Pregnancy App

    Genesis HealthCare System offers anytime, anywhere education through YoMingo®, a program designed to give you convenient access to valuable information. It includes the tools and support you need at every stage of your healthcare journey and beyond.

    YoMingo gives you access to:

    • Evidence-based education on prenatal care, labor and birth, postpartum, breastfeeding and newborn care including many videos.
    • Information specific to your arrival and stay at Genesis HealthCare System
    • Community health resources
    • List of available classes and support groups
    • Personal journal
    • And other tools

    This is available on any device with an internet connection and comes in multiple languages.

    Get the app now

    Step 1: Register

    Register for the program here and follow the instructions. Once you have registered, you will receive an email invitation from noreply@yomingo.com where you can create a unique password and log in. If you do not receive the email in your inbox, be sure to check your junk/spam folder. Then, you can also download the mobile app version by searching your app store for “YoMingo”.

    Step 2: Download the app

    Once you have registered, you can also download the mobile app version by searching your app store for "myYoMingo," which is available in iTunesGoogle Play and Windows app stores.



     

    Already registered? Log in here.

    Disclaimer: The information in YoMingo® is NOT intended to take the place of a healthcare provider or any information that your healthcare provider has discussed with you about your own personal health. It is imperative and advised that you find care and work with your healthcare provider to keep yourself healthy and safe. Always call your healthcare provider with any questions you may have. By creating an account in YoMingo, you have verified that you have read and agree to this disclaimer.

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    Childbirth Education

    cameron.snyderpitts
    Submitted by cameron.snyderpitts on

    Childbirth Education

    Things have changed a lot over the years – new medications, technology, more advanced equipment, computerized fetal monitoring, epidural, etc.

    We want you to be aware of what to expect during delivery, so you can relax and enjoy the experience while you're here ...

    Our Classes Offer Certified Childbirth Educators

    Our childbirth classes are designed to prepare you for your special event and make your childbirth experience a joyous memory. Classes are taught by certified childbirth educators and registered nurses, and they provide instruction to help you before and after childbirth.

    Class Registration

    Early registration is recommended to better ensure an opening in a class time that meets your schedule.

    Register online here.

      Childbirth Preparation

      This class focuses on the physical and emotional changes occurring during pregnancy.

      Attendance is recommended during the last three months of your pregnancy. This class presents information to prepare for and and enhance your labor experience. Topics include, pain management and epidural; induction of labor; C-section; abnormal signs and symptoms; relaxation; and helpful tips for support persons.

      The following is information on classes:

      • Weekday evenings, one-time three-hour class
      • Registration is required
      • $84.36 fee

      This class provides information to prepare you and your partner to successfully breastfeed your new baby as recommended by the American Academy of Pediatrics, the World Health Organization and the Center for Disease Control. The class covers feeding cues, latching and positioning, as well as preparing you to return to work.

      Any first-time mom or previous breastfeeding mom will benefit from this class. Fathers or support persons are encouraged to attend. We recommend you attend between your fifth and eight month of pregnancy.

      Breastfeeding Support for Success

      This class offers professional and mother-to-mother support. Bring your infant for a weight check and have the opportunity to ask our lactation consultant questions about your infant. The instructor will review age-appropriate norms for the breastfeeding infant. This class is offered every Monday 11 a.m. to 1 p.m. at Genesis Hospital Room 1N240, and all mothers are welcome.

      Breastfeeding for the Working Mom

      Mothers who will be returning to work or school are encouraged to contact the Lactation Department at (740) 450-6455 and schedule a free one-on-one consultation about two to three weeks before returning to work. This meeting helps prepare the breastfeeding mother for a smooth transition back to work or school. Selection, proper use and maintenance of a breast pump, proper storage of breast milk and advice for adding pumping to your day are a few of the topics covered.

      Basic baby care is covered with hands-on demonstrations.

      Baby Basics Topics

      • Feeding options
      • Bathing and diapering
      • Car seats
      • Safety
      • Soothing and calming baby
      • Choosing the best equipment

      We recommend you attend a one-session, 2 hour class at seven to eight months during your pregnancy.

      This class helps prepare children ages three to seven for the arrival of a new brother or sister.

      Sibling Class Topics

      • How the baby is born
      • Baby’s appearance
      • Feelings about the new baby’s arrival
      • How to help take care of the baby

      We recommend your children attend this class two to four weeks before your due date. Parents are asked to attend and stay with your children. This is a one-hour class.

      Being prepared for emergencies may mean the difference between a positive and negative outcome.

      For class information, contact Zane State College at (740) 588-1288

      Mothers are provided with education on the obstetrical unit following baby’s birth. This education covers care for mother and baby after delivery.

      Tour our obstetric unit and see all we have to offer to make your childbirth a special event or call us for more information at 454-4321; 800-322-4762 ext. 4321

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      Maternity Services

      cameron.snyderpitts
      Submitted by cameron.snyderpitts on

      Maternity Services

      Your baby’s birth starts a lifetime of memories to cherish and share. Whether this is your first child or you’re welcoming a new sibling, count on Genesis’ experienced, caring team to guide and support you throughout your pregnancy, labor and delivery.

      See why more than 1,400 of your southeastern Ohio friends and neighbors choose to welcome their babies at Genesis each year.

      Childbirth Specialists

      Receive care, support and education from our team of caring experts, including:

      • Board-certified OB-GYN physicians
      • Board-certified pediatricians with advanced training in caring for premature babies
      • Nurses with education and experience caring for moms and babies
      • Certified lactation consultants
      • Anesthesiologists

      Pregnancy & Parenting Education & Support

      Prepare for your new arrival with classes for every member of your family. We offer an array of classes covering childbirth, basic baby care, becoming a big brother or sister, and more.

      After your baby’s born, our experienced nurses will help you learn how to care for your newborn and yourself.

      Learn about breastfeeding your baby through classes and support from our board-certified lactation consultants.

      Genesis also offers YoMingo® an education app designed to give you convenient access to valuable information.

      Online childbirth education courses are also available. The online classes include Labor and Birth, Essentials of Breastfeeding and Baby Care Basics for one registration cost of $30. You can take the classes at your convenience. The online course bundle is available to you for one year, and you can access them from multiple devices.

      Features for Mom, Baby & Family

      Enjoy our spacious, home-like obstetric units, which include a play area for children. View our visitor guidelines.

      If your baby needs special attention after birth, rest assured that he or she will get the highest level of care in southeastern Ohio at our Level II Special Care Nursery. If your baby needs to remain in the hospital longer than you do, stay nearby with our Mom’s Bed & Breakfast program.

      Click here for information about our Maternity Unit Tours. 

      Reducing Early Elective Deliveries

      Rely on Genesis to support healthy growth and development by encouraging you to wait until the 39th completed week of pregnancy to deliver your baby, unless there’s a medical reason to deliver early.

      When you avoid an early elective delivery, you and your baby are less likely to experience complications or an extended hospital stay.

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      Genesis Heart Patients Share Their Stories

      Submitted by Anonymous (not verified) on

      Genesis Heart Patients Share Their Stories

      Featured heart patient stories

      Every day at Genesis, lives are saved through the quick and skilled reaction of the Genesis heart team. With accreditations for chest pain, Genesis is well equipped and prepared to stop a heart attack in its tracks and help people recover when a heart problem arises. Genesis is also the first hospital in the nation to earn accreditation for atrial fibrillation, another common heart problem.

      Highlighted in our quarterly publication LiveWell, here are examples of the phenomenal heart care delivered by the Genesis Heart & Vascular Institute. We’re bringing the best and the brightest physicians to Genesis to provide you the highest quality care.

       

      Amber Allen

      An accident survivor's advice: trust yourself

      “I’ve heard of people dying from a clot in their lungs the size of a pebble,” Amber said. “I escaped death twice in a few weeks thanks to Genesis.”


       

      Heart patient advises not to wait if something seems unusual

      “Dr. Gabi called my condition a STEMI. At the time, I didn’t know what that meant. But now I know it’s the second most deadly heart attack,” said Karl. “As soon as the stents were placed, I felt normal again. There was no more chest pain."
       

      Top 50 heart hospital

      Genesis is one of America's Top 50 Heart Hospitals

      For the 2nd year in a row, as rated by Fortune Magazine and PINC AI.

      Supporting Health Care in Our Communities

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

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      Audiology

      Submitted by Anonymous (not verified) on

      Audiology

      Genesis Audiology has a wide range of services with licensed, certified staff to offer you the best possible care and to meet the needs of those having trouble hearing.

      People of all ages, from infants to seniors, can get hearing tests at Genesis. If you’re diagnosed with hearing loss, a care team will guide you through hearing rehabilitation and fit you for hearing aids.

        Noticeable signs of hearing loss can include difficulty hearing sounds such as birds singing, crickets chirping, doorbells ringing or difficulty hearing someone talk in group conversations. Another sign is pain or ringing in the ears after being exposed to excessively loud sounds. Loud sounds like a firearm or firecracker at 140 to 165 decibels can cause immediate hearing damage. 

        We can also treat and diagnose:

        • Balance problems
        • Hearing loss
        • Tinnitus (ringing in the ears)

        Our audiology department has specialists to help you find the right type of hearing aid for all types of hearing environments. We have more than 35 years of experience helping people improve their hearing. 

        Our services include:

        • Adolescent evaluations
        • Adult evaluations
        • Annual hearing evaluations
        • Aural rehabilitation
        • Balance testing
        • Cochlear ear implants
        • Employee education
        • Fittings for specialty earplugs
        • Geriatric evaluations
        • Hearing aid fittings
        • Inpatient testing
        • Middle ear function tests (tympanometry)
        • Neonatal hearing tests (otoacoustic emissions testing)
        • Outpatient testing
        • Pediatric evaluations
        • Pre-employment testing

        Genesis audiologists use a variety of tests and procedures to diagnose hearing loss. You and your family can benefit from hearing tests and evaluations for all ages, such as:

        • Adolescent through adult hearing evaluations
        • Adult hearing aid evaluations and fittings
        • Hearing aids fitted and checked during hospital inpatient stay
        • Infant hearing testing
        • Newborn diagnostic hearing testing for infants up to six months old
        • Pediatric hearing evaluations

        The latest advancements in care, including cochlear implants, are also available at Genesis. Otolaryngologist Max Pusz, M.D., provides cochlear implants. If you’d like more information about obtaining a cochlear implant, call the Genesis ENT Group at 740-454-0158.

        Genesis Audiology services are provided by licensed audiologists for both inpatients and outpatients when referred by their physician. Audiological services include infant auditory brainstem response testing, pediatric and adult hearing evaluations, adult hearing aid evaluations, adult hearing aid fittings, adult balance testing, adult cochlear implant evaluations and mapping, and bone anchored hearing aid evaluations and programming.

        Make an appointment with audiology

        Audiology is located in the Genesis Pavillion at 945 Bethesda Drive, Zanesville. For appointments, please call 740-454-4242, Ext. 5. For audiology related questions, please call 740-454-4713, Ext. 4.

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        Aquatic Therapy

        Submitted by Anonymous (not verified) on

        Aquatic Therapy

        Aquatic therapy continues to grow in popularity as a safe complement or alternative to traditional physical therapy and is suitable for children and adults of all ages and fitness levels. Aquatic therapy programs at Genesis are designed to help you manage pain, increase strength and improve conditioning in a setting that reduces stress on your joints and body.

        Our aquatic therapies are provided at the Muskingum County Family YMCA. Water therapy allows you to exercise with less pressure on your body, and the warm water pool can help ease stiff and achy muscles and joints.

        Genesis certified physical therapists and physical therapist assistants help you in one-on-one or group sessions. 

        Aquatic therapy includes exercise programs such as Pilates and yoga. The goal is for you to have a fun experience so you can enjoy the water on your own.

        Make an appointment for water therapy

        If you’d like more information about our aquatic therapies, call Genesis Rehabilitation Services. You’ll need a physician referral for your first aquatic therapy session. Check your health insurance plan to see if coverage is available for aquatic therapy.

          Aquatic therapy offers treatments or exercises in the water for fitness or physical rehabilitation. You’ll find that the treatments and exercises can be done while floating or in the water.

          • Arthritis
          • Autism spectrum disorder (ASD)
          • Back pain
          • Breast cancer
          • Bursitis
          • Cancer
          • Chronic pain
          • Fibromyalgia
          • Multiple sclerosis (MS)
          • Muscle fatigue
          • Parkinson’s disease
          • Peripheral neuropathy
          • Post-surgical cases
          • Rheumatoid arthritis
          • Scoliosis
          • Spinal cord injury
          • Sports rehabilitation
          • Tendonitis
          • Weight gain

          Our therapists use various techniques in water therapy according to your care plan. The therapy exercises are based on the rehabilitation needed and your physical abilities. The treatments include:

          • Ai Chi
          • Aqua running
          • Aqua stretch
          • BackHab (pool therapy)
          • Back rehabilitation
          • Burdenko Method (pool exercises)
          • Lumbar stabilization/strengthening

          How our aquatic therapy works

          Water therapy, sometimes referred to as water exercise or hydrotherapy, can benefit all ages, including children with special needs and senior citizens. Our therapists are specialty-trained to design sessions that consider limitations due to age or physical restrictions. Your therapy will be based on an initial evaluation, your goals and a plan of care. If aquatic therapy is part of the plan, the therapists will recommend physical therapy at the Muskingum County Family YMCA, and work with a physical therapist to achieve your goals.

          The aquatic therapy treatments are about 30 minutes. Please bring a swimsuit and water shoes for your therapy sessions. We have a warm water pool to help you meet a variety of goals. The warm water provides a healing environment to help increase circulation, strength and flexibility. The buoyancy while in the water helps you move easier, limiting stress on your joints.

           
           
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          Services, Specialized Programs and Support Groups

          Submitted by Anonymous (not verified) on

          Services, Specialized Programs and Support Groups

          You’ll find a wide variety of the most up-to-date rehabilitation services like occupational rehabilitation, physical therapy and aquatic therapies available in Zanesville, Perry County, Coshocton and New Concord. We also provide some of the most comprehensive specialized programs in the region to get you back to work. Genesis Rehabilitation Services has specialized programs and therapies that might not be available elsewhere. We offer dry needling therapies and over 20 other specialized programs to help you control pain and manage other conditions. Our certified and specialty-trained therapists are available to help you get back to enjoying life.

          Our free support groups provide a comfortable opportunity to receive and offer emotional and moral support for patients and caregivers. Support groups including brain injury, stroke and Parkinson’s disease are available close to home to help you learn how to manage the condition. The support groups are available to help you understand you’re not alone and others are here to help you.

          Services

          You can find a wide range of therapies available for infants to senior citizens at convenient locations throughout our area. We have therapists certified to provide the specialty therapies you need to get back to enjoying life.

            If you or your family member has had an amputation, you can benefit from a wide range of physical and occupational therapies at Genesis. We offer physical therapy for donning/doffing prosthetics, gait (walking) training, balance activities, strengthening of core muscles, upper extremities, lower extremities and exercises to improve flexibility.

            Our highly trained occupational therapists treat those who have sustained an upper extremity amputation to improve activities of daily living. Specific tasks may include bathing and dressing instruction, donning and doffing prosthetics, and education for household activity modification, such as meal preparation and self-care.

            Further treatments may include pain relieving techniques for residual limb phantom pain, including soft tissue and scar mobilizations, swelling reduction techniques and desensitization techniques. Our physical therapists and occupational therapists work closely with you and your physician to ensure proper fit and comfort of the prosthetic.

            Talk with your physician to see if you could benefit from therapy services to maximize function and mobility following an amputation. For more information, call Genesis Rehabilitation Services at 740-455-5151.

            Aquatic therapy in a warm water pool provides a unique environment. The water provides a weightless effect to lessen the impact on weight bearing joints. The environment can also help strengthen weak muscles, improve mobility or balance. You’ll be able to experience aquatic therapy sessions individually or with four people or less in a small group. Aquatic therapy is also available for children. For more information, call Genesis Rehabilitation Services at 740-455-5151.

            Genesis Audiology services are provided by licensed audiologists for both inpatients and outpatients when referred by their physician. Audiological services include infant auditory brainstem response testing, pediatric and adult hearing evaluations, adult hearing aid evaluations, adult hearing aid fittings, adult balance testing, adult cochlear implant evaluations and mapping, and bone anchored hearing aid evaluations and programming.

            Audiology is located in the Genesis Pavillion at 945 Bethesda Drive, Zanesville. For appointments, please call 740-454-4242, Ext. 5. For audiology related questions, please call 740-454-4713, Ext. 4.

            Our specialty-trained breast cancer rehabilitation therapists and physical therapist assistants work as a team alongside those dealing with breast cancer. A personalized plan of care is designed specific to each patient’s needs and goals. The physical therapist evaluates range of motion, strength, soft tissue dysfunction and patient goals. Treatments by physical therapists may include therapeutic exercises, various manual techniques and education. Each patient will be equipped with an evolving and comprehensive home exercise program for the best outcome. For more information, call Genesis Rehabilitation Services at 740-455-5151.

            Genesis provides specialty-trained speech-language pathologists to evaluate and treat swallowing disorders, called dysphagia. Some symptoms of dysphagia include difficulty chewing solids, coughing or choking when eating or drinking.

            Our speech-language pathologists provide exercises to improve swallowing muscles, techniques to decrease symptoms, and/or diet texture changes to increase safety. Patients in Genesis Hospital with swallowing difficulties can receive a clinical dysphagia evaluation following a physician referral. The speech-language pathologist will complete an evaluation and follow up with recommendations. For more information, call the speech office located at Genesis Hospital at 740-454-5002.

            Genesis Rehabilitation Services provides one of the most comprehensive concussion management programs in the area. Our skilled therapists provide comprehensive evaluations and treatments for those diagnosed with concussion and post-concussion syndrome.

            The evaluation includes a complete neurological assessment, vestibular screening, oculomotor testing, cervical spine assessment, balance assessment, Sports Concussion Assessment Tool (SCAT-5), patient/family education and symptom management, return to work, return to school and return to play. Your physician can make a referral to the concussion management program at Genesis. For more information, call Genesis Rehabilitation Services at 740-455-5151.

            Genesis Rehabilitation Services’ specialized programs include a swallowing study to show the movement of your throat and esophagus while you swallow. The test uses X-rays in real time (fluoroscopy) to film as you swallow and helps your doctor see why you’re having trouble swallowing.

            The speech-language pathologist guides you through swallowing steps that takes about 20 to 30 minutes. After the study, the speech-language pathologist reviews and explains findings/recommendations and sends a detailed report to your primary care physician and referring physician. If you have questions about this test, call Inpatient Speech Therapy at 740-454-5002.

            FEES is a procedure that may be completed by a speech language pathologist (SLP) at bedside by passing a small endoscope through your nose and into your throat to evaluate anatomy and swallow function. The SLP guides you through the procedure and provides food/drink that is dyed with food coloring. After the study, the SLP reviews and explains findings/recommendations and sends a detailed report to your primary care physician and referring physician. If you have questions about this test, call Inpatient Speech Therapy at 740-454-5002.

            If you’re experiencing pain, functional dry needling might be an effective supplemental technique along with your physical therapy. Functional dry needling treats musculoskeletal and neuromuscular conditions and works quickly to decrease pain and improve functional mobility. It is not appropriate for all conditions or pathologies. Your physical therapist will help you determine if dry needling is an effective treatment for you. Functional dry needling is not acupuncture (traditional Chinese medicine). It is based on neuroanatomy and modern scientific study of the musculoskeletal and neuromuscular systems.

            A very fine filament needle is inserted through the skin and into the deeper tissues that are considered trigger points to your pain. The sterile, single-use needles create a microlesion within the pathological tissue, breaking up shortened tissues, inhibiting a reflex arc from the nervous system to the tissue and inducing a mild inflammatory response and centrally mediating the pain. This mechanical and neuromuscular effect enhances the body’s ability to heal, which ultimately reduces pain.

            The conditions treated can include neck, back and shoulder pain, arm pain (tennis elbow, carpal tunnel, golfer’s elbow), headache to include migraines and tension-type headaches, jaw pain, buttock pain and leg pain (sciatica, hamstrings strains, calf tightness/spasms) and others. The treatment is administered by a specialized physical therapist. For more information, call Genesis Rehabilitation Services at 740-455-5151.

            If you have symptoms of lymphedema, our specialty-trained lymphedema therapists can provide an evaluation and develop a comprehensive plan to meet your needs. Lymphedema is swelling caused by an abnormal buildup of fluids in the tissue due to the lymph system not working correctly. In lymphedema rehab you can learn the signs and symptoms of lymphedema, risk-reduction practices and prevention, drainage techniques and training and exercises.

            You can also receive recommendations for measuring and fitting compression garments including knee high compression stockings, thigh high compression stockings, compression arm sleeves, compression gloves and gauntlets, compression alternatives including Velcro wraps, compression bandaging or a pneumatic compression pump. For more information, call Genesis Rehabilitation Services at 740-455-5151.

            Certified physical and occupational therapy staff provide neonatal touch and massage therapy in the Genesis Level II Special Care Nursery. The specialty-trained therapists require a minimum of 1,000 hours of neonatal bedside experience. Neonatal touch and massage therapy promote movement, alignment and comfort of the infant without causing stress. Using touch and massage also promotes optimal neurobehavioral and neuromotor development of the high-risk infants and infant-parent attachment and bonding. For more information, call Inpatient Physical Therapy at Genesis Hospital at 740-454-5250.

            In-depth occupational rehabilitation is available at Genesis Rehabilitation Services, including work hardening, physical reconditioning, functional capacity evaluations and work capacity evaluations. The evaluations include testing your skills for the job you’ll return to working. You want to get back to work as soon as you can, and we’re here to help you return to your job. For more information, call Genesis Rehabilitation Services at 740-455-5151.

            Genesis Rehabilitation Services offers occupational therapy using a unique holistic approach to help those of all ages learn to enjoy everyday activities. Occupational therapists at Genesis Rehabilitation Services design programs specifically for you to help learn how to do daily activities following an injury or surgery, like dressing, feeding, bathing, cooking, cleaning and laundry. Our occupational therapists are trained to address physical, cognitive, psychosocial and sensory issues to improve your quality of life and independence. Genesis Rehabilitation Services also has a certified hand therapist (CHT) and other trained therapists for splinting, casting and other hand therapy needs. For more information, call Genesis Rehabilitation Services at 740-455-5151.

            Our experienced therapists are specialty-trained in orthopedic rehab. You can receive expert orthopedic rehabilitation specifically designed to meet your needs after a hip fracture, joint replacement, amputation or other related orthopedic condition. For more information, call Genesis Rehabilitation Services at 740-455-5151.

            Genesis Rehabilitation Services provides an extensive lineup of specialized services, including orthopedic fitting. Improper foot alignment can cause pain and discomfort throughout our body. This misalignment places abnormal stress and strain on ligaments, tendons, muscles and joints which can cause inflammation and lead to injury.

            A skilled physical therapist evaluates your gait (walking) and movement to see if the problem is improper foot alignment and if corrections are needed. Then the therapist works with a local orthotist/prosthetist to fabricate a custom orthotic insert. For more information, call Genesis Rehabilitation Services at 740-455-5151.

            A key component of your overall health and wellbeing is your mental health. Genesis Rehabilitation Services offers counseling for those needing outpatient mental health services. The highly trained counselors provide supportive one-on-one sessions to help you develop ways to cope. The counselors also help you address real life challenges such as anxiety, depression, stress, illness and other issues. For more information, call Genesis Rehabilitation Services at 740-455-5151.

            If your child needs therapy, we have a pediatric rehabilitation facility designed just for children. Your child can receive occupational, physical or speech therapy at this location. Aquatic therapy available for some patients at Muskingum County Family YMCA. There’s no need to travel far from home to receive exceptional and compassionate care by our skilled therapists. For more information, call Genesis Rehabilitation Services at 740-455-5151.

            Our team of pain management experts at the Interventional Pain Management Clinic is here to help you live life to the fullest. We focus on reducing your pain without medication and helping you to enjoy life again. Our physicians specialize in pain medicine and the newest techniques in providing the highest quality of care including nerve blocks and implantable devices to provide the most efficient and effective treatments.

            Specialized therapies are also available from Genesis Rehabilitation Services. In addition, we can direct you to psychological counseling to help you and your family cope with the emotional consequences of pain and concerns about using medications long term for pain control. Ask your doctor for a referral to our interventional pain physicians or call for more information at 740-454-4712 or 866-466-5200.

            Genesis HealthCare System is at the forefront of new exercise and activities in managing Parkinson’s disease. Exercise has been shown to be a vital part of the Parkinson’s treatment.

            A weekly group aquatic class is specifically designed for people with Parkinson’s disease and is held at the Muskingum County Family YMCA. The class focuses on exercises for balance, strengthening and coordination. The buoyance of water helps decrease the fear of falling and makes people feel safer. Since movement in water is easier than on land, participants feel more confident, have improved stability, feel more independent and have a better quality of life. Classes are held on Thursdays. Stop at the main entrance of the YMCA to complete a permission form before joining the class. Bring a swimsuit and towel. For more information, call Genesis Rehabilitation Services at 740-455-5151.

            Genesis Rehabilitation Services is one of the first in the state to offer Rock Steady Boxing. Rock Steady Boxing is a non-contact fitness program designed to improve Parkinson’s patients’ movements. Parkinson’s disease is characterized by tremors, slow movements, rigidity, unstable posture and freezing movements.

            Genesis physical therapists have advance training to offer Rock Steady Boxing. The exercises include high intensity, quick punches designed to improve the freezing movements that people with Parkinson’s often have.

            Caregivers and partners are welcome and encouraged to participate in the classes and all exercise/activities can be modified to suit the participant’s needs. The classes are $5 each with the first class free. For more information, call Genesis Rehabilitation Services at 740-455-5151.

            Our comprehensive physical therapy focuses on the neck, shoulders, upper and lower back, hips, knees and ankles. Certified licensed and trained therapists can help with gait (walking) training, balance exercises and activities specific to your work or sports. The therapists provide exercises and behavior management designed especially for you to help you move more easily after an injury, surgery or chronic condition. You’re able to receive expert therapies care close to where you live or work. For more information, call Genesis Rehabilitation Services at 740-455-5151.

            A special running analysis program is available to help you improve your running technique. Our trained physical therapist performs a physical exam along with a video analysis of your walking and running form. Using the technology, biomechanical areas of deficit are examined that may cause pain or increase your risk for pain. Your running analysis is performed on a treadmill to produce 2D images of your mechanics. After analysis, a treatment plan is formulated for you to improve efficiency, endurance and reduce pain. The program does not need a physician referral and is available for self-pay. For more information, call Genesis Rehabilitation Services at 740-455-5151.

            Speech and language therapy is provided to patients by licensed and certified speech-language pathologists at Genesis Rehabilitation Services. We offer therapies specially designed for those recovering from stroke, brain tumors, neurological conditions, neuromuscular disease, head and neck injury or other conditions. Our speech and language therapies are available for both inpatients and outpatients. As part of the outpatient speech therapy services, we offer evaluations and treatments for adult and pediatric patients. In addition, we provide augmentative communication assessments and treatments. For more information, call Genesis Rehabilitation Services at 740-455-5151.

            We offer a team approach to spinal cord injury (SCI) treatments and rehabilitation. Following rehabilitation in the hospital, an SCI survivor can continue therapies at Genesis Rehabilitation Services closer to family and friends. A comprehensive physical therapy plan addresses physical and psychological needs.

            Our physical therapists work closely with occupational therapy, speech therapy, clinical counseling and community resources to offer expert, individualized care. The specialized treatment includes weekly therapy sessions focusing on exercises and education with a goal of helping individuals have an independent life. For more information, call Genesis Rehabilitation Services at 740-455-5151.

            Genesis Rehabilitation Services offers the area’s only certified Sportsmetrics™ trainers. The unique exercise program for female athletes is designed by Cincinnati SportsMedicine and Orthopedic Center to help reduce risk of injury and enhance overall performance. The program focuses on developing lower extremity strength and perfecting jumping and landing mechanics. This elite program is offered by certified physical therapists at Genesis.

            The training program is 6 weeks and encompasses dynamic warm-up, plyometrics/jump training, speed and agility training, high intensity strength training and flexibility training. Sportsmetrics™ can help determine your risk for injury. The Sports Injury Test included in the program evaluates strength, function, flexibility and body mechanics. After completing testing, the Genesis Sportsmetrics™ certified trainers help you correct the deficiencies found through testing. While this program was scientifically tested on females, males can also benefit from developing overall lower extremity strength and perfecting jumping and landing mechanics. For more information, call Genesis Rehabilitation Services at 740-455-5151.

            Stroke rehabilitation at Genesis focuses on each individual’s needs and encompasses an outpatient team including physical therapists, occupational therapists, speech therapists and counseling, all available at Genesis Rehabilitation Services.

            Physical therapy focuses on sitting, standing and walking with state-of-the-art equipment, including a LiteGait machine. The machine helps provide support to encourage walking earlier in the therapy. Experienced therapists work side-by-side patients and their families to improve the patient’s ability to move. The therapy includes navigating steps, stairs and curbs.

            Occupational therapy helps patients return to daily activities such as dressing, bathing, reading and cooking. The occupational therapists also complete vision screenings and treatment for eye movement disorders after a stroke.

            Our special stroke therapy includes speech therapy to help improve speech, memory, eating and swallowing. Our specialty-trained speech-language pathologists use VitalStim® to help with swallowing. A doctor’s referral is needed to schedule an evaluation. For more information, call Genesis Rehabilitation Services at 740-455-5151.

            Specialized vestibular therapy is available at Genesis. Vestibular therapists perform visual screenings, positioning tests, coordination tests and balance and gait (walking) analysis to diagnose your condition. Our therapists also work closely with physicians, neurologists, ear, nose and throat specialists (ENTs) and audiologists to develop the best rehabilitation and treatment plan for you. For more information, call Genesis Rehabilitation Services at 740-455-5151.

            You’ll find a special therapy available at Genesis to improve swallowing. VitalStim® is a safe and effective non-invasive treatment for patients suffering with difficulty swallowing, or dysphagia. Performed by a trained-speech language pathologist, the therapy uses neuromuscular electrical stimulation (NMES), to help strengthen muscles and improve swallowing. For more information, call Genesis Rehabilitation Services at 740-455-5151.

            Our qualified physical therapists can help find the best type of equipment to increase your mobility. First, a physician or other healthcare provider recommends a manual/power wheelchair or scooter to increase your mobility. Then our physical therapist evaluates your balance, walk or gait and limitations. The evaluation takes about one hour, and a skilled physical therapist and wheelchair vendor is present. At the end of the session, you’ll have the opportunity to try out equipment. You can also receive training with the recommended equipment, if needed. For more information, call Genesis Rehabilitation Services at 740-455-5151.

            We offer a wide range of physical therapy and other rehabilitation programs specifically designed for women’s needs including breast cancer rehabilitation and Sportsmetrics™, a training program for female athletes. For more information, call Genesis Rehabilitation Services at 740-455-5151.

            You’ll find work hardening, an individualized program of work-related activities, available at convenient locations. The treatment uses body mechanics to improve musculoskeletal, cardiovascular and biochemical psychomotor systems to return to work. The treatment starts with two to four hours daily and progresses to eight hours a day by the time the treatment is complete. The program simulates work tasks/duties with licensed therapists who assess the safety and accuracy of completing work tasks/duties.

            Another program, work conditioning, does just what it says. It conditions you to get back to work as soon as you can. The goal is to increase tolerance, evaluate psychological status and improve your job-related activities. The treatment is usually two hours for each treatment, three times a week. For more information, call Genesis Rehabilitation Services at 740-455-5151.

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            Rehabilitation Services

            Submitted by Anonymous (not verified) on

            Rehabilitation Services

            Genesis Rehabilitation Services wants you to get back into resuming a quality life as soon as you can after having an injury or illness. Genesis offers a wide range of therapies, including physical, speech and occupational. You can get the scientifically proven therapies you need close to home.

            We are here to help you recover and get back to enjoying everyday activities. The comprehensive care can include rehabilitation ranging from dry needling therapies to vestibular rehabilitation. Our goal is to bring quality back to your life.

            Genesis Outpatient Rehabilitation

            Genesis Outpatient Rehabilitation (GOR) provides a spacious environment for your physical, occupational or speech therapy. The location has welcoming spaces for programs like sports therapies, Parkinson’s disease, women’s health and more. The facility is located at 3297 Maple Ave., Zanesville, in the Country Square Shopping Center. Please call to make an appointment.

            From injury and diagnosis to life after physical therapy

            Our licensed, certified staff works with your referring physician to ensure the best possible care. We work with your physician, along with you and your caregiver, to develop a therapy program specifically designed for you.

            Certified and compassionate therapists

            You’ll find our experienced personalized therapists are here to design a one-on-one program to get you back to what you love to do. You’ll notice the difference in our compassionate staff who is with you every step of the way. Our experienced therapists are devoted to helping you reach your full potential.

            Occupational rehabilitation for employers and employees

            At Genesis Rehabilitation Services we have occupational rehab programs precisely designed to get you back to work including work hardening, physical reconditioning, functional capacity evaluation and work capacity evaluation.

            Parkinson's disease programs and support group

            Do you or someone you know have Parkinson’s disease? We offer unique exercise programs, not available elsewhere, specifically designed for those with Parkinson’s disease and their caregivers. There are special aquatic programs and Genesis Rehabilitation Services was one of the first in Ohio to offer the Rock Steady Boxing program. You may also consider joining our Parkinson's disease support group, "Chat and Snack," for additional education, support and friendships.

            Aquatic therapy in Zanesville

            We offer aquatic therapy at the Muskingum County Family YMCA (MCFYMCA). You can seek solace in warm water pool to help get relief from those strained muscles or other conditions. The MCFYMCA is conveniently located on the Ohio University/Zane State Campus in Zanesville. The modern recreation center has two pools for your therapy needs.

            Over 20 specialized programs, audiology and dry needling

            You can count on us to provide a wide range of up-to-date specialized rehab programs to meet your needs. Genesis Audiology Services has hearing tests for all ages, including newborns. You don’t need to travel far from home to get a hearing test. You’ll also find the latest techniques, like dry needling, to help you feel better again.

            Rehabilitation support groups for brain injury and stroke

            Support groups are available throughout our community and provide an opportunity to learn from others who are facing the similar challenges. You’ll find brain injury, stroke, and Parkinson's disease support groups available for you and your loved ones.

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            Kids and Depression: Why it's Real and How to Ease their Pain

            Submitted by Anonymous (not verified) on

            Kids and Depression: Why It's Real and How to Ease Their Pain

            Get answers to overcome a serious childhood mental health illness

            Childhood is often synonymous with being carefree, but for children living with depression each day can be increasingly difficult. While becoming more common, depression in children and adolescents is frequently overlooked and easily missed, leading to serious mental health issues, including an increased risk of suicide.

            Fortunately, timely recognition and treatment can be life-changing for children and adolescents struggling with depression, according to Howard A. Beazel, Psy.D., Genesis Behavioral Health. "It certainly can be harder to diagnose depression in children," he said.

            To help understand the reality of childhood depression, Dr. Beazel offers answers and hope for the serious but treatable illness.

              Depression affects the way one feels, thinks and acts. A mental illness marked by persistent feelings of sadness, loss of interest in activities, feelings of hopelessness and worthlessness, depression can also lead to thoughts of suicide.

              Yes, but children don't always get the classic symptoms of sadness, decrease in mood and lack of energy most people think of when they think of depression, according to Dr. Beazel.

              In fact, children may frequently show more irritability and become more overactive and/or complain more of somatic or physical symptoms. “While adults can tell you they feel depressed, children often don’t," said Dr. Beazel.

              Although it's normal for children to experience the normal “blues” and everyday emotions as they develop, ongoing symptoms that interfere with social activities, interests, schoolwork and family life may signal a child has depression. Studies report the mental health of teens and young adults in the U.S. has considerably declined, with rates of depression among kids ages 14 to 17 increasing by more than 60% between 2009 and 2017.

              Just like every child is different, so are the symptoms that may show they are depressed. Although some children may continue to function with depression, others suffer a noticeable change in behavior. Some children may also begin using drugs or alcohol, especially if they are over age 12.

              Signs a child may be depressed include:

              • Increased sensitivity to rejection.
              • Changes in appetite — either increased or decreased.
              • Changes in sleep — lack of or excessive sleep.
              • Vocal outbursts or crying.
              • Difficulty concentrating.
              • Fatigue and low energy.
              • Physical complaints (including stomachaches and headaches) that can’t be treated.
              • Reduced ability to function during events and activities at home or with friends, in school, extracurricular activities and in other hobbies or interests.
              • Feelings of worthlessness or guilt.
              • Impaired thinking or concentration.

              While there are no specific tests — medical or psychological — that can clearly diagnose depression in children, there are tools including questionnaires for both the child and parents that can be helpful. Therapy sessions combined with questionnaires can often uncover other concerns that may contribute to depression, such as attention deficit hyperactivity disorder (ADHD) and obsessive-compulsive disorder (OCD).

              “Because children often won’t tell you or anyone else how they’re feeling, we almost always try to talk with their parents to help diagnose depression,” says Dr. Beazel. “What the parents see, such as appetite or sleep changes, changes in level of activity or ability, or change in mood is paramount for us to best evaluate a child.”

              Thoughts of killing oneself can accompany depression — even in children, according to Dr. Beazel. “Although relatively rare in children under 12, young children do attempt suicide.”

              Suicidal thoughts, also known as suicidal ideation, may not always be obvious to others, even the child’s parents. In fact, teen and adolescent suicides have continued to rise dramatically in recent years. According to a recent study in the Journal of Abnormal Psychology, among young people, rates of suicidal thoughts, plans and attempts increased significantly — and in some cases doubled — between 2008 and 2017.

              Signs of suicidal thoughts may be apparent in the child’s social behaviors, what they watch on television, the websites they visit and through journal entries or on their homework. “In the majority of cases where a child is admitted for inpatient treatment of depression, they have made some comment or gesture that makes people concerned they may hurt themselves,” said Dr. Beazel.

              While depression is significantly more common in boys under age 10, girls have a greater incidence of depression by age 16. During adolescence, young women are almost twice as likely to be depressed as young men. These women continue to have a higher likelihood of depression in their adult years.

              “It appears adolescent females tend to have depression complaints more frequently, with some theorizing that this difference may be related to hormonal changes,” said Dr. Beazel. “There are also often more social demands and expectations on females in terms of behavior and conforming, which can contribute to additional stresses for females.”

              Treatment options for children with depression are similar to those used for adults, including psychotherapy (counseling) and medication. Your child’s doctor may suggest either medications or psychotherapy first, but research has shown the best treatment for those with a true depressive disorder is the combination of medication and therapy, according to Dr. Beazel.

              “Some people may have concerns about using medications due to possible side effects and these concerns should be discussed with the medical provider, but again, research indicates the best outcome for seriously depressed individuals tends to be from using therapy/counseling and antidepressant medication together,” said Dr. Beazel.

              Often, medications tend to have a more rapid effect, and psychotherapeutic efforts may enable the patient to recognize and cope with problems more effectively. “One major concern is many kids who’ve been depressed, are facing depression or have been diagnosed with depression are at a greater risk of being diagnosed with depression again later,” Dr. Beazel explained.

              Clearly, if a seriously depressed youth is considered to be at risk for hurting themselves, medical intervention may be critical, and inpatient treatment is usually undertaken, according to Dr. Beazel.

              “Youth that are hospitalized for depression and/or suicidal concerns generally receive both psychotropic medication as well as various forms of psychotherapeutic interventions, such as group therapies,” he said. “Psychotherapy can teach kids to recognize and cope with problems and situations that may have been difficult before — as well as responding more effectively to new challenges.”

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