Taylor Nelson Empowers Excellence in the Therapy Department

Taylor Nelson, MRHC Physical Therapist

Taylor Nelson, MRHC Physical TherapistAs the Therapy Director at MRHC, Taylor Nelson, PT, DPT, is committed to elevating the therapy department to new heights, offering cutting-edge treatments, and fostering a culture of excellence. As a Vestibular Rehabilitation Specialist, Nelson specializes in orthopedic-type conditions, implementing a multifaceted approach, including hands-on and exercise-based treatments to help patients achieve their physical therapy goals. Since starting at MRHC in 2021, Nelson has been dedicated to providing high-quality, evidence-based care.

“I enjoy working with individuals, and I like to think that I am a good listener. I believe this helps in determining what patients have going on and planning different strategies to improve their condition,” Nelson shared. “MRHC has been more than willing to listen to new ideas and develop new service areas that not only help our department grow but more importantly, provide patients with new treatment methods that will help them achieve their overall goals.”

Most recently, the therapy department collaborated with the respiratory therapy department to develop a Pulmonary Conditioning Program for patients suffering from respiratory issues. This was a service that the hospital was not able to offer previously. This collaborative initiative underscores MRHC’s commitment to meet evolving community healthcare demands.

“I feel like MRHC is a great representation of what the community of Manning strives to be: progressive in accepting new possibilities while maintaining their core values and respecting each individual that comes through the door,” said Nelson.

While expanding and enhancing treatment options and services for physical, occupational, and speech therapy at MRHC is one of Nelson’s main priorities, his vision for the therapy department goes even further.

“My broad, overarching goal for the department is to be experts in our field so that people know they will receive top-notch, evidence-driven care for whatever condition they are coming to us for,” Nelson emphasized. “I realize that it can be frustrating when it seems like to receive the care you expect and deserve, you must travel long distances. I want our department to have the reputation that we can help, and we are the experts you can rely on.”

Central to Nelson’s success is the supportive environment cultivated by MRHC administration and his peers. In addition to the support he receives, he is also appreciative of the emphasis on teamwork and mutual respect that fosters a positive work culture where every voice is heard. He points out the administration’s dedication to creating an enjoyable workplace, where collaboration thrives, and professional development is encouraged.

“A good team environment is always a selling point for a job. At MRHC that is the genuine truth. It is a goal of our administration as well as every department lead to create an environment that listens to each other as well as make it an enjoyable place to work long term,” Nelson shared.

It is also evident that Nelson plays an important role in helping young professionals grow in their healthcare careers. As Therapy Director, Nelson oversees the physical, occupational, and speech therapy staff. His team is made up of four additional individuals, Physical Therapist, Lucas Schwery; Occupational Therapist, Amy Osbahr; Speech Therapist, Carrie Scharfenkamp; and Intake Coordinator, Stacy Arp – who all share Nelson’s vision of helping the therapy department continually grow and improve.

“Taylor has been a major help in preparing me for my career as a physical therapist,” shared Lucas Schwery, DPT. “He leads by example as to what it means to be a good physical therapist and is always there to answer any questions that I may have.”

For aspiring physical therapists or those interested in pursuing a general career in healthcare, Taylor offers advice rooted in his own experiences.

“Take advantage of all the opportunities afforded to you in high school. Many schools provide training to get your CNA before graduation. This would be a great way to get your foot in the door and gain experience in general with the healthcare world. Having that experience would be greatly appreciated when starting the interview process to get into PT school or just expose you to other jobs in healthcare that you initially might not be aware of,” Nelson recommended. “If someone is dead set on PT, having a solid plan for the steps necessary to become a PT would help in terms of looking into which schools offer direct paths into their PT programs.”

If you are interested in joining the MRHC team, visit www.mrhcia.com/careers or call (712) 655-2072 for more information.

Struggling with COPD? Try Pulmonary Conditioning

pulmonary conditioning

Do you or a loved one struggle with chronic obstructive pulmonary disease (COPD) or respiratory challenges? A pulmonary conditioning program at MRHC can help individuals manage COPD symptoms and improve their quality of life.

“This integrated form of therapy can be a valuable tool in helping people manage their COPD and live a healthier, more active life,” said MRHC Physical Therapist, Taylor Nelson, PT, DPT. Taylor Nelson, MRHC Physical Therapist

Chronic respiratory conditions, such as COPD, asthma, and pulmonary fibrosis, can significantly impede an individual’s quality of life. These conditions often lead to symptoms like shortness of breath, chronic cough, tightness in the chest, fatigue, and reduced stamina, limiting one’s ability to perform daily activities and affecting their overall health.

Recognizing a need to address these issues, various MRHC departments have collaborated to develop an integrated, specialized pulmonary conditioning program tailored to meet the unique needs of each participant. The program has a multidisciplinary approach, combining exercise training, education, and personalized support to empower individuals to manage their respiratory conditions effectively.

Once a patient’s primary care physician has recommended the need for a pulmonary conditioning program, a respiratory therapist will perform a Pulmonary Function Test (PFT) and gain a baseline understanding of the severity of the individual’s condition. Based on these results, a program will be personalized to meet the patient’s needs and goals.

Key components of a pulmonary conditioning program include:

  1. Individualized Exercise Regimens: Participants undergo comprehensive assessments to evaluate their current respiratory status and physical capabilities. Based on these assessments, personalized exercise regimens are crafted to gradually improve cardiovascular fitness, muscle strength, and endurance. This is the primary component of pulmonary conditioning and is facilitated by a physical therapist. Activities may include aerobic exercise, such as walking or cycling, and strength training. The exercise program will be tailored to individual needs and abilities and designed to maintain independence at home.
  2. Occupational Therapy: If needed, patients may be referred to an occupational therapist if activities of daily living are difficult or if their home is not conducive to their lifestyle. A living assessment may be performed and recommendations for alterations may be made.
  3. Education and Lifestyle Modification: Education plays a pivotal role in empowering individuals to take control of their respiratory health. Participants will gain insights into their condition, learn breathing techniques, and acquire strategies to conserve energy and manage symptoms effectively. Additionally, lifestyle modifications such as smoking cessation, proper nutrition, and stress management are emphasized to promote holistic well-being.
  4. Additional Services & Ongoing Support: Depending upon the condition, patients may also be recommended to a registered dietitian to develop a healthy eating plan to meet nutritional needs or a mental health counselor to help them cope with the emotional challenges of living with COPD. Participants receive continuous support and guidance from a dedicated team of healthcare professionals. Regular progress assessments are conducted to track improvements and make necessary adjustments to the treatment plan, ensuring optimal outcomes.

“Pulmonary conditioning has been proven to be effective in improving many outcomes in people with COPD,” Nelson said. “It can help you improve your ability to exercise without becoming out of breath; control COPD symptoms, like shortness of breath, coughing, and wheezing; improve quality of life by making it easier to perform everyday activities; and reduce the risk of being hospitalized for COPD exacerbations.”

Learn more about how pulmonary conditioning can help with COPD and other interstitial diseases. Contact the MRHC Therapy Department at (712) 655-2072 or your MRHC primary care provider at (712) 655-8100.

MRHC Welcomes New Occupational Therapist, Amy Osbahr

Amy Osbahr

The therapy department at MRHC recently welcomed Amy Osbahr, OTR/L, a new occupational therapist. Trained and certified in an array of specialized therapies and experience working with all ages, Osbahr brings a wealth of knowledge and expertise to MRHC.

“I have treated a wide range of patients from 3 months old to 105 years old,” Osbahr shared, a testament to her commitment to meeting the unique needs of every individual she encounters.

Osbahr is certified in many different areas from neurological rehabilitation (catering to conditions like strokes, cerebral palsy, and multiple sclerosis) to orthopedics (managing joint replacements, wrist pain, sprains, fractures, arthritis, and more). She is also trained/certified in ASTYM treatment, blood flow restriction Therapy (BFR), LSVT-BIG Parkinson’s management, lymphedema treatment, and vestibular rehabilitation. In addition, Osbahr can perform workstation and ergonomics assessments as well as custom wheelchair assessments.

Additional common occupational therapy services include assisting adults who have difficulties with routine care such as brushing their teeth, getting dressed, feeding themselves, or driving to work.

Pediatric therapy is another area of expertise for Osbahr. She can address conditions such as autism, developmental delays, Down syndrome, muscular dystrophy, and more. Osbahr can also help ensure that children are meeting developmental milestones and progressing as they should, as well as helping with handwriting and behavioral health.

“I’m looking forward to using my skills in this new opportunity, and I am thankful to be part of the MRHC team,” said Osbahr.

A graduate of the College of St Mary’s in Omaha, Nebraska, Osbahr has since dedicated herself to the occupational therapy field, gaining a wide array of skills and certifications over her two-decade career. With over 15 years at RehabVisions, Osbahr has had experience with a variety of specialized therapies within inpatient, outpatient, and home health settings.

Her previous roles have been with the Glenwood Resource Center, Methodist Hospital’s ICU and medical floors, and the psychiatric unit at Jennie Edmundson Hospital. She worked on-site at Smithfield, focusing on work-related injuries and rehabilitation. Osbahr has also worked at numerous nursing homes across Southwest Iowa, demonstrating her dedication to reaching and assisting individuals in need throughout the region.

To schedule an occupational therapy appointment, call (712) 655-8100.

Mental Wellness Tips for Happier Holidays

sad old man at Christmas

The holidays are not the same for everyone. This time of year can trigger stress, anxiety, and feelings of loneliness. Some people are excited to share Christmas with loved ones, while others are mourning a loss. Some are out shopping for the perfect gifts, but others may be struggling financially and anxiously checking their bank accounts. Some can’t wait for their yearly Christmas party with friends and family, others may be stressed by just the thought of it.

At MRHC, we recognize the importance of mental well-being, especially this time of year when pressures and stress can intensify. Here are some practical tips you can implement to help prioritize your mental health during the holidays.

Establish realistic expectations. It’s easy to feel pressured to create a picture-perfect holiday. Remember, it’s okay not to meet unrealistic standards. Set achievable goals and focus on enjoying meaningful moments rather than perfection.

Maintain routine and balance. With holiday gatherings and commitments, it’s important to maintain a routine as much as possible, especially when little ones are involved. Prioritize sleep, healthy meals, and regular exercise to help regulate everyone’s mood and energy levels.

Set boundaries. It’s okay to say “no” sometimes. Overcommitting to events or responsibilities can lead to burnout. Establish boundaries to protect your time and mental well-being.

Take care of yourself. Make self-care a priority and engage in activities that will help you relax and reduce stress.

“Try participating in activities that will keep your mind active such as taking a walk, reading, and staying healthy and hydrated. It is important to be kind to yourself,” shared Janet Brus, program director for Senior Life Solutions at MRHC.

Connect and communicate. The holidays can be lonely for some people. Reach out to friends, family, or support groups if you are feeling lonely or vice versa, reach out to those who may be alone during the holidays. Talk to someone about your feelings and let others know they can do the same with you.

Manage finances. Buying presents, food, decorations, and more during the holidays can lead to financial stress. Create a budget and stick to it. Consider thoughtful gestures rather than expensive gifts.

Plan ahead for post-holiday recovery. If you find yourself feeling distressed and overwhelmed with sadness as the seasons change, it may be more than just the winter blues.

“Many of us have days that we don’t feel like ourselves and sometimes the winter months can enhance those feelings,” said Brus. “Be aware of how you are feeling. If you normally get up and perform your normal daily activities and instead find yourself staying in bed longer, not getting dressed, or avoiding activities that normally bring you pleasure, you may be experiencing seasonal affective disorder.” Anticipate the post-holiday blues by scheduling activities or self-care practices to look forward to once the festivities wind down.

For parents with children who will be home during winter break, keep these tips in mind to help their mental well-being.

  • Spend quality time with children.
  • Make sure they are not isolating in their bedrooms.
  • Be present – emotionally as well as physically.
  • Ask them how they are doing and take the time to listen.

“This time during the holidays is a great time to connect with your children and build a close relationship to let them know that you are a safe person they can talk to,” said Hollie Schechinger, LMSW, a designated mental health counselor at MRHC.

Seek Professional Help if Needed

Remember that it’s okay to seek help, take breaks, and prioritize self-care. If feelings of sadness, anxiety, or stress persist and interfere with your daily routine it is important to seek professional help. MRHC offers a variety of mental health support resources. If you or your child are struggling with depression or anxiety, contact your primary care provider for an evaluation. Counseling services are offered in Manning three days a week for individuals 12 and older. Call (712) 655-8100 to schedule an appointment.

For individuals who are 65 and older, MRHC offers group therapy through their Senior Life Solutions program for those suffering from anxiety and depression. Call (712) 655-8262 if you need support.

If the stress and pressure from the holidays have caused you or a loved one to turn to drugs and alcohol to cope, please call the Recovery Center at (712) 655-2300 for help.

If you or someone you know needs immediate assistance with mental health concerns, please contact the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255). You can also call 988 for 24/7, free and confidential support.

Back-to-School Mental Health Tips

back to school tips

As children will soon transition from their summer schedules and head back to school, MRHC shares tips to ensure they are mentally ready and prepared to adjust well to their new routines.

To make the transition back to school easier, Hollie Schechinger, LMSW, a designated mental health counselor at MRHC, recommends starting children’s morning routine a week or so before school starts. She also stresses that communication is a big part of helping children with anxiety and other mental health problems. Hollie Schechinger

“Talk with them about their fears and worries so that you can reassure them that they will be okay,” Schechinger said. “Once school starts, ask them how their day was. Make sure they know that you are a safe person they can talk to. If they look upset or their behavior changes, then have a conversation with them. Just check in with them. Keep that line of communication open with your children. Allow them to feel their emotions, cry, and express themselves.”

Warning signs that a child is not adjusting well or that they are struggling mentally can appear physically or mentally.

“In children, a lot of their anxiety symptoms come out as stomach aches or headaches,” said Schechinger. “If they are complaining of them consistently after school, they may not be adjusting well. If they are sleeping immediately after school for a long period of time or just not having very good behaviors after school these could be signs that they are struggling.”

If you notice these changes in your children and intervention methods you have tried with your child do not seem to be helping, Schechinger offers counseling services in Manning three days a week for individuals 12 and older.

“I provide mental health therapy by using a wide variety of interventions and therapy models,” Schechinger said. “I will sit down with your child and complete an assessment and engage them in conversations. I will then schedule follow-ups to help with coping skills and other interventions to help your child cope with their mental health. Counseling is a safe place for them to share what they are feeling and what is happening in their life. It is also a place where they can share their feelings or learn what their feelings are. Counseling helps people learn how to cope with their mental health concerns so they can live a productive life.”

For parents with children younger than 12 who appear to be struggling, Schechinger recommends taking them for a walk or sitting down and playing with them, so they feel more comfortable talking. She stresses that keeping communication open with your child and making sure they know they can speak with you is important in helping them with their mental health concerns. There are also some child mental health therapists in the area that Schechinger can put parents into contact with if needed.

To schedule a counseling appointment with Schechinger at MRHC, call (712) 655-8100. Referrals are not needed. If you need additional mental health information, education, or would like to discuss support for your child, please contact their primary care physician at (712) 655-2072.

MRHC Welcomes Dedicated Mental Health Provider, Hollie Schechinger

Hollie Schechinger

Hollie SchechingerTo address one of the primary health concerns affecting our rural communities, MRHC is expanding mental health services. Hollie Schechinger, a counselor in the Recovery Center at MRHC, will now be a designated mental health provider offering services in Manning three days a week for those 12 and older starting July 1st, 2023.

“My new position will help expand the availability of mental health services for everyone,” said Schechinger, LMSW. “I will be able to help people in Manning and surrounding communities get the help they need. Mental health services in this area are difficult to get as there are long waiting lists so people struggle to get appointments. My hope is to provide support for people who are just waiting for help.”

In addition to providing mental health services for the general community, Schechinger will also continue working with Recovery Center inpatient clients two days a week.

“I will be providing mental health therapy by using a wide variety of interventions and therapy models,” Schechinger said. “I am very excited about this opportunity and building the availability of mental health services in Manning. I hope we can spread awareness of mental health and the importance of not hiding it. I want to bring more access to mental health services so that those who are staying quiet about their mental health problems can speak out about them.”

Mental health care has always been important to Schechinger, and she is hopeful that her new role will help those in need and change the stigma surrounding mental health.

“I have always wanted to work in healthcare in some way. During high school when we took those career quizzes, I always got therapist. I just have a passion for helping people,” Schechinger shared. “I found that social work would be a great way to help others in the healthcare setting, so after getting my social work feet wet working with troubled youth at Quakerdale in Manning, I really realized how important mental health is. Many people still see mental health as being taboo, but I want people to understand that mental health impacts everyone in multiple ways. That is when I realized I wanted to focus on helping others in mental health.”

A 2009 Coon Rapids-Bayard graduate, Schechinger received a social work degree from Briar Cliff University in 2013. After working at Quakerdale, she worked in the Recovery Center for almost five years before going into Home Health with Carroll Area Nursing Services. She then returned to school to get her master’s in social work with a focus in mental health and trauma from the University of Denver.

“After finishing my degree, I realized I really missed providing therapy, so when a position opened at the Recovery Center, I decided to take it,” said Schechinger. “I spoke with the Director, Taya Vonnahme, about wanting to improve access to mental health services in this community, and she ran with the idea. The amazing administration team at MRHC came together and we came up with the plan of adding a full-time mental health therapist. Having an administration that will help us achieve our career goals is amazing. They really care and want you to succeed. I wanted to expand mental health services, and now less than a year later I am already working on making that goal reality.”

“Hollie is very passionate about helping our community in more ways than we already do,” said Vonnahme, MSN, RN, ARNP, CADC. “She has been working with the Recovery Center in Manning for years, and when she came back, she made it clear that as much as she loves substance abuse that she wanted to do more. I knew we had a great opportunity to provide additional services to our patients and community, so we are very excited to expand mental health services here in Manning.”

In addition to feeling supported in her career goals, Schechinger shares that working at MRHC is fulfilling in other ways as well.

“Working at MRHC is almost like having another family,” Schechinger shared. “I believe it speaks volumes that I worked here for 4.5 years and eventually decided to come back. We are very team-oriented, close with one another, and help each other out. Everyone is very encouraging and helpful in many ways even if they don’t work in the same department. We are all here to work together to help ensure patient safety and needs are met.”

To schedule a mental health appointment, call (712) 655-8100. Referrals are not needed. If you need additional mental health information, education, or would like to discuss support, please contact your primary care physician at (712) 655-2072. For those 65 and older, call Senior Life Solutions at (712) 655-8262. Or call the Manning Recovery Center at (712) 655-2300 and talk to a professional.

Senior Life Solutions Awarded 2022 Training Site and Program Finalist of the Year

Senior Life Solutions awards

MRHC is pleased to announce that the hospital’s Senior Life Solutions program has received the 2022 Training Site and Program Finalist of the Year awards. Senior Life Solutions Program Director, Janet Brus, RN; Program Therapist Amy Hull, LISW; and Office and Patient Coordinator, Cathy Dammann were surprised and presented with these awards on Thursday, March 16th. Senior Life Solutions awards

Senior Life Solutions is managed by Psychiatric Medical Care (PMC), which partners with more than 100 facilities nationwide to provide behavioral healthcare management services. Top-performing employees and Senior Life Solutions programs from around the country are recognized annually based on their excellence in demonstrating the program’s values of care, compliance, and community. Award recipients demonstrate outstanding patient care, excellent comprehension and execution of compliance regulations, and strong community engagement.

“This is truly an honor,” said Senior Life Solutions Program Director, Janet Brus. “We work hard to provide a quality service for the hospital and our patients. They are the reason we are here. We love what we do.”

Senior Life Solutions is a program designed to meet the unique needs of individuals, 65 and older, experiencing symptoms of age-related depression or anxiety, dealing with difficult life transitions, a recent health diagnosis, or the loss of a loved one. MRHC’s Senior Life Solutions program staff includes a board-certified psychiatrist, a nurse practitioner, a licensed therapist, a registered nurse, and other trained professionals dedicated to the well-being of seniors and that each patient receives the best possible care.

The Senior Life Solutions area at MRHC was recently renovated and expanded to include a dedicated group therapy meeting room with state-of-the-art audio-visual capabilities that allow for patients to join remotely. Dedicated offices are also available for the therapist and psychiatrist to meet one-on-one with patients.

Families, friends, community members, physicians, self-referrals, or other health professionals can refer people to the program. For more information, education, or to discuss support, please call 712-655-8262.

Psychiatric Medical Care

MRHC’s Senior Life Solutions program is managed by Psychiatric Medical Care (PMC). Founded in 2003, PMC is a leading behavioral healthcare management company. Focused on addressing the needs of rural and underserved communities, PMC manages inpatient behavioral health units, intensive outpatient programs, and telehealth services in more than 30 states. The company’s services provide evaluation and treatment for patients suffering from depression, anxiety, mood disorders, memory problems, post-traumatic stress disorder, and other behavioral health problems. For more information, visit www.seniorlifesolutions.com.

MRHC Helps Individuals Live at Home Longer with Occupational Therapy

aging in place

90% of older adults want to stay in their homes as they age. Occupational therapy at MRHC can help promote aging in place to help individuals live, work, and play more independently. Therapy treatments can help with aging in place by promoting independence and safety to make activities of daily living more doable.

Aging in place refers to an individual making a conscious decision to live in the residence of their choice for as long as they can with the comforts that are important to them. As they age, adding supplementary services to facilitate their living conditions and maintain their quality of life may be necessary. These could include assistance with personal care, household chores, making meals, money management, or health care.

Family members should consider the following questions when determining the best course of action for an aging adult:

  • What is the ideal way for them to spend their retired years?
  • What type of home environment do you see them living in – individual, community, assisted?
  • What special health care requirements are needed or anticipated?
  • What other types of supplementary services are needed?
  • What options are available in case of emergencies, life changing events, accidents, etc.?

MRHC Occupational Therapists remind individuals that aging in place does not mean that you need to do everything yourself. You can choose to do as little or as much as you want, can, and are capable of.

Occupational therapy at MRHC is available for people of all ages who need specialized assistance to lead independent, productive, and satisfying lives. Services can promote independence and aging in place by assisting with the following:

  • Getting around (adaptive devices: cane, walker, wheelchair)
  • Safety concerns and fall prevention
  • Home modifications (grab bars, lighting, and toilet risers)
  • Cooking
  • Laundry
  • Showering
  • Shopping
  • Medications
  • Cognition and memory
  • Muscle strengthening
  • Balance.

A doctor’s referral is required to be seen by an occupational therapist.

In addition to occupational therapy, MRHC provides a variety of other services to help community members live at home longer. Physical therapy is beneficial for those who are suffering from an injury, recovering from surgery, or dealing with any sort of acute or chronic pain. Senior Life Solutions offers an outpatient group counseling program to meet unique needs of adults over 65 struggling with depression and anxiety, often related to aging. Residential and outpatient medical care, behavioral therapy, and social support to enable a healthy lifestyle free from drugs and alcohol is available through the Recovery Center.

If you or a loved one would benefit from services that enable you to live at home longer, schedule an appointment with your primary care provider at MRHC by calling (712) 655-8100. To learn more about occupational therapy services, click here.