Extended Care and Rehabilitation - John D. Dingell VA Medical Center, Detroit, Michigan
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John D. Dingell VA Medical Center, Detroit, Michigan

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Extended Care and Rehabilitation

The Geriatrics, Extended Care and Rehabilitation Program at the John D. Dingell VA Medical Center in Detroit is composed of three areas:

  • Audiology and Speech Pathology
  • Geriatrics
  • Physical Medicine and Rehabilitation (PM&R)

Services Offered:

Audiology and Speech Pathology
Audiology and Speech Pathology offers the following services:

  • Hearing evaluations and provision of hearing aids
  • Evaluation and treatment of balance disorders
  • Evaluation and treatment of speech and language disorders
  • Laryngeal imaging

A wide range of inpatient and outpatient programs are available including:

  • Hospice and Palliative Care Team- The care of all residents is directed toward optimizing dignity and quality of life for the individual. Pain is appropriately and aggressively managed. The resident and his/her family are supported by all staff through the process of dealing with loss, grief and dying. Special consideration is given to spiritual and psychosocial concerns and symptom control.
  • Short Term Skilled Nursing Home Care (Rehab, Hospice, and Intermediate Care) - The primary function of the Short Stay Skilled CLC is to provide an appropriate therapeutic sub acute setting for eligible patients who need completion of care for disease or conditions of a sub acute or chronic nature.
  • Long Term Community Living (Nursing Home) Centers - This unit provides the quality of long term care designed to promote, restore and maintain an optimum level of health care and to assist the residents and their family members.The staff is made up of professionals with the authority, training and responsibility to coordinate and collaborate in the development of the resident's individualized plan of care.

Physical Medicine and Rehabilitation (PM&R)
A variety of rehabilitative services are available through PM&R including:

  • Electromyography
  • Occupational therapy
  • Physical therapy
  • Recreation and creative arts therapy
  • Rehabilitation medicine
  • Specialized services to Veterans in need of rehabilitation following amputation, stroke, traumatic brain injury, and spinal cord injury
  • Rehabilitation - Provides CARF (Commission on Accreditation of Rehab Facilitation) accredited acute rehab services to medical and/or rehabilitation patients that require comprehensive, outcome-based interdisciplinary team administered care. It is designed for Veterans who require a more intense therapy to increase their ability to perform activities of daily living. Level of care is less than the acute care provided in a hospital and more intense than the skilled nursing care provided in a traditional nursing facility

Veterans and Volunteers doing a little planting. 
Volunteers provide recreation and comfort to CLC residents at the Detroit VAMC.

Occupational Therapy
Occupational therapists and occupational therapy assistants assist adults of all ages to maintain or improve their ability to provide self-care as well as participate in various activities they either want or need to perform everyday activities such as dressing, bathing, etc..

Occupational therapy services typically include:

  • An individualized evaluation, during which the client/family and occupational therapist determine the person’s goals.
  • Customized intervention to improve the person’s ability to perform daily activities and reach the goals,
  • An outcomes evaluation to ensure that the goals are being met and/or make changes to the intervention plan.
  • Occupational therapy services may include comprehensive evaluations of the Veteran’s ability to perform self-care in the home environments (e.g., bathroom, kitchen, bedroom),
  • Make recommendations for adaptive equipment and training in its use, and guidance and education for family members and caregivers.


Physical Therapy

Physical therapists and Physical therapy assistant are providers of a clinical health science that is aimed at helping patients maintain, recover or improve their physical abilities by identifying and maximizing quality of life and movement potential through the prevention, intervention (treatment), promotion, habitation (enabling someone capable of doing something).

Physical therapist evaluates each patient for a wide range of physical problems linked to different body systems to include:

  • Neuromuscular
  • Musculoskeletal
  • Cardiovascular
  • Respiratory

A physical therapist provides services that help patients who have an injury or disease.

  • restore function
  • improve mobility
  • relieve pain
  • prevent permanent disabilities
  • limit permanent disabilities

The main goal of physical therapy is to help each patient attain the highest level of functioning, assist with pain management through exercise/flexibility improvement and to optimize overall fitness level which contributes to overall wellbeing.

Learn More

Location of Service in Medical Center:


  • Audiology and Speech Pathology - C2601
  • Geriatrics- A5 South, A6 South and A6 North
  • Physical Medicine and Rehabilitation (PM&R) - C2526

Contact information:

Barbara Siepierski, MD, Associate Chief of Staff, GEC, 313-576-1000, ext. 65757

Physical Medicine and Rehabilitation (PM&R)
Esther Reynolds, DPT, Rehab Coordinator, 313-576-1000, ext. 64555

Audiology and Speech Pathology
Lisa Walter, AuD, Audiology/Speech Supervisor, 313-576-1000, ext. 65103

Hours of Operation:


  • Audiology and Speech Pathology Clinic: Monday - Friday, 7:30 a.m. - 6:00 p.m.
  • Geriatrics , Monday - Friday, 7:30 a.m. - 4:30 p.m.
  • Physical Therapy Clinic: Monday – Friday, 7:30 a.m. - 4:30 p.m.

Contact Info


  • Physical Medicine and Rehabilitation - C2526
    Audiology and Speech Pathology - C2601
    Geriatrics- A5 South, A6 South and A6 North

Contact Number(s)

  • 313-576-1000 Ext. 64555
  • 313-576-1000 Ext. 65103

Hours of Operation

  • Physical Therapy and Geriatrics - Monday - Friday, 7:30 a.m. to 4:30 p.m.
    Audiology and Speech Pathology - Monday - Friday, 7:30 a.m. to 6:00 p.m.