Kloster Grafschaft

KLOSTER GRAFSCHAFT

KKrkhs_Kloster_engl_Kurzversion.i1rkhs_Kloster_engl_Kurzversion.i1 1 004.12.20084.12.2008 14:59:5014:59:50 UhrUhr INFORMATION

CLINIC MANAGEMENT CONTACT

Prof. Dr. med. Dieter Köhler Telephone Medical director switchboard +492972/791-00

Werner Ernst Fax +492972/791-1155 Administrative director E-mail [email protected] Anna-Maria Hanses Nursing service management www.krankenhaus-klostergrafschaft.de Sister M. Theodora Reverend Mother Secretarial ofﬁ ce of the chief physician Legal entity of Kloster Grafschaft specialist Pneumology I and hospital is the ”Kongregation der Barm- Pneumology II herzigen Schwestern vom heiligen Karl Phone +492972/791-2501 Borromäus” [Congregation of the merciful Fax -2526 nuns of the holy Karl Borromäus] Secretarial ofﬁ ce of the (for more detailed information about the chief physician congregation of nuns please refer to page 14) Allergology Phone +492972/791-2601 Fax -2602 MEDICAL CARE CENTRE Admission of patients (MVZ) Phone +492972/791-1151 at Kloster Grafschaft specialist hospital GmbH Fax -1161

Administration The medical care centre is a subsidiary of Kloster Grafschaft specialist Phone +492972/791-00 hospital for the outpatient care of patients with statutory health insurance Fax -1010 and privately insured patients.

Practice for Practice for For inpatient hospital treatment we lung and bronchial medicine allergology require a hospital admission form from your general practitioner or Dr. med. Peter Kemper Dr. med. Friedrich W. Riffelmann specialist. Phone +492972/791-2542 Phone +492972/791-2601 Fax +492972/791-2544 Fax +492972/791-2602 We settle the costs with all statutory and private insurance funds in Please bring your insurance card with you for the treatment. the ﬁ eld of inpatient as well as outpatient treatment. 2

KKrkhs_Kloster_engl_Kurzversion.i2rkhs_Kloster_engl_Kurzversion.i2 2 004.12.20084.12.2008 14:59:5514:59:55 UhrUhr RANGE OF MEDICAL SERVICES INTERNAL ACUTE MEDICINE WITH THE FOLLOWING FOCUSES Besides the focus on lung diseases, Kloster Grafschaft specialist hospital Pneumology II particularly also cares for internal Dr. med. Peter Haidl diseases in the regional environment. - General pneumology Pneumology I with oncology These include diseases in the ﬁ elds Prof. Dr. med. Dieter Köhler - internal medicine of gastroenterology, cardiology, - Intensive care medicine and oncology, nephrology and endo- weaning (weaning from artiﬁ cial crinology. respiration) - Early rehabilitation after long-term This extensive diagnosis is only respiration possible owing to our excellent - Sleep medicine and respiration Allergology technical equipment and personnel, at home Dr. med. Friedrich W. Riffelmann in particular owing to our large - Respiratory tracts, skin internal intensive care ward. - Food allergies - Contact allergies - Allergies against insect poison - Hyposensitisation

KKrkhs_Kloster_engl_Kurzversion.i3rkhs_Kloster_engl_Kurzversion.i3 3 004.12.20084.12.2008 15:00:0715:00:07 UhrUhr PNEUMOLOGY

PNEUMOLOGY … … GENERAL possibilities will be discussed with you. An extensive lung function LUNG DISEASES examination will often be necessary. X-rays of the lung are Also important The department of lung medicine (helpful: to bring previous x-rays for (pneumology) supervises more than comparison), if applicable a com- 4,000 patients each year. The focus- puter tomography will be required. es of the treatment are placed upon A bronchoscopy (endoscopy of the the following clinical pictures: respiratory tracts) may be neces- - Chronic obstructive bronchitis sary in order to clarify a chronic - Lung emphysema cough, if a tumour of the bronchia - Bronchial asthma or the lung is suspected, and for the - Lung cancer therapeutic suction of very thick - Lung ﬁ brosis bronchial mucus. - Chronic persistent cough For example, the functional ca- pability of the cilia of the mucous The department has special compe- membrane in the respiratory tract tence in the assessment and training can be measured in the department of inhalation therapies. for nuclear medicine, the disorder of which is often the cause for the After the examination by the ward chronic cough. doctor upon admission, the necessary examinations and treatment 4

KKrkhs_Kloster_engl_Kurzversion.i4rkhs_Kloster_engl_Kurzversion.i4 4 004.12.20084.12.2008 15:00:2415:00:24 UhrUhr ....INTENSIVE CARE MEDICINE AND WEANING

Kloster Grafschaft hospital has an In approx. two-thirds of the cases, intensive care department with 14 we succeed in weaning the patients beds. All internal emergency diseases from the mechanical respiration and (heart attack, stroke, lung embolism, thus enable the often seriously gastro-intestinal bleeding, etc.) can ill patient to return to a home envi- be treated here according to the latest ronment. The relatives of the patient medical knowledge. are integrated into the treatment A special focus of the hospital is the concept. A limited number of rooms supervision and so-called weaning of are available on the clinic site for patients after long-term respiration. relatives. After the successful weaning During the weaning from the respira- there is often a further need for tory machine, the patient should be therapy in the form of non-invasive placed in the position to breathe on respiration (mask respiration) and his own again. physiotherapy. For this purpose, Kloster Grafschaft hospital is one of depending on the condition, the the largest respiration and weaning patient can be moved to the early centres in Germany. Approx. 200 rehabilitation department, which patients, who received long-term is afﬁ liated with the hospital, after respiration treatment, and who are the long-term respiration, or to the transferred to us from intensive specialist ward for initiation of home care wards of other acute medicine respiration. hospitals from all over Germany, are supervised each year. 5

KKrkhs_Kloster_engl_Kurzversion.i5rkhs_Kloster_engl_Kurzversion.i5 5 004.12.20084.12.2008 15:00:4115:00:41 UhrUhr PNEUMOLOGY

...EARLY REHABILITATION AFTER From the start, our team, which covers several specialist ﬁ elds, starts LONG-TERM RESPIRATION out with individually coordinated therapy measures parallel to the After the intensive-care acute comprehensive medical therapy. treatment the patients will continue Our team is composed of specialist to be cared for in the department of doctors, specialist nurses, especially early rehabilitation after long-term trained physio-, logo-, ergo- and respiration. The early rehabilitation wound therapists as well as a speci- department has been in existence alist in nursing transition. since March 2005 and offers 20 beds.

It is often not yet possible to move the patients to further rehabilitation clinics owing to the seriousness of the disease and/or owing to the respiration. To a large extent, the success of the therapy depends on the rehabilitation therapeutic measures beginning as early as possible after the event which triggered off the condition.

KKrkhs_Kloster_engl_Kurzversion.i6rkhs_Kloster_engl_Kurzversion.i6 6 004.12.20084.12.2008 15:00:5315:00:53 UhrUhr Relatives are integrated into the rehabilitation process and can also be accommodated in the patient’s room. The necessary therapy measures, which are required at home, will be explained in detail (e.g. handling of respiratory devices, cough-up techniques, assistance in the daily routine). Safety and inde- pendence can thus be conveyed for Psychologists, psychotherapists, the home environment. The aim of neurologists, ear, nose and throat these measures, which cover several specialists, etc. will be consulted if specialist ﬁ elds, is to discharge the required. An efﬁ cient therapy plan patient into an independent and is drawn up in dialogue with the self-determined life as far as this is patient and in coordination with possible in his or her condition. his social environment. Extensive rehabilitative measures are carried out by using special aids. If required, modern medical technology (e.g. monitor supervision or respiratory devices) will be used.

KKrkhs_Kloster_engl_Kurzversion.i7rkhs_Kloster_engl_Kurzversion.i7 7 004.12.20084.12.2008 15:01:1315:01:13 UhrUhr PNEUMOLOGY

...SLEEP MEDICINE AND The focus of our interest is especially placed on diseases which disturb RESPIRATION AT HOME the sleep in many different ways:

Since 1987, we have operated a - Obstructive or central sleep apnoea sleep laboratory in our house with - Restless legs syndrome currently more than 20 measure- - Periodic breathing ment places. The patients are - Cheyne-Stokes breathing supervised by our employees day - Chronic respiratory and ventilatory and night. Using state-of-the-art insufﬁ ciency technology we are in the position - Obesitas hypoventilation syndrome to diagnose and treat diseases of breathing during sleep.

We are one of the largest and most- experienced sleep laboratories in Germany.

KKrkhs_Kloster_engl_Kurzversion.i8rkhs_Kloster_engl_Kurzversion.i8 8 004.12.20084.12.2008 15:01:2915:01:29 UhrUhr Frequent sleep apnoea (respiratory Sleeplessness which is described arrest) in patients with healthy as insomnia, triggered off through lungs is often accompanied by loud increased leg or arm movements snoring and fatigue during the day. It during the night, can be treated well is caused by obstruction, or closure, using a therapy with medication. of the breathing in the area of the pharynx. It is possible to help almost Depending on the clinical picture, all of these patients to a large extent. the breathing dysfunctions are treated with medication, with oxygen, Hypoventilation (ﬂ at breathing) in or with small state-of-the-art respi- patients with lung diseases often ratory devices. After mostly just a occurs owing to advanced chronic few days/nights of acclimatisation, bronchitis, lung emphysemas, our patients can borrow a respira- considerable excess weight, tory device for several weeks. They condition after tuberculosis or can then gain further experience at paralytic diseases. home before it is ﬁ nally prescribed. These patients can be helped in the long-term through respiration at home.

KKrkhs_Kloster_engl_Kurzversion.i9rkhs_Kloster_engl_Kurzversion.i9 9 004.12.20084.12.2008 15:01:4415:01:44 UhrUhr ALLERGOLOGY

ALLERGOLOGY The skin and blood tests often fail to provide any useful results, in particular with food intolerances that are becoming more and more The department of allergology at frequent. The decisive factor in Kloster Grafschaft specialist hospital the diagnosis includes various diet has been in existence since 1982. measures and the specifi c intake of Approx. 3,000 patients are treated the suspected foods, additives or both as outpatients and inpatients other allergens. In particular, the each year. We are one of the few diagnosis of food intolerances and clinics in Germany to cover the allergies has become a focus of our whole specialist fi eld of allergology. department of allergology in the The diagnostic measures are past few years. stipulated by taking into account each individual case. However, a symptomatic therapy is often also necessary at fi rst in order to relieve the complaints.

KKrkhs_Kloster_engl_Kurzversion.i10rkhs_Kloster_engl_Kurzversion.i10 1010 004.12.20084.12.2008 15:01:5215:01:52 UhrUhr Frequent allergic diseases include Our department of allergology e.g.: offers the possibility for diet advice, Diseases of the respiratory tract: mediation of contact to the German - Bronchial asthma allergy and asthma association and - Chronic allergic cold to dieticians who are familiar with - Chronic allergic nasal cavity and supervising persons suffering from sinus infection food allergies. - Hay fever Skin diseases: Upon discharge, the patient is given - Neurodermatitis, eczema individually compiled information - Allergic exanthema material. It goes without saying that - Urticaria good cooperation with the doctor or - Quincke oedema general practitioner who admitted - Contact allergies the patient is important to us. Drug intolerance, drug allergy Food allergies and intolerances - Irritated bowel syndrome - Chronic diarrhoea Insect poison allergies Hyposensitisation (speciﬁ c immune therapy).

KKrkhs_Kloster_engl_Kurzversion.i11rkhs_Kloster_engl_Kurzversion.i11 1111 004.12.20084.12.2008 15:02:0915:02:09 UhrUhr DIRECTIONS

von Münster DORTMUND Werl Erwitte von Holland 44 Wünnenberg AND THIS IS HOW TO FIND US: 33 Haaren AB-Kreuz AB-Kreuz Abfahrt Warstein Unna Werl Meschede By car: see sketch opposite. 1 Meschede 46 Westhofener Freienohl 7 Düsseldorf Kreuz Brilon Wuppertal By rail: railway connection to Lennestadt- Olsberg

Iserlohn Altenhundem or Meschede. Continue the Kirchrarbach Bremke Bödefeld von Kassel Hagen Eslohe Dorlar journey from there by bus to Grafschaft. 55 511 Bad Fredeburg Nordenau Berghausen Winterberg Oedingen Bracht Wormbach Gleidorf Westfeld Lüdenscheid 45 Schmallenberg Oberkirchen 236 Grafschaft Fleckenberg Abfahrt Olpe Bad Berleburg Lennestadt Olpe

AB-Kreuz 4 Wenden

von Köln von Frankfurt Siegen

Fachkrankenhaus Kloster Grafschaft Annostrasse 1 57392 Schmallenberg-Grafschaft Germany Telefon +492972/791-00 Telefax +492972/791-1155 E-Mail: [email protected] www.krankenhaus-klostergrafschaft.de

KKrkhs_Kloster_engl_Kurzversion.i12rkhs_Kloster_engl_Kurzversion.i12 1212 004.12.20084.12.2008 15:02:1715:02:17 UhrUhr