With your doctor's referral, Prairie Lakes can provide inpatient physical, occupational and speech therapy. Therapists help improve your strength, flexibility, pain, balance and activity tolerance. We bring this therapy right to your hospital room or work with you at the inpatient therapy gym on the hospital's second floor.

The goals are to improve your functional mobility, help you make a safe transition from hospital to home and to help coordinate the aftercare services and equipment you might need upon discharge.

Assess, train, educate

Our process begins with a thorough assessment by our therapy team. We show you and your caregivers how to use assistive devices. We show you how to modify your home. We show you how to prevent falls and conserve energy.

  • Physical therapy improves mobility -- walking on level surfaces, climbing stairs and other daily functions. Therapist work with patients on balance, strength, range of motion and activity tolerance. Therapist may also be involved in pain control and fitting the patient for assistive devices.
  • Occupational therapy focuses on training in Activities of Daily Living -- ADLs, for short. We also educate patients about use of adaptive equipment, activity strengthening, fine motor control, improving activity tolerance and managing the effects of lymphedema.
  • Speech pathology involves treatment and evaluation of swallowing problems and cognitive issues as well as problems with speech expression and comprehension.

 

Care you need -- with the comforts of home

When recovering from joint-replacement surgery, a stroke, congestive heart failure, COPD or other condition, most patients would rather stay in the familiar surroundings of their homes. Research has shown that many patients actually recuperate faster at home. Prairie Lakes Home Therapy is is a service that gives you that option -- safely and effectively.

How it works
Working as a team, our therapists, nurses and aides design a home therapy plan suited to your specific needs. Then therapists come to your home to help you follow it. They train your family and caregivers on how to help. Nursing care is also available, and aides can handle personal care, linen changes and additional exercises.

Is this covered?
Medicare and most private insurances will cover in-home rehabilitative therapy. When you reach a certain recovery milestone, you continue your rehabilitation in the Rehab Department on the Prairie Lakes Healthcare System campus. Your inpatient social worker or therapist can help define your eligibility for home therapy.

What to expect

  • Up to five visits per week by a physical or occupational therapist
  • Occupational therapy training for daily living and postoperative home care
  • Fall prevention training
  • Home safety and family training
  • Speech therapy for swallowing and speech issues
  • Intermittent nursing visits for dressing changes, assessments, blood draws, etc.
  • Pain management
  • Daily assistance with personal and bathing needs as often as once per day
  • Additional private pay options available

Home Health Therapy coinsides wtih other home care services. You will need to have a caregiver who can help with meals, housekeeping, support and help when the home care staff aren't present. See more Home Care Services or Home Connections personal care services.

For more information about in-home services, contact Prairie Lakes Home Health at 605-882-7745.

It is natural to feel like staying in your home as you age and become more dependent on others. If you need just a little "extra help," our in-home personal care services are available. 

Home Connections is a private home care agency that operates in Codington, Clark, Deuel, Grant, Roberts, Day and Hamlin counties. Registered nurses and trained staff work together to help you in your home while providing a direct link to your physicians. 

Let us help with:

  • Personal Care Services
    • Bathing
    • Meal planning
    • Nutritional support for special diets
  • Companionship Services
  • Housekeeping/Household Management Services
  • Supportive Care
  • Nursing
    • Toe nail trims
    • Medication Management
    • Screens like blood pressure reading
  • Therapy
    • Home safety assessment
    • Fall risk assessment
    • Home exercise programs
    • Safety and activities of daily living plans/interventions
    • Incontinence interventions and exercise programs
    • Assistive device assessments and interventions

Prairie Lakes Home Connections does just that; keeps you connected to your home by providing an array of services that can allow you to remain safely independent in your home.  Let us help you stay connected, call 605-882-7841. In the Sisseton area, call 605-698-4413.

Published in Home Care

The American Cancer Society recommends those at average risk* for colorectal cancer to start regular screenings at age 45. A colonoscopy doesn’t take a lot of time, but this simple procedure offers a big payback: peace of mind. Colorectal cancer is deadly, but treatable if it’s caught early. The majority of colonoscopic exams turn up no lesions at all, and in many other cases polyps and other suspicious growths can be removed during the colonoscopy.

A colonoscopy is an endoscopic examination of the rectum, colon and part of the small intestine. A tiny camera on the end of a long flexible tube, lets the doctor perform a non-surgical, real-time examination of your colon.

The entire procedure takes little more than a couple of hours. The biggest challenge is the preparation beforehand, and it’s important to follow the prep directions carefully. Sedation or anesthesia ensures that the process is painless. You wake up a short time later, and you’re soon ready to go home.

*According to the American Cancer Society, people are considered to be at average risk if they do not have:

  • A personal history of colorectal cancer or certain types of polyps
  • A family history of colorectal cancer
  • A personal history of inflammatory bowel disease (ulcerative colitis or Crohn’s disease)
  • A confirmed or suspected hereditary colorectal cancer syndrome, such as familial adenomatous polyposis (FAP) or Lynch syndrome (hereditary non-polyposis colon cancer or HNPCC)
  • A personal history of getting radiation to the abdomen (belly) or pelvic area to treat a prior cancer

Direct Access Colonoscopy

If you qualify, a Direct Access Colonoscopy can save you time and money since a separate consultation visit is not needed.

NOTE: This program is only available for colonoscopies in the Watertown, South Dakota service area.

Contact us to see if you qualify for a Direct Access Colonoscopy. Just fill out the form below or call the General Surgery Clinic at 605-882-6852 to talk to a nurse.

Fields marked with * are required
Direct Access Colonoscopy is available only in the Watertown, South Dakota service area.

Note: Upon submission of this form, a nurse will contact you to discuss if you qualify for a Direct Access Colonoscopy.

Published in Surgical Services
Prairie Lakes Healthcare System has become a leading provider in this region for diagnostic and interventional angiogram procedures to find and treat blockages or narrowing of blood vessels, often the arteries that supply blood to the heart muscle.

 
During the procedure, a dye that is visible on X-ray is injected into your arteries or veins. The X-ray will quickly show where the problems are. If it is a diagnostic procedure only, that information will be used by your medical team to devise a course of treatment. However, you can also receive treatment during the same procedure. The doctor will run a tiny tube to through your blood vessels to the site of the blockage, then insert a small permanent tube called a stent to open the artery and keep it open.
 
The diagnostic angiogram leaves no traces at all. The interventional angiogram's only evidence is a small incision at the point of entry, usually the thigh. And restoring the flow of blood to the heart has immediate benefits. Patients often report feeling healthier and more energetic as soon as the procedure is done.
Published in Surgical Services

Breast cancer remains the most frequently diagnosed cancer in women. Early detection through regular mammograms, improved screening methods, clinical and self exams are saving thousands of lives every year. If a lump deep inside the breast shows up on a mammogram, your doctor can order a minimally invasive breast biopsy. 

When a lump is detected, many have thoughts of uncertainty. Prairie Lakes can help patients through this uncertain time and assist in keeping appointments close to home. A minimally invasive breast biopsy can provide a very early diagnosis before breast tumors have a chance to fully develop. Many times these procedures can be scheduled for the next day with no referral by calling the Prairie Lakes General Surgery Clinic at 605-882-6850.

Minimally invasive procedures leave little to no scarring and can be performed in less than an hour. The removed tissue is then analyzed in town at the Prairie Lakes Laboratory for quick results.

About Minimally Invasive Breast Biopsies

Minimally invasive procedures are much less invasive than surgical biopsies. Most importantly, they can provide a very early warning before breast tumors have a chance to fully develop.

  • Stereotactic mammography pinpoints the exact location of a breast lesion by using a computer and images taken from two different angles. Using these computer coordinates, a needle is inserted through the skin and is advanced into the lesion. Tissue samples are removed with a vacuum assisted core biopsy device.
  • In ultrasound-guided breast biopsy, ultrasound imaging is used to help guide the biopsy vacuum-assisted core biopsy device to the site of the abnormal growth

And it's important to remember that most women who have a biopsy are not diagnosed with cancer. More than 80 percent of all breast lesions identified for biopsy are diagnosed benign or noncancerous and present no health risk to the patient.

 

What is a Core Biopsy?

A Core Biopsy is the removal of a small piece of tissue for microscopic examination to study the makeup of cells. The entire procedure usually takes about 30 minutes and is completed in five steps:

  1. Imaging the breast to identify the biopsy area.
  2. Numbing the breast with medicine.
  3. Inserting the biopsy device in the breast to retrieve tissue samples
  4. Performing the biopsy.
  5. Marking the biopsy site for future reference. Depending on the imaging system used to help guide your biopsy, you may have your breast compressed similarly to the compression used during a mammogram, or a gel may be applied if ultrasound imaging is used.

Understanding Your Procedure

Before Your Procedure

You should inform your doctor of any medications you are currently taking whether prescription or over-the-counter. This includes aspirin, ibuprofen, blood thinners such as Coumadin, natural herbs, vitamin E and other vitamins. Some of these medications may need to be temporarily stopped several days prior to your biopsy. Also, list any allergies you may have. Let your doctor know if you are allergic to local anesthetics, tape, betadine or metal.

During Your Procedure

Note: If you are having an MRI-guided biopsy procedure, you will have an IV inserted into your arm so that a contrast agent can be used to see small details in the breast tissue.

After you have been properly positioned for your biopsy, your physician and a technologist will image the breast and locate the area to be biopsied. Your skin will be cleansed with antiseptic and the area to be biopsied will be numbed. Sometimes, a very small nick is made in the skin to help the biopsy device enter the breast with ease. You may feel some pressure as the device is positioned, but most women report feeling no pain.

The actual biopsy will take a very short time. Multiple samples will be taken. You may hear a "beep" or "click" as tissue samples are collected. The doctor may place a marker in the tissue at the biopsy site for future reference to identify the exact location of the biopsy. The marker is made of titanium and poses no health or safety risk. You will not feel or notice the marker after placement.

After your procedure

Pressure will be applied to the biopsy site to help prevent bruising. This usually takes only a few minutes. A small adhesive bandage or adhesive gel will be placed over the nick and you will be provided with a cold pack to apply over the biopsy site. In some instances, a compression wrap bandage may be placed around the chest to minimize chances of swelling or bruising. The collected tissue samples will be sent to the lab for analysis.

The doctor may prescribe a non-aspirin pain reliever to help alleviate any possible discomfort and detailed post-biopsy instructions will be provided. Most women can resume normal daily activities within 24 hours following their procedure. Your doctor will contact you after receiving your biopsy results and then instruct you on any followup care that may be necessary.


Frequently Asked Questions

Q: How much breast tissue will be removed? A: Only the necessary amount of tissue needed to ensure an accurate diagnosis.

Q: How long will the biopsy take? A: Biopsy time varies from case to case. The average biopsy procedure takes 30 - 45 minutes from the time you enter the exam room until the time you leave the hospital.

Q: Will I have a scar? A: Visible evidence of where the biopsy device was inserted into the breast is extremely small and fades to a natural skin tone over time.

Q: Will I experience any pain during the procedure? A: You might feel a slight sting or pinch when the numbing medication is being inserted into the breast. Numbing the breast prior to the biopsy causes the rest of the procedure to be relatively pain free, however you may feel some pressure or pinching during the actual biopsy.

Q: What possible side effects should I know about? A: Your breast may be slightly tender and you may experience some mild bruising at the biopsy site. You will be provided with post-biopsy care instructions.

Fact: Most women who have a biopsy are not diagnosed with cancer. More than 80% of all breast lesions identified for biopsy are diagnosed benign or noncancerous and present no health risk to the patient.

 

Published in Surgical Services

Ultrasound technology uses sound waves for a safe, non-invasive way to “see” inside the body.  The sound waves are used to produce images of the internal organs, blood vessels and tissues of the body.  Ultrasound technology offers incredible clarity, accuracy and precision to provide optimal images for the Radiologist or Cardiologist to interpret.

Prairie Lakes offers multiple types of Ultrasound imaging, including gynecologic, abdominal, vascular and cardiac.  Stroke screening studies are also available to visualize the carotid arteries, aorta and leg vessels to aid in the detection of potentially life-threatening conditions or pre-stroke symptoms.

General Ultrasound (Abdominal/Gynecologic)

What should I expect?

A small transducer with water based gel is placed directly onto your skin.  Images are produced when the sound waves are directed into the body and then reflected back to the transducer that measures and computes them.

How long will the exam take?

The average general ultrasound exam takes about 30 minutes to perform.  Some exams may take longer due to the complexity of the exam such as additional detailed images, measurements and number of organs being measured.

After your exam, your images will be sent to a highly trained, board certified Radiologist for interpretation and dictation.  A final report will be sent directly to your ordering physician’s office.

Vascular Ultrasound

What should I expect?

A small transducer with water based gel is placed directly onto your skin.  Images are produced when the sound waves are directed into the body and then reflected back to the transducer that measures and computes them.  Blood pressure tests using continuous wave Doppler are also performed to check the circulation of the blood in the extremities.

Published in Radiology

Nuclear Medicine uses small amounts of radioactive materials called radiopharmaceuticals or radiotracers that are either injected, inhaled, or swallowed.  These radiopharmaceuticals are used to help in the diagnosis and treatment of heart, gastrointestinal, endocrine, bone, lung, renal disease, and many types of cancer.

How it works

Nuclear Medicine uses a special camera called a Gamma camera. The gamma camera itself does not give off any type of radiation. The radiopharmaceutical that is given to the patient gives off a small amount of energy in the form of gamma rays. The gamma camera detects this energy, and with the help of a computer, creates pictures that give both the structure and function of the organs and tissues in the body that are being scanned.

What can I expect during my Nuclear Medicine exam?

Nuclear Medicine procedures are usually performed as an outpatient, but occasionally also performed on hospitalized patients as well.  When you arrive at the hospital you will be sent to the radiology department where the nuclear medicine department is also located. Once you have arrived in radiology, one of the nuclear medicine technologists will come and get you to bring you down to the nuclear medicine area. Depending on the type of nuclear medicine exam you are having, the radiopharmaceutical will then be injected intravenously, swallowed or inhaled.

When it is time for your scan to begin, you will lie flat on the camera bed and the scanner will take a series of images. The camera may rotate around you or it may stay in one position. While the camera is taking pictures you will need to remain still. At times the camera may move very close to your body.

How long does it take?

The length of time the procedures take varies greatly, depending on the type of exam. Actual scanning times for nuclear medicine exams can take anywhere from 20 minutes to several hours.

Except for the IV start, most nuclear medicine procedures are painless and are rarely associated with significant discomfort or side effects.

Unless your physician tells you otherwise, you may resume your normal daily activities after your nuclear medicine procedure. If any special instructions are needed, you will be told by the technologist.

Through the natural process of decay, the small amount of radiopharmaceutical in your body will lose its radioactivity over time.

Published in Radiology

Registered Dietitians are food and nutrition experts, translating the science of nutrition into practical solutions for healthy living. We offer a full range of nutritional services and programs, ranging from one-on-one counseling to group programs.

Anyone can call themselves a nutritionist, but only a registered dietitian (RD) or registered dietitian nutritionist (RDN) has completed multiple layers of science-based education and training established by the Accreditation Council for Education in Nutrition and Dietetics. Watch the video to learn more about what makes RDs unique:

 

Services


One-On-One Counseling
Our dietitians guide clients through a lifestyle plan designed specifically for each individual's specific diet needs. One-on-one counseling offers clients the support and education needed to successfully make desired lifestyle changes. It also includes individual evaluations and progress check-ups. 

Body Composition Analysis
Based on an individual's personal information, weight and height, the Body Composition Analysis (BCA) shows what a person's body is made up in terms of fat, muscle, water content and bone structure. This information is helpful in determining a course of action for improving health.

Weight Management
Core4 is an effective weight management program that isn't just about losing pounds but gaining a healthier, more rewarding lifestyle. During this twelve-week program our registered dietitians will focus on boosting your overall health by relying on scientific methods to train you to improve your eating habits, lifestyle and activity choices- for good!

Meeting Your Needs
Health needs can be unique. Our dietitians can help you with questions regarding the following: 

  • Food allergies
  • Lifelong nutrition guidelines
  • Separating food facts from fiction
  • Weight reduction/management

Individuals may also receive counseling on health conditions such as:

  • Cancer
  • Diabetes
  • Heart disease
  • Kidney disease
  • Obesity

For information on these or other nutrition issues, please call our office today at 605-882-7874.

Published in Nutritional Services

Change your lifestyle, change your eating habits, change your attitude and change your life!

Effective weight maintenance isn’t just about losing pounds.  It’s about gaining a healthier, more rewarding lifestyle. Recently revised in 2023, the course utilizes evidenced-based research and guidelines from The Academy of Nutrition and Dietetics (AND) among other national organizations. This comprehensive program encompasses nutrition education, physical activity, and the role of behavioral therapy in weight reduction and weight management.

In addition to nutrition education and the physical activity modules, behavior modification training now consists of weekly assignments and discussions from The Intuitive Eating Workbook by Evelyn Tribole and Elyse Resch. The book addresses how to listen to your body and normalize eating.

The 12-Week CORE4 Program

  • Week 1: Individual Appointment with a Registered Dietitian
  • Week 2: Getting Started
  • Week 3: Taking Control - Behavior Modification
  • Week 4: My Plate Portion Sizes and Label Reading
  • Week 5: Meal Planning and Dining Out
  • Week 6: The Power of Exercise
  • Week 7: Choosing Wisely: Fat, Cholesterol and Triglycerides
  • Week 8: Choosing Wisely: Carbohydrates and Fiber
  • Week 9: Choosing Wisely: Protein, Stress, Sleep Hydration
  • Week 10: Choosing Wisely: Vitamins and Minerals
  • Week 11: Grocery Store Tour
  • Week 12: Moving On

Next Session

Check back later this year for information on the next Core4 Winter Session. 

Body Composition Analysis (BCA)

This analysis is based on an individual’s personal information using weight, height and age.  The BCA shows the composition of your body in terms of fat, muscle, and water content.  This can help you concentrate on losing body fat instead of just focusing on losing pounds.  A body composition analysis is completed at the beginning and the end of this 12 week program.

Program Options

For your convenience, CORE4 is offered individually or in a group setting.

Individual

This setting provides individual, personalized consultations with Prairie Lakes Healthcare System Registered and Licensed Dietitians throughout the complete program.  You will meet with the dietitian and develop a personalized plan in a private, confidential setting.

Group

This setting is great for co-workers, or a group of friends who wish to go through the program together and share their support.  You will receive one individual appointment with a registered dietitian at the beginning of the program to set some individual goals and to complete your initial Body Composition Analysis.  These sessions will be held at the same day and time each week.

Maintain Your Success

Following the 12 week weight loss program, CORE4 continues with a 3 month weight maintenance program designed to continue you on your weight management journey.  Additional topics are available as well as ongoing support.

Every step of the way, we’ll be there to guide and encourage you!  Contact the Prairie Lakes Healthcare System Registered Dietitians at 605-882-7874 to schedule an appointment or to inquire when the next group sessions start.

Published in Nutritional Services