For patients who need intensive rehabilitation to regain function and achieve the highest level of independence to return to a community setting, Johns Hopkins offers inpatient rehabilitation services comprised of a team of experts in two inpatient rehabilitation treatment facilities in the Baltimore region. Our Comprehensive Inpatient Integrated Rehabilitation Programs (CIIRP) are accredited by the Joint Commission and the Commission on Accreditation of Rehabilitation Facilities (CARF). The accreditation highlights our commitment to deliver the highest quality of care for patients.
Our Inpatient Rehabilitation Units
Our inpatient rehabilitation units help patients prepare for independent living after they leave the hospital. The home-like setting allows patients the freedom to perform their own care with the guidance of a team of experts including physical therapists, occupational therapists, speech-language pathologists, recreation therapists, social workers, rehabilitation nurses, psychologists, dietitians, orthotists and rehabilitation physicians (physiatrists). Our multidisciplinary team of experts incorporates cutting-edge technology and applies the most advanced evidence-based medicine into each treatment plan through our research and partnership with the world-renowned Johns Hopkins School of Medicine to help you achieve ambitious goals for recovery.
Patients will be evaluated by the Johns Hopkins rehabilitation consult team or the medical director and can be admitted in our inpatient rehabilitation units if they meet the following criteria:
- 18 years or older
- Have a condition that would improve with rehabilitation, such as a functional impairment
- Medically stable and able to tolerate (physically and cognitively) and actively participate in at least three hours of therapy per day (or 15 hours per week)
- Have a prognosis that indicates reasonable potential to return to a community setting
- Physician intervention required at least three days per week throughout the acute rehabilitation stay for at least one of the following:
- Pain management
- Medication management needed for frequent medication changes
- Cardiopulmonary management
- Complex bowel or bladder management
- Enteral or parenteral feeding for nutritional assistance
- Activities of daily living
- Cognition and communication
- Patient and family agree to admission to inpatient rehabilitation and the tentative goals and length of stay.
Our inpatient rehabilitation units provide occupational therapy, physical therapy, speech-language pathology, physiatry and related services to help patients recover from a variety of conditions, including:
- Brain injury
- Neurologic disorders
- Orthopedic conditions
- Spinal cord injury
- Cardiovascular conditions
- COVID-19 resolved
- Transplant and other medically complex conditions
Our team works with every patient to create a care plan that identifies the patient’s abilities and needs and ensures the patient’s goals and concerns are addressed. We encourage family and friends to be involved in the patient’s care. Our nurses and therapists take time to make sure that patients and caregivers understand and are comfortable with their roles before leaving the hospital.
Based on your needs, the team will schedule family meetings, family training, and provide you and your family with a list of resources, including support groups, to assist you with your return to the community.
Our program's focus is to:
- Provide you with the highest level of medical and nursing care with Johns Hopkins faculty physicians and certified rehabilitation nurses
- Improve your strength and ability to move safely
- Retrain self-care activities, such as dressing, grooming, bathing and more to help you resume your normal quality of life
- Retrain you to swallow safely
- Assist with communication and thinking skills
- Help you regain independence by teaching you new ways to do self-supportive tasks such as laundry, cooking and medication management
- Provide patient and family education, counseling and training
- Deal with the social and psychological issues that frequently occur after illness or injury, including depression, anxiety and family stress
- Develop an appropriate, ongoing plan of care that will help keep you healthy and functioning well, even after you are discharged
We help you achieve these goals through:
- Tailored treatment plans developed with the input of the patient and their family
- Daily team conferences to review progress and goals
- Patient/family conferences to discuss ongoing needs and answer questions
- Family/caregiver training to prepare those caring for the patient at home
- Continuum of care coordination after discharge, including home-based rehab, rehabilitation, adult day care services and specialty rehabilitation clinics
You make the difference! Though your team of caregivers will support you throughout your recovery, the progress you make depends largely on you. Your hard work and participation are crucial to your ultimate success.
Preparing for Admission
- If you do not already have clothing from home, please ask someone to bring clothing in for you. We encourage everyone to come to therapy dressed in their own clothing. It is important to us that you are comfortable and covered during exercise and other activity. Anything that you consider comfortable and practical for exercise and walking, including undergarments and shoes, is what you should bring in.
- We recommend that you bring the following:
- Hearing aides
- Equipment and personal items (for example, wheelchairs, walkers, braces, prostheses, razors for men, and preferred toiletries)
Preparations for Discharge
- Length of stay ranges from less than one week to three weeks, depending on your needs and progress.
- You and your family are members of the treatment team, and will participate in setting goals and planning for your care.
- You and your caregiver will participate in the discharge process so that you can safely return to the community.
- Our care management team will help you identify where you will live after discharge and will help you obtain necessary equipment, medications, and medical appointments. You also will receive discharge instructions.
- Our care management team will be available to answer questions after you are discharged.
Morning: Your nursing team will give you medications and assist you in preparation for you morning activities. Your nursing assistant or therapist will assist you with your activities of daily living (ADLs), including bathing, dressing, toileting, and grooming. You will then attend your morning therapy sessions.
Noon: Break for rest and lunch. If needed, a therapist/s may work with you during lunch on swallowing and self- feeding skills.
Afternoon: Therapy sessions continue up to dinner.
Evening: Dinner and visits with your family and friends will end your day, however we encourage family member to observe and participate in therapist sessions throughout your stay.
Typically therapy sessions occur during the day. Your individual schedule may change from day to day, but is posted in your room the night before. When you are not in therapy, Certified Rehabilitation Nurses and Nursing Assistants are available to assist you in practicing the skills you have learned during therapy sessions while in your hospital room.
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Your Multispecialty Rehabilitation Team
Our CIIRP programs offer home-like settings, allowing patients to practice activities of daily living with the guidance of our team of experts. Our inpatient rehabilitation units are staffed with experienced rehabilitation physicians, physical and occupational therapists, speech-language pathologists and recreation therapists. Patients also have access to social workers, rehabilitation nurses, psychologists, dieticians, orthotists who work together to deliver the best possible care based on your needs.
You and your caregivers are the heart of the team and your participation in the plan of care is vital. Early in your stay, our physicians and care management team will discuss your rehabilitation needs and how long you may be staying in the unit. Our interdisciplinary team of professionals will include you in your plan of care throughout your stay. Discussions about your care can occur in a variety of ways, including bedside discussions, telephone calls with caregivers or planning meetings as needed.
The attending physician coordinates and supervises your medical and rehabilitation care. The attending physician is a full- time faculty member of the Johns Hopkins University School of Medicine. Your physician works with other members of the rehabilitation staff to maximize your rehabilitative progress.
The attending psychologist is a full- time faculty member of the Johns Hopkins University School of Medicine. Psychological services are available to help you adjust to changes in your medical condition. Psychological services may be included in your treatment plan if depression, anxiety or another similar condition affects your progress in rehabilitation. An evaluation may occur to assess your memory, reasoning and decision making skills.
Our Physician assistants are highly involved with your day-to-day medical care on the unit under the supervision of our attending physician. Along with your attending physician the medical practitioner monitors your progress in therapy, provides education to you and your family and assists in developing a discharge plan.
Our specially trained nursing staff works in collaboration with our medical team and rehabilitation therapists to develop and implement an individualized plan of care. Nurses assess your care needs and provided an orientation to the unit. Nurses also provide education on topics such as medication administration and other self-care needs.
A dietician will visit you early in your stay to complete a nutrition assessment. The assessment will include a review of your special nutritional needs. In conjunction with your medical practitioner, the dietician will recommend the best diet plan for you. In addition, diet education will be provided to you prior to your discharge.
Physical Therapists work with you during your stay to help you become more mobile. They may help you improve your ability to stand, walk, climb stairs or push yourself in a wheelchair. They may also help you to improve your strength and balance and teach you to use a walker or cane, if necessary.
Occupational Therapists teach daily living activities, such as dressing, bathing, eating, and tasks involving household chores. Your therapy also may include strengthening weak muscles, teaching you ways to conserve energy and accomplishing daily activities using special equipment.
Speech and language pathologists work with people who have problems with speaking and swallowing. If you have swallowing problems, the therapist works with you to help you eat and drink safely. Treatment may focus on improving your speech and thinking skills. In addition, therapists may teach you methods that will help you communicate with your treatment team and family.
Therapeutic recreation specialist assesses your leisure interests in order to improve your functional abilities, enhances well-being and increase independence on an as needed basis. Recreational activities are also available throughout your stay. Upon discharge, you will receive information regarding activities and resources available in your community.
A case manager or social worker will coordinate your care with the interdisciplinary team throughout your stay and assist with your discharge planning. Questions about other services provided in the unit, as well as community resources, can be discussed with the care management team. It is important that you are involved in your plan of care and, when needed, your family or significant others should participate in planning with you. Following discharge, the social worker or a case management nurse will be available if you have any questions about your discharge.
Johns Hopkins offers a continuum of care beyond inpatient rehabilitation through home care and outpatient care in different locations throughout the region and provides ongoing support for your recovery process and community reintegration.