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Terrace Rehabilitation Unit (TRU)

Patient using Nintendo Wii for Wii-habilitationThe Terrace Rehabilitation Unit (TRU) is a 28-bed unit within the Johns Hopkins Bayview Care Center that provides outstanding inpatient rehabilitation programs for adults recovering from illness or injury. Our team works with patients and their families to develop an individualized treatment plan to help them attain their functional goals and return home.

Why choose the Terrace Rehabilitation Unit?

  • Patient in bed with doctor checking heartbeatAn interdisciplinary team of professionals plans each patient’s care, under the direction of a rehabilitation physician from The Johns Hopkins University School of Medicine.
  • Our adult and stroke specialty rehab programs have been awarded accreditation by the Commission on Accreditation of Rehabilitation Facilities (CARF). The unit also is accredited by the Joint Commission (JCAHO).
  • We offer a variety of rehabilitation options to best suit our patients’ needs:
    - Acute inpatient rehabilitation for those patients in need of intensive interdisciplinary
      rehabilitation, with the ability to participate and benefit from three hours of therapy daily,
      and the ability to return to a community setting within several days to weeks
    - Chronic rehabilitation for those patients in need of intensive interdisciplinary rehabilitation,
      but with an anticipated length of stay of approximately four weeks or more
    - Skilled rehabilitation for those patients requiring therapy at a less intense level
  • Our patients make greater improvements in their Functional Independence Measure scores per day, on average, than the region and nation.
  • Our patients participate in community outings to practice their “real world” skills under the supervision of our trained therapy staff.
  • Our therapists excel in Wii-habilitation, the use of the Nintendo Wii to advance one’s rehabilitation goals.
  • Consultations are available from specialists from The Johns Hopkins University School of Medicine.
  • We are conveniently located on the Johns Hopkins Bayview campus in East Baltimore, with easy access to I-95 and I-895, and ample parking.

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What are the criteria for admission?

  • 18 years and older
  • Physician referral
  • Condition that would improve with rehabilitation
  • Medically stable with the ability to tolerate at least one hour of therapy per day for subacute and three hours of therapy per day for acute rehabilitation
  • Prognosis that indicates reasonable potential to return to a community setting
  • Recent lost function in at least two of the following areas:
    - Mobility (getting out of bed, walking, stairs, etc.)
    - Self-care (dressing, bathing, feeding, etc.)
    - Speech or communication abilities
    - Swallowing
    - Bladder and/or bowel control
    - Cognition or perception

The Unit does not serve patients with severe behavioral conditions, or new traumatic brain or spinal cord injuries, but appropriate referrals can be made for these services.

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What conditions do you treat?

Our doctors, therapists, and nurses have specific expertise in caring for adults recovering from:

  • Patient being greeted into the Care CenterAmputations
  • Arthritis
  • Burns
  • Brain tumors
  • Hip fractures
  • Major surgeries, including those for heart disease, cancer or arthritis
  • Neurologic conditions, including multiple sclerosis, Parkinson’s disease and neuropathies
  • Non-traumatic spinal cord injuries
  • Strokes
  • Traumatic injuries including fractures, wounds and nerve injuries, but excluding traumatic brain and spinal cord injuries

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What specialty treatment programs do you offer?

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What does the TRU look like?

The unit includes:

  • Two wings of patient rooms
    -
    Private or semi-private (two
      patient) rooms
    - Beds equipped with a flat-
      screen television on
      adjustable swivel mount
    - Closet, bureau of drawers
      and rolling desk tray in
      each room
    - Fully equipped bathroom in
      each room
  • Two nursing stations to ensure quick response to patients needs
  • Patient dining room with buffet-style dining
  • Large windows with scenic views of our campus
  • Spacious physical therapy gym stocked with special equipment, including the LiteGait partial-weight-bearing gait therapy device and treadmill
  • Occupational therapy gym fully equipped with a kitchen, washer/dryer, and “real” bedroom to practice routine daily activities before returning home
  • Speech therapy suite where one to one sessions are provided without distraction
  • Conference room for family and team meetings

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Who are the members of the rehab team?

  • Physicians specializing in physical medicine and rehabilitation, a medical specialty dedicated to helping patients improve their functional abilities and quality of life
  • Rehabilitation nurses who have received special training in caring for patients with disabilities and those undergoing intensive rehabilitation
  • Physical therapists who work with patients to improve their strength, endurance, pain, and mobility
  • Occupational therapists who work with patients to improve their use of their upper body and hands, maintain or improve range of motion, and improve independence with self-care activities like dressing and bathing
  • Speech-language pathologists who work with patients on their abilities to speak, communicate, and swallow, as well as provide strategies for compensating for cognitive deficits, including memory and concentration
  • Psychologists who help patients cope and adjust to illness and disability
  • Respiratory therapists who work with patients with respiratory problems, including lung disease and respiratory muscle weakness
  • Therapeutic recreation specialists who engage patients in leisure activities, plan and implement community outings, and assist with adapting patients’ leisure and recreational interests when needed
  • Social workers and case managers who help prepare patients and their families for discharge including coordination of home and outpatient services
  • Dieticians who help ensure each patient’s nutritional needs are met
  • Orthotists and prosthetists who help provide specialized braces and artificial limbs for those who need them
  • Medical providers, physicians, physician assistants and nurse practitioners from the Johns Hopkins Division of Geriatrics, who will help manage your medical conditions as you undergo rehabilitation

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What additional services may be available to me?

When appropriate, services may also include support groups, pastoral care, beautician/barber care, wound care and specialty consultation.

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What discharge services do you offer?

A continuum of care is available to patients upon discharge. Arrangements can be made for home based services, support groups, outpatient rehabilitation, assisted living, and other resources in community based or inpatient settings for those who qualify.

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How can I make a referral?

To make a referral, schedule a tour, or for more information, call the Admissions Department at 410-550-7642; for the hearing impaired, 410-550-5941 (TTY).

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4940 Eastern Avenue. Baltimore, Maryland 21224. 410.550.0100