Our primary goal at the Terrace Rehabilitation Unit, through care and therapy, is to help you become more independent and improve your overall level of functioning. Ultimately, we want to assist in your return to the community.
Your stay on the unit probably will last one to three weeks. Depending on your needs and progress, that time may increase or decrease.
Below, you'll find lists and descriptions of our services and the team members involved in your individualized rehabilitation plan. You and your family are important members of the treatment team. Shortly after your admission to the unit, we will invite you and your family or close friends to a meeting, where we will review your plan of care. Depending on your needs, various members of the rehabilitation team will provide you, and your family or support system, with education and training to prepare you for your return to the community. We encourage and welcome your participation in developing and achieving your rehabilitation goals.
We look forward to making your rehabilitation experience on the Terrace Rehabilitation Unit positive and rewarding. Please call the patient care manager at 410-550-0255 with any questions or issues you may have during or after your stay in the Johns Hopkins Bayview Care Center; for the hearing impaired, please call 410-550-5941 (TTY).
Our Rehabilitation Team
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 rehabilitation progress.
A physiatrist is a physician who specializes in physical medicine and rehabilitation. Physiatrists at the Johns Hopkins Bayview Care Center are full–time faculty members of The Johns Hopkins University School of Medicine. The physiatrist is part of your team, helps decide how to best tailor our program to meet your specific rehabilitation needs and evaluates your ability to care for yourself.
Our nurse practitioners and physician assistants provide much of your day-to-day medical care on the unit under the supervision of your attending physician. The medical practitioner also monitors your progress in therapy, provides education to you and your family, and assists in developing a discharge plan.
Our residents and fellows are physicians with additional training in rehabilitation and geriatric medicine. They also provide a lot of your day-to-day medical care under the supervision of your attending physician, as well as coordinate your medical and rehabilitation care by working with the rehabilitation team.
Our specially trained nursing staff works in collaboration with medical and rehabilitation staff to develop an individualized plan of care. Nurses assess your care needs and provide an orientation to the unit. Nurses also provide education on topics such as medication administration and other self-care needs.
Physical therapists work with you during your stay to help you improve your ability to stand, walk, climb steps or push yourself in a wheelchair. They may also help you to improve your strength, coordination and balance, and teach you to use a walker or cane, if necessary, to improve your independence at home and in the community.
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 adaptive equipment, when needed, to improve independence.
Speech and Language Pathologists
Our speech and language pathologists work with people who have problems with speaking and swallowing. They may teach you methods to help you communicate with your treatment team and family. Treatment may focus on improving your speech and thinking skills, when necessary. If you have swallowing problems, the therapist works with you to help you eat and drink safely.
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. Psychological evaluation may occur to assess your memory, reasoning and decision making skills.
Upon admission to the Terrace Rehabilitation Unit, you will be assigned either to a social worker or case management nurse. Their responsibilities include coordinating your care with the interdisciplinary team throughout your stay, and assisting with discharge planning. Questions about other services provided on the unit, as well as community resources, may be discussed with them.
It's very important that you are involved in your plan of care and, when needed, your family or significant others can participate in planning with you. Following discharge, the social worker or case management nurse also will be available if you have any questions about your discharge.
The nutritional services department meets dietary needs, including any special nutritional, therapeutic, psychological and social dietary needs you may have. Your dietitian, after consultation with your doctor, will order the appropriate diet plan for you and provide nutritional education prior to discharge.
The recreation staff plan a wide variety of activities on an ongoing basis with special events occurring throughout the year to improve your independence and enhance your stay on the unit. A monthly calendar of these events is posted at your bedside and in the dining room.
Customary visiting hours are from noon to 8:30 p.m. daily. Family or friends who will help you at home are encouraged to attend your therapy session(s) that may be scheduled throughout the day. The therapists will coordinate times so that caregivers can observe and participate in the treatment process. This activity is designed to assist in your transition from the inpatient rehabilitation program to community living.
Items from Home
We recommend that you bring the following items with you on admission to the unit:
- Hearing aides
- Comfortable clothing (at least four sets; may include sweatpants and shirts)
- Sturdy shoes, preferably with rubber soles
- Equipment and personal items (for example, wheelchairs, walkers, braces, prostheses, razors for men and toiletries).
Our goal is to include you and your caregiver in the discharge process from the time you are admitted to the unit. The social worker or case manager will assist you in identifying realistic discharge options. Follow-up services and equipment needs will be arranged prior to your discharge from the unit. Before leaving, you will be given prescriptions to be filled at your local pharmacy, written discharge instructions and a list of your medical appointments. Our social worker or case manager will continue to be available to answer any questions you may have once you have been discharged.