Inpatient services, including ventilator/respiratory care, inpatient rehabilitation, complex medical care, specialized wound therapy and palliative care, are available through the Specialty Hospital Programs, located in Baltimore, Maryland.
Inpatient Care Services
Inpatient Rehabilitation
The Terrace Rehabilitation Unit in the Specialty Hospital Programs provides inpatient, team-based rehabilitation with the goal of improving the health, function, and well being of our patients. A team of experts works together to help patients regain function and become more independent, enabling them to return to a community setting.
The program is part of the Specialty Hospital Programs, a Joint Commission-accredited facility located in Baltimore, Maryland, that offers a range of continuing care services for older adults—including inpatient rehabilitation, ventilator/respiratory care, specialized wound therapy, and complex medical care.
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Conditions that affect many older adults are treated at the Care Center:
- Stroke
- Neurologic disorders
- Amputations
- Orthopedic conditions
- Debility
- Burns
- Medically complex conditions
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Typically, physicians refer patients to the unit for a condition that would improve with rehabilitation. Patients must:
- Be medically stable and able to tolerate:
- At least three hours of therapy per day for acute rehabilitation
- At least one hour of therapy per day for subacute rehabilitation
- Have a prognosis that indicates reasonable potential to return to a community setting
Physician intervention is 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
- Be medically stable and able to tolerate:
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To make a referral or for more information, call 410-550-7642.
Peri-Operative Medicine Services
The Johns Hopkins Peri-operative Medicine Service assists patients to avoid complications that can arise from surgery and hip fractures and to restore quality of life and function.
Most hip fractures occur in adults ages 65 and older, especially women, as a result of a simple fall from standing height. These injuries often lead to devastating consequences, such as persistent pain, limited physical mobility, and even death.
At Johns Hopkins, a collaborative, interdisciplinary team of specialists – including orthopedic surgeons, gerontologists, and anesthesiologists – work with older patients to treat hip fractures and other orthopedic problems in the hospital.
We also consult with the surgeon of hospitalized older adults to address geriatric issues such as delirium, falls, immobility, and incontinence.
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This unique program is available to adults with a special emphasis on older adults who are hospitalized at Johns Hopkins Bayview Medical Center in Baltimore, Maryland.
Co-managed by the orthopedic service and the geriatric team, patients will receive comprehensive assessment and management, geriatric consultation, and post-op management. The team’s goal is to restore quality of life and function after hip fracture. We also consult with other surgical disciplines for pre-operative evaluation and peri-operative management.
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Patients or their families can request a geriatric consultation by speaking with their attending physician for a referral.
To make an appointment please call 410-550-2367
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Johns Hopkins Bayview Medical Center
4940 Eastern Avenue
Bayview Medical Offices/01 Level Blue Awning
Baltimore, MD 21224
Ventilator-Dependent Patient Rehabilitation
The Ventilator-Dependent Patient Rehabilitation Unit in Specialty Hospital Programs is designed to decrease or eliminate the need for mechanical ventilation for medically complex patients requiring frequent physician intervention at least three times a week. Upon admission, the patient must require a ventilator, have a tracheostomy, and require frequent suctioning. A pulmonary consultation is required for all participants to include the potential for active weaning.
The program is part of the Johns Hopkins Bayview Care Center, a Joint Commission-accredited facility located in Baltimore, Maryland, that offers a range of continuing care services for older adults—including inpatient rehabilitation, ventilator/respiratory care, specialized wound therapy, and complex medical care.
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Conditions that that affect older adults are treated at the Unit, including:
- Chronic obstructive pulmonary disease (COPD)
- Emphysema
- Asthma
- Sarcoidosis
- Myasthenia gravis
- Guillain-Barre syndrome
- Other respiratory conditions
- Neurological conditions
- Medically complex conditions
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The program provides:
- Pulmonary consultation to include the potential for active weaning
- Weekly team rounds
- Ongoing evaluation of aggressive weaning
- Specialty treatments can include:
- Wound care
- Physical, occupational, speech, and respiratory rehabilitation
- Individualized medical management
- Cardiopulmonary management
- Complex bowel and bladder management
- Enteral or parenteral feeding for nutritional assistance
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To make a referral or for more information, call 410-550-7642 or visit the Ventilator-Dependent Patient Rehabilitation Unit’s website.