Transitional Care and Long Term Care

Maintaining Your Health After Leaving the Hospital

Just because a patient is discharged from the hospital doesn't mean they don't need assistance monitoring and managing their health. RWJBarnabas Health is dedicated to providing continuous, accessible transitional care for our patients so they can complete their recovery and maintain their well-being after leaving the hospital. Whether it is for a few days or if long term care is needed, RWJBarnabas Health has a solution.

What Is Transitional Care?

Transitional care is the continued monitoring and treatment of patients after they leave the hospital and transition back to their everyday lives. Even those recovering from short hospital visits should have the knowledge and resources they need to make their recovery as complete as possible.

Our transitional care includes:

• Dietary counseling
• Laboratory testing
• Pharmacy services
• Diagnostic radiology
• Wound care
• Recreation programs
• Social work
• Pet therapy
• Ostomy education
• Diabetes education
• Congestive heart failure treatment

Our goal with transitional care is to ensure that our patients have the tools and awareness they need to maintain their health. Our physicians, nurses, and counselors can help these patients identify medical warnings signs, manage a prescription regimen and schedule follow-up appointments over the course of their recovery. All patients will receive detailed contact information as well in the event they need to reach our medical professionals from home. We want to make sure our patients are cared for as they work to make a complete recovery.

Adult Transitional Care

Community Medical Center’s Transitional Care Unit in Toms River, New Jersey provides a temporary landing space for patients who no longer need all the resources of an acute care hospital, but still need nursing and rehabilitative care to recover.

To learn more about Community Medical Center’s Transitional Care Unit, call 732-557-2270.

Robert Wood Johnson University Hospital Rahway is home to Kindred Hospital, a long-term acute care hospital designed to focus on critically ill patients with serious and complex medical conditions that require intense specialized treatment for an extended period of time. It provides highly advanced and focused care for patients who have not responded to short term treatment in traditional general hospitals. The average length of stay is 25 days compared to a 3-to-5-day average in a general hospital. Patients appropriate for Kindred Hospital include those who are ventilator dependent, suffering from multi-organ failure or who have deep wound ulcerations.

For more information, visit Kindred Hospital or call 732-669-8220.

Pediatric Transitional Care and Long Term Care

Pediatric transitional care is offered through Children’s Specialized Hospital and Community Medical Center. When children have complex conditions following hospitalization, they may also require long term care. RWJBarnabas Health offers long term care at:

• Children's Specialized Hospital - Mountainside
  908-301-5450
• Children's Specialized Hospital - Toms River, Stevens Road
  732-797-3800

Adult Long Term Care and Rehabilitation Services

Sometimes patients whose acute conditions have been addressed by a hospital may require long-term care to address their continuing medical conditions.

Trinitas Regional Medical Center offers long term care in partnership with Brother Bonaventure Extended Care & Rehabilitation Center, a not-for-profit skilled nursing center in Elizabeth, New Jersey. We provide continuous care and support for individuals who require long-term care or sub-acute care before returning home.

With 24-hour licensed nursing care, we offer access to full hospital support services including the Wound Care Center, Dialysis Center, ophthalmology, podiatry, dental and psychiatric services, physical, occupational and speech therapies, Social Work services, therapeutic recreation and pet therapy; Pastoral Care programs and religious services; laundry services; and professional hairdresser, barber and specialized dietary services.

The Center is approved by Medicare and Medicaid as well as Managed Care. Our knowledgeable and courteous staff takes great pride in creating a comfortable and caring atmosphere. It is located at:

Trinity Regional Medical Center – New Point Campus, Elizabeth
908-994-7050

Let's be healthy together. Contact us to inquire about our physicians and learn more about our services.