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Inpatient rehabilitation and subacute care

Inpatient rehabilitation and subacute care

At Shriners Hospitals for Children — Houston, we provide inpatient services for subacute and rehabilitative specialty medical care. We provide comprehensive inpatient treatment for families who face complex medical issues following a serious injury, acute illness, major surgery, chronic disease or any other life-altering event.

Patients in the subacute unit receive care that serves as a bridge to assist patients in transitioning from hospital care, back into the community. Post-acute care (inpatient rehabilitation and subacute) generally includes two types of patients – those who are receiving short-term rehabilitation to recover from an injury or an illness, and those with multiple medical problems or illnesses who are receiving care for a longer period of time. 

Our hospital relies on the strong leadership and expertise of a multidisciplinary team of medical and allied health professionals. The physician-led team at the Houston Shriners Hospital is dedicated to providing our patients with the finest specialty care and programs. Our dedicated staff is made up of a multidisciplinary team of specialists including:

  • Board-certified physicians in pediatric physical medicine and rehabilitation specialties, as well as pediatricians and orthopaedic surgeons
  • Child educators
  • Child life specialists
  • Dietitians
  • Nurses
  • Orthotists and prosthetists
  • Psychiatrist
  • Psychologist
  • Rehabilitative therapists
    • Occupational therapists
    • Physical therapists
    • Speech and language pathologists (therapists)
  • Respiratory therapists
  • Social work and registered nurse case managers

Subacute care

This service is for patients who are medically stable and have complex medical conditions requiring continued inpatient skilled nursing and/or therapy on a short-term basis. Subacute care ensures continued medical stability while allowing time for parental education and the gathering of community resources in preparation for a safe and successful transition to home.

Subacute care patients may be categorized by the following:

  • Inpatient care, more intensive than nursing home care but less than acute care
  • Frequent patient assessment of medical needs
  • Patient may need IV antibiotics, pain control or wound care
  • Patient may need two to three hours of physical therapy daily
  • Example diagnoses may include multiple IV antibiotics, post-operative care, multilevel cerebral palsy, near drowning victims, mild closed-head injuries, spinal cord injuries and prosthetic training

Other criteria not listed above are considered on a case-by-case basis.

Inpatient rehabilitation

Inpatient rehabilitation helps medically stable children and adolescents who have experienced a loss of function due to injury or illness become as independent as possible in their activities of daily living. Patients receive therapies for intensive recovery in an environment that will allow them to achieve goals more quickly and focus on establishing the necessary tools for the best outcomes and safe transition to home.

Inpatient rehabilitation patients may be categorized by the following:

  • Patient requires an intense level of rehabilitation services as evidenced by the need for at least three hours of multiple therapies per day, five days a week
  • Patient receives therapy from multiple disciplines, including:
    • Physical therapy
    • Occupational therapy
    • Speech and language pathology (therapy) 
    • Recreational therapy 
    • Orthotics
    • Prosthetics
    • Nursing care
    • Child life
  • Patient has a reasonable expectation for improvement
  • Patient requires individualized case care coordination
  • Patients are monitored by our physician team (physiatrists and pediatricians) on a daily basis. 

Other criteria not listed above are considered on a case-by-case basis.

All of our inpatient services focus on an interdisciplinary treatment approach that not only provides treatment for a child’s physical ailment, but also provides child life and behavioral services to ensure a smooth transition home. Our outpatient programs carry over the teachings and some treatment services from our inpatient programs, while enabling our patients and families to successfully care for their child at home. Our family-centered approach to treatment means we work with each child and family to prescribe individualized treatment plans and enhance the child's recovery.

For more information on the comprehensive services of our subacute care and inpatient rehabilitation program, please preview our informational video.

Subacute Care and Inpatient Rehabilitation video

The medical team

Glendaliz Bosques, M.D.
Rebecca Case, MSPT, PCS

Physical therapy
Melissa Howard, PT, D.P.T., NCS
Leah Northcutt, PT, D.P.T., PCS
Marcy Arenas, PT, D.P.T., CSMS
Winnie Powell, PT, D.P.T., NCS

Occupational therapy
Jessica Montoya, MOT, OTR/L
Jessica Rodriguez, MOT, OTR/L

Speech therapy
Rachel Murphy, MA, CCC-SLP
Rachel Hogan, MA, CCC-SLP