The Basics: Creating and Sustaining an Early Rehabilitation Program

3rd Annual Johns Hopkins Critical Care Rehabilitation Conference (Part 1 of 2)*

Presented by The Department of Pulmonary and Critical Care Medicine

Interdisciplinary collaboration and coordination is vital in facilitating early mobility and rehabilitation in the intensive  care unit (ICU) setting. A recent stakeholders’ conference aimed at improving long-term outcomes for ICU survivors identified important ‘silos’ among critical care and rehabilitation clinicians working in the ICU, with these ‘silos’ acting as a barrier to collaboratively advancing the field and improving patient outcomes. While clinical trials support the benefits of early rehabilitation for mechanically ventilated patients, implementing these interventions requires creating a new ICU culture based on proactive rehabilitation and interdisciplinary collaboration between all critical care and rehabilitation clinicians.

This course consists of recorded sessions from the Third Annual Johns Hopkins Critical Care Rehabilitation Conference held in November 2014.

Click here to access Part 2: Advanced Topics in Early Rehabilitation of Critically Ill Patients


Target Audience


This activity is intended for physicians (critical care, pulmonologists, physiatrists, psychiatrists), physical therapists, occupational therapists, rehabilitation assistants, speech language pathologists, nurses, nurse practitioners, respiratory therapists, psychologists, physician assistants, and hospital administrators.

(Johns Hopkins Health System staff may take this course free of charge.  To access the coupon you need to register, go to the JHH Nursing Intranet. If you are with the JHHS and aren't able to access the intranet, email us.)



After completing this course, the participant will be able to:

  • Identify the risk factors for ICU-acquired weakness, and long-term physical, cognitive and psychiatric impairment in survivors of critical illness, and related prevention strategies
  • Compare and appraise the evidence supporting early rehabilitation and mobility in the ICU
  • Describe and discuss how to change ICU culture and clinical practice to implement an early mobility program for critically ill patients
  • Explain the role of a structured quality improvement process for implementing and evaluating an early ICU rehabilitation program
  • Recognize the detrimental effects of ICU-delirium and discuss strategies to manage ICU sedation and reduce delirium
  • Explain the inter-disciplinary roles of nursing, physical therapy, occupational therapy, speech language pathology, and respiratory therapy in an early ICU rehabilitation program


Activity Director


Dale Needham, MD, PhD
Division of Pulmonary and Critical Care Medicine
Department of Physical Medicine and Rehabilitation
Medical Director, Critical Care Physical Medicine and Rehabilitation Program
Johns Hopkins University School of Medicine


Planning Committee


Michael Friedman, PT, MBA
Director of Rehabilitation Therapy Services
The Johns Hopkins Hospital
Jennifer Zanni, PT, DScPT, CCS
Physical Therapist
The Johns Hopkins Hospital

Johns Hopkins Speakers


Therese Kling Cole, MA, CCCSLP
Speech Language Pathologist
Heather O’Donnell, RRT
Adult Respiratory Care Therapist
Angela Regensburg, MS, OTR/L
Occupational Therapist
Samantha Young, MS, RN
Clinical Nurse Specialist

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Course summary
Available credit: 
  • 4.00 Attendance
Registration opens: 
Registration closes: 

Available Credit

  • 4.00 Attendance
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Please login or register to take this course.


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