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THE ROBERT WOOD JOHNSON JR. REHABILITATION INSTITUTE

JOHN F.KENNEDYMEDICAL CENTEREDISON, MEW JERSEV

WHAT YOUR HELP MEANS TO

THE REHABILITATIONPATIENT

Until you have seen for yourself the struggles waged by a youngster with a crippling birth defect, an elderly stroke victim fighting to regain simple everyday skills like using a knife and fork, or a once healthy and active person coping with a new artificial limb it is difficult to grasp what rehabilitation means.

Rehabilitation is perhaps the most painstaking aspect of medicine because of the grueling, step- by-step work required to return the sick and disabled to as normal lives as possible or helping the handicapped cope with life and its demands.

Rehabilitation is a phase of medicine which taxes patient and therapist alike because many illnesses or injuries require months of tedious work before patience is rewarded with progress.

Since 1974, The Robert Wood Johnson Jr. Rehabilitation Institute at John F. Kennedy Medical Center in Edison, New Jersey, has provided vital rehabilitation services through comprehensive diagnosis and therapy programs. Accident victims, stroke patients, handicapped children, injured athletes, heart attack and cancer victims have

been the beneficiaries of the Johnson Institute’s work.So great have been the demands for these and new services, however, that the Johnson Institute has reached its capacity to accommodate these needs. Larger facilities and new equipment are critical.We are now in the midst of a $3,000,000 building program to provide the space, the technology and the programs needed by the disabled youngsters and adults we serve.

We have always depended upon the generosity of many persons, groups and industries to make these programs possible. This is particularly true of the Institute's primary benefactor, the Robert Wood Johnson Jr. Charitable Trust, which perpetuates the ideals of the late industrialist and community leader through gifts to worthwhile projects.

Your support in helping to finance this new building program will assure that our patients receive the assistance they need to recover from their illnesses or injuries or simply to function in a world that has not been designed for the handicapped.

HOW THEJOHNSON INSTITUTE

SERVES PEOPLEThe Robert Wood Johnson Jr. Rehabilitation Institute is a pivotal element in John F. Kennedy Medical Center’s total health care system.

In the short time since the Institute opened in 1974, its development has been marked by continual innovation in programs to restore disabled young people and adults to as normal lives as possible.

The Johnson Institute’s forerunner, the Middlesex Rehabilitation Hospital in North Brunswick, merged with the original John F. Kennedy Community Hosptial in 1970. The $14,000,000 expansion program completed in 1974 at Kennedy Medical Center provided the Johnson Institute with its 48-bed unit for in-patients and facilities for its comprehensive diagnostic and treatment services while doubling the size of the Medical Center from 205 to 415 beds.

The opening of the Johnson Institute at Kennedy Medical Center offered a unique combination. Rehabilitation programs were linked together on the same site with general and emergency hospital facilities. This meant that seriously ill or injured patients could complete the acute care phases of hospitalization and move immediately into the Johnson Institute's rehabilitation programs.

In 1977, Kennedy Medical Center added the Radiation Therapy Center for cancer patients and the Family Practice Center to its total health care system. This allowed cancer patients being treated there to use rehabilitation services as well and permitted family practice residents to add rehabilitation, a critical aspect of health care, to their general course of study.

Rapid growth in all programs offered by the Johnson Institute and the addition of innovative

Expansion of the Robert Wood Johnson Jr. Rehabilitation Institute

new ones soon made expansion not only inevitable but crucial.Occupancy rates for the Institute, which is designated as the Class A regional rehabilitation facility for the Central New Jersey region, remained at nearly 100 percent. Physical therapy, occupational therapy, speech and hearing and other key programs operated at capacity. Major demands were placed on the Johnson Institute’s clinics serving muscular dystrophy, spina bifida and arthritis victims and amputees.When the press on the Institute’s facilities reached the point of three to five months wait in 1978 for patients seeking physical therapy, occupational therapy and other services, a satellite facility was opened in Metuchen. But demands for service have far outreached even the satellite programs’ capacity.

The only solution to the problem is the

$3,000,000 program now underway to provide the needed space and equipment for the Johnson Institute’s present and planned programs.

An additional 23,500 square feet added to the facility’s present total of 38,400 square feet will provide for expansion of physical therapy, occupational therapy, vocational assessment services, pediatrics rehabilitation, clinic facilities, sports medicine programs, cardio-pulmonary rehabilitation, a complete electrodiagnostic laboratory, an expanded therapeutic recreation program and facilities for design and manufacture of artificial limbs.

In short, the expansion program financed by gifts from area industries and individuals will give the Johnson Institute the ability to reach more persons who need its help to overcome the devastating results of injury or illness.

John F. Kennedy Medical Center

PHYSICALTHERAPY

WHAT YOUR SUPPORT

WILL MEANThe $3,000,000 expansion of the Robert Wood Johnson Jr. Rehabilitation Institute at John F. Kennedy Medical Center will dramatically increase the Institute’s ability to provide diagnostic and treatment services to meet area demands.

Your support will mean expansion of these services for the individual patients, industries, businesses and schools who look to the Johnson Institute for help.

However, development of the Institute’s overall expansion program is not limited merely to expansion of existing programs although this need is critical. In addition, the expanded facilities will permit creation of dramatic new programs to meet special needs of those disabled persons who have no other source of help.

The following pages detail what the Johnson Institute plans to do — with your support.

Physical therapy is one of the first, vital steps in the rehabilitation process. Yet a three-month waiting list forced the Johnson Institute to open a satellite rehabilitation center in nearby Metuchen, a step that only partially eased the pressure on physical therapy programs.

In just five years, physical therapy time segments for treatments increased from 41,300 annually to nearly 67,000, and demands for these services are still growing.

Expansion of physical therapy facilities through the addition of more space to the existing gymnasium and the purchase of new equipment will permit the staff to serve more patients awaiting help for a variety of disabilities. These include muscular, skeletal and neurological conditions such as spinal cord injuries, stroke, amputations, back and neck disorders, arthritis, bums, muscular dystrophy and a number of chronic illnesses.

Physical therapists use various techniques, including exercise and patient and family education, to help patients with these conditions relieve pain, regain strength and range of motion in muscles and limbs and compensate for weakened or missing faculties.

OCCUPATIONALTHERAPY

Occupational therapy programs help disabled patients re-learn the coordination and dexterity to regain independence in a world designed for healthy people.

This part of the rehabilitation process includes the Activities of Daily Living and Homemaker programs which are designed to help people to cope with life despite dependence on wheelchairs, crutches or artificial limbs.

In the past five years, time segments for occupational therapy treatments increased sharply from 19,000 to nearly 42,000 while at the same time the Occupational Therapy Department became involved in many outside programs to help communities, schools, industries and other groups assist the handicapped.

The expansion program will allow the department to expand current programs including the Vocational Assessment program which helps physically and psychologically disabled patients find suitable work opportunities.

Another critically-needed program which can also be further developed when the expanded facilities are ready is the Pediatric Occupational Therapy Project which helps children and infants suffering from various disabilities.

SPORTSMEDICINE

Widespread interest in individual and organized sports and exercise programs has focused attention more than ever on the health needs of athletes at all levels of competition and of individuals simply interested in achieving good physical condition.

The Johnson Institute’s expansion program calls for establishment of a major sports medicine program concentrating on assessment and conditioning before competition or exercise and rehabilitation after injury.

A special advisory committee composed of medical experts and high school, college and university athletic leaders has been developing this program for the Johnson Institute.

When the expansion is complete, the Institute will have both the facilities and the equipment to condition and rehabilitate athletes and to improve the fitness levels of persons who have lived sedentary lives.

Plans also include a broader level of service, with the Johnson Institute conducting seminars and other educational projects with high schools and colleges throughout the region.

CLINICPROGRAMS

Johnson Institute expansion plans call for establishment of several new clinics to meet the special needs of the injured or disabled. Clinics use the team approach, calling upon a panel of rehabilitation specialists to assess and treat patients with similar disabilities.

Space limitations now restrict the number of formal clinics to four — Spina Bifida, Muscular Dystrophy, Arthritis and Prosthetics and Orthotics.

The Johnson Institute serves as the regional clinic for both spina bifida and muscular dystrophy patients and its arthritis program also serves the Central New Jersey area.

The Prosthetics and Orthotics Clinic helps prescribe and fit patients with artificial limbs or braces and teaches use of the devices.

The expansion program will add a shop for the design and manufacture of artificial limbs and braces as well as room for new clinics in Cystic Fibrosis, Obesity, Pain Management, Chronic Obstructive Lung Disease and Discharge Follow-Up.

CARDIOPULMONARYREHABILITATION

Closely tied to the sports medicine program is the cardio pulmonary rehabilitation program the Johnson Institute’s expansion will provide. The equipment required for both is identical.

Cardio-pulmonary rehabilitation programs will help patients recovering from heart attacks and those suffering from chronic lung disorders such as emphysema, bronchitis, asthma and cystic fibrosis.

Unlike previous programs which depended on drug therapy to help such patients, the cardio­pulmonary rehabilitation programs will provide thorough assessments of patients' cardiovascular or pulmonary status through stress and pulmonary function testing backed up by a treatment program of psychological counseling and support plus formal exercise programs developed specifically for each patient.

The goal of cardio-pulmonary rehabilitation is the common goal of all rehabilitation efforts — to return the patient to as active and full a life as possible as soon as possible.

A dramatic advance in the field of rehabilitation diagnosis has been the development of electrodiagnostic equipment that allows more sensitive and accurate diagnosis than before.

Expansion of the Johnson Institute includes construction of an electrodiagnostic laboratory.

Presently, the Johnson Institute has computerized electronic equipment for Electromyography (EMG), Electronystagmography (ENG) and Biofeedback.

The first two instruments permit measurement and assessment of patients’ muscle damage, inner ear damage and other conditions and the biofeedback set-up helps patients learn to manage pain and other symptoms.

The new electrodiagnostic laboratory will house this equipment plus other instruments for evoked response and peripheral vascular and urologic disease testing.

All will be connected to a central computer for more precise diagnoses and storage of data.

The newly disabled patient not only faces long­term hospitalization but the added burden of knowing that a difficult readjustment to home, family and social life lies ahead.

Therapeutic recreation programs at the Johnson Institute provide patients with the chance to relieve the monotony of long hospitalization and more importantly, to readjust slowly to meeting other people socially — patients, family members, eventually outsiders — during trips to community centers for shopping or entertainment.

The expansion program will provide a large, all-purpose room for therapeutic recreation activities, serving as gymnasium, auditorium and game room.

There will also be a kitchen which patients and their families or other guests may use during social activities which also involve preparing meals.

Gourmet cooking classes which teach preparation of special diets are an example.

HOWYOU CAM

HELP

There are several ways in which you can make your gift to support the John F. Kennedy Medical Center expansion programs:

A. An outright gift of cash or securitiesB. A gift in kind — actual pieces of equipmentC. A pledge payable over a five-year period.

Most donors prefer to make a pledge with monthly, quarterly or annual payments. Other terms, of course, can be arranged.

OTHER GIFT PLANS AVAILABLE

TO YOU

In addition to outright gifts of cash, securities, equipment or longterm pledges, there are many other ways to make a gift to the Kennedy Medical Center building fund.

The gift plans below are examples. Most provide generous tax benefits to you:

A. A bequest in your willB. Life insurance plans with the hospital as

beneficiary when there are no surviving beneficiaries

C. A bank account in trust which is revocable at any time and from which you can continue to draw funds as needed

D. Deeding your home to the hospital now while continuing to live there for a substantial tax deduction

E. A charitable remainder annuity trust by which you place funds and/or securities in a trust which pays you a regular income during your life. It then reverts to the hospital.

There are many other ways of making your gift to the Medical Center with excellent estate and income tax benefits to you. Might we suggest, however, that you first consult your attorney on the most equitable way of accomplishing your wishes before you select a gift plan.

If you or your attorney have questions on any of these plans, please call the Development Department at (201) 321-7186.

HOW RELATIVES AND FRIENDS

MAYBE REMEMBERED

A number of attractive memorials will be available in the Robert Wood Johnson Jr. Rehabilitation Institute following the completion of the new expansion program so that donors may formally honor or remember living or deceased relatives or friends.

The following list details important areas in the Johnson Institute and a finance department area to be constructed at the same time. These may be designated as memorials to your loved ones while helping us raise the necessary funds to complete our proposed expansion.

Please keep in mind that prices indicated on the items or area you may select as memorials do not reflect the actual cost of the item, but are merely our way of indicating the attractiveness of the memorial. A room, for example, that costs $100,000 to construct may be listed as a $5,000 memorial since many donors feel this is an attractive area to dedicate to a friend or relative.

Robert Wood Johnson Jr. Rehabilitation Institute Expansion

First FloorEvoked Response Testing Room $ 5,000Computer Room $10,000Engineer’s Work Room $ 5,000Storage Room $ 2,500Large Cardio-Pulmonary

Rehabilitation Area $50,000Large Physical Therapy Area $50,000ENG Testing Room $ 5,000EMG Testing Room $ 5,000Peripheral Vascular Disease

Testing Room $ 7,500Locker Room (Two) $ 2,500 eachPulmonary Testing Room $10,000Stress Test Room $ 5,000

Consultation Room $ 5,000Examining Room $ 2,500Office (Seven) $ 5,000 eachExamining Room (Seven) $ 2,500 eachSecretary’s Room (Two) $ 1,500 eachOffice (Two) $ 5,000 eachConsultation Room $ 5,000Prosthetic and Orthotic Shop $25,000Linen Storage Area $ 1,000Chief Therapist’s Office $ 7,500Technician’s Office $ 5,000Activities of Daily Living Kitchen $15,000Activities of Daily Living Bath (Two) $ 5,000 eachDepartment Head’s Office $ 5,000Assistant Department Head’s Office $ 2,500Staff Therapist’s Office $ 5,000Staff Office Area $ 5,000Waiting Room $10,000Examining Room (Three) $ 2,500Storage Room $ 1,000Activities of Daily Living Bedroom $10,000Observation Room $10,000Isolation Room $10,000Medium-sized Gross Motor Room $25,000Patient Group Room $10,000Elevator (Two) $25,000 eachParent Progress Room $ 5,000

Second Floor Finance Department AreaLarge Accounting Area $25,000Patient Accounts Office $ 5,000Business Manager’s Office $ 5,000Payroll Office $ 5,000Accounts Payable Office $ 5,000Janitor’s Closet (Two) $ 750 eachStaff Room $ 5,000Conference Room $10,000Bookkeeping Room $ 2,500Accountant’s Room (Two) $ 2,500 eachBudget Office $ 5,000Controller’s Office $10,000Large File and Storage Area $10,000Coat Room $ 1,000Equipment Room $ 1,000Special Storage Room $ 1,500Electronic Data Processing Room $10,000Keypunch Room $ 5,000Secretary’s Office $ 2,500Programmer’s Office $ 2,500Manager’s Office $ 5,000Elevator (Two) $25,000 each

BOARD OF TRUSTEESANTHONY M. YELENCSICS ChairmanMRS. EDWARD A. PARTENOPE PresidentJOHN TIMKO, JR.Executive Vice President CHARLES DEARBORN Vice President HERBERT G. STOLZER Vice President THOMAS SWALES, JR.Vice President IRVING TRIPP Vice PresidentDR. A. PETER CAPPARELLI SecretaryJ.ARTHUR APPLEGATE TreasurerCHARLES L. GIFFORD Assistant Treasurer REINHOLD M. PAULUS Assistant Treasurer

DONALD T. AKEY, M.D.DR. RALPH P. BARONE WILLIAM E. BROTHERS MORRIS BROWN JOHN W. BURK NORMAN A. COHEN THOMAS O. COLEMAN ROY DOCTOFSKY SEN. BERNARD' J. DWYER SOLOMON EPSTEIN R. JOSEPH FERENCZI MRS. ROBERT E. HOLMES LOUIS HOWARD STEWART M. HUTT ALEX S. KUDRON

S. ELLIOTT MAYOR. BRUCE MCDOWELLROBERT J. MCKENNAVICTOR F. MELINVAL MESZAROSJOHN P. MOLNARRALPH J. MUEHLIGEDWARD A. PARTENOPE, M.D.EARLE N. PETERSON, D.V.M.PHILIP SCHWAUESOL SEIDLEONARD SENDELSKY WALLACE A. STEINBERG G. NICHOLAS VENEZIA SEN. LAURENCE S. WEISS

EX-OFFICIO MEMBERSWILLIAM H. AINSLIE, M.D.MAYOR JOHN J. CASSIDY MRS. STANLEY T. KOZAL MAYOR DONALD J. WERNIK

HONORARY MEMBERSKENNETH BERG LEONARD BERG ROBERT N. BROWN DR. FRANK M. CHAMBERS JEREMIAH GUMBS OTTO MAYER FRANK VISCEGLIA, SR.WARREN W. WILENTZ

COUNSELTOOLAN, ROMOND, ABBOTT and DOMENICHETTI

EXECUTIVE DIRECTORJOSEPH SHERBER

THE ROBERT WOOD JOHNSON JR. REHABILITATION INSTITUTE

JOHN F. KENNEDY MEDICAL CENTEREDISON, NEW JERSEY