Brain Injury
Individualized care that optimizes recovery
Critical Illness Recovery Hospitals can play a significant role in treating and healing the side effects of traumatic brain injury (TBI) or stroke. Our program is designed for patients requiring round-the-clock medical monitoring. Therapy, when medically appropriate, is provided.
brain injury - critical illness hospital

We make recovery possible

  • An interdisciplinary team approach

    Our expert clinical staff is dedicated to providing individualized evaluations and close patient monitoring. We offer focused, personalized treatment tailored to each person’s specific recovery goals. Our interdisciplinary team provides:

    • Daily physician visits
    • Nursing care with registered nurses who are advanced cardiac life support-certified
    • Respiratory therapy- 24 hours a day, seven days a week
    • Pharmacy
    • Physical therapy
    • Occupational therapy
    • Speech therapy
    • Dietitian
    • Case managers
  • An individualized care plan 

    The program is overseen by a neurologist. In addition, internists, pulmonologists, nephrologists, orthopedic consultants and infectious disease physicians address the medical issues presented by TBI and stroke patients such as:

    • Respiratory management- including mechanical ventilation liberation and airway management
      • Weekly ventilator wean rounds with pulmonologist
    • Dialysis or renal management
    • Wound care (including surgical wounds; stage 3 or 4 pressure ulcers)
    • Infectious disease management (i.e., sepsis and/or multidrug-resistant organisms)
    • Pharmacological management (i.e., stabilizing drips)
    • Specialized nutritional management (i.e., total parenteral nutrition and management of naso-gastric and gastrostomy/jejunostomy tubes.) These tubes supply liquid medicine and nutrition to critically ill patients. They are inserted directly into a vein, down the nose or under abdominal skin to either the stomach or small intestine, respectively.

    Critical illness recovery hospitals also provide the rehabilitation services to address the weaknesses and challenges that result from TBI and stroke. We offer specialized care for patients who cannot tolerate prolonged rehabilitation therapies.

    Our physical, occupational and speech language pathologists develop an individualized treatment plan geared to each patient’s needs, with the goal of improving over time. Our primary goal is to medically stabilize the patient and successfully transfer him or her to the next appropriate level of care, where longer periods of therapeutic rehabilitation can take place.

  • Brain injury and stroke recovery services
    • Language/communication evaluation and treatment for:
      • Aphasia, the loss of ability to understand and/or express speech, and language
      • Dysphagia, difficulty/discomfort in swallowing (program includes instrumental swallow evaluation and vital stimulation)
    • Cognitive retraining to overcome deficits in thinking, decision-making and guidance on how to stay safe
    • Mobility program focused on functional movement (e.g., getting in/out of bed, use of a wheelchair and walking)
    • Balance, coordination, muscle strength and range of motion
    • Daily living activities (e.g., bathing, dressing, toileting and self-feeding)
    • Family education and training on how to help your loved one as he or she moves through the recovery process and the next level of care, or home. 
     
  • Coma emergence program

    Our hospitals are equipped to accept and care for patients emerging from coma; Rancho Los Amigos levels 1 through 3. Rancho Los Amigos levels are a commonly used scale for describing a brain injured patient’s level of activity. Level 1 is a comatose state, while level 8 signifies a patient who is independent and functions well in society.

    Our program is designed to increase wakefulness, alertness and improve attention, incorporating pharmacological and non-pharmacological approaches. The clinical staff intervenes to prevent additional medical complications (e.g., muscle or joint shortening, skin breakdown). Our patient schedules build in rest, activity and sleep periods to promote typical life patterns.


Brain injury recovery
When someone you love suffers a brain injury or stroke, you have many questions. What happens next? Will they be the same? What type of care is needed?