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A comprehensive program for patients with known or suspected brain injury due to trauma, anoxic episode, tumor or stroke. The Brain Injury may be of a chronic or acute nature.

The Neurology led team develops a long term sustainable treatment plan to stabilize and improve quality of life. Our distinction is a therapeutic day tailored to optimize brain injury recovery by providing an empirically supported cognitive focus to EVERY therapeutic intervention. 



Patients may present as noncompliant repeat patients or those with recurrent bouts of agitation or memory lapse.

  • The challenges may be behavioral, emotional or physical.

  • The brain injury may be “hidden” in their past.

  • They may be experiencing problems at home or work following a change in personality or behavior (eg., inappropriate comments, inability to form new relationships, quick to anger, unable to follow multistep commands).

  • The patient may show problems with gait, handwriting, swallowing or sleep cycle disturbances.

  • May have any primary diagnosis.



A diabetic patient with a history of compliance issues developed a serious wound and was in need of IV antibiotics and wound care. Her cognitive deficits and high levels of anxiety dramatically interfered with effective medical treatment of her wounds. Medical investigation revealed a previously undiagnosed diabetic encephalopathy, which offered an explanation and guided the development of a plan for successful treatment. 



The Low Level Brain Injury Patient — This slow to recover patient may have a low level of consciousness or be in a state of coma (GCS<8). The patient may require trials of neurostimulants and intensive rehabilitation (dynamic splinting, spasticity management and sensory stimulation).

The Transitional Patient — This patient may be beginning to slowly participate in therapy but may have issues preventing the transition to the next level of care; this may be due to medical complexity, behavioral issues or lack of endurance. The focus would be on medical and/or behavioral stabilization while trialing more intensive therapy sessions, working up to 3 hours of a day of PT/OT/ST. Patients may also require onsite psychological services aimed at health and behavior.

The Acute Physical & Cognitive Rehab Patient — Based upon the nature of the injury, some patients may be more appropriate for rehabilitation with a cognitive focus. This patient will benefit from 3 or more hours of therapy that begin to form an entire “therapeutic day”. The goal is to promote cognitive retraining through mimicking homelike routines, such as dressing and cooking.

The Nexus NeuroSpecialty Program is NOT a psychiatric program for those in crisis/jeopardy of imminent harm to themselves or others OR for those patients who present with acute alcohol or drug problems.