Cognitive Therapy for Brain Injured Patients

Nexus Neurorecovery Center offers residents extensive rehabilitation to improve cognitive function after an acquired or traumatic brain injury or other neurological issue. Utilizing evidence-based therapies, our program helps residents learn skills, techniques, and adaptive strategies to improve their quality of life, including:

• Adjustment to Disability
• Anger Management
• Attention
• Awareness

• Compensation
• Executive Functioning
• Goal Setting
• Insight and Awareness

• Internalization
• Memory
• Mental Speed
• Problem Solving

• Stress Management
• Visual Perception
• Visual Scanning

The cognitive program also incorporates integrative neurorehabilitation to connect the mind and body for maximum performance and increase of function. Services that support increased cognitive function include yoga, meditation and mindfulness, breathing exercises, guided imagery and visualization, and emotional freedom techniques.

Remember, most improvements and functional gains are seen within the first year following a brain injury or other neurological issue. Our cognitive program team recommends individuals receive treatment and cognitive rehabilitation as early as possible.

Cognitive Program Sample Schedule

Monday
9-10 a.m. | Foundations
10-11 a.m. | Healthy Living
11 a.m.-12 p.m. | Brain Education
12-1 p.m. | Lunch
1-2 p.m. | Cognition
2-3 p.m. | Insight & Awareness

Wednesday
9-10 a.m. | Foundations
10-11 a.m. | Problem Solving
11 a.m.-12 p.m. | Memory Strategies
12-1 p.m. | Lunch
1-2 p.m. | Nexus 101
2-3 p.m. | Therapeutic Habits

Friday
9-10 a.m. | Foundations
10-11 a.m. | Problem Solving-Mathematics
11 a.m.-12 p.m. | Focus on Functioning
12-1 p.m. | Lunch
1-2 p.m. | Movement & Music
2-3 p.m. | Peaceful Habits

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NEURORECOVERY CENTER
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2020 Nexus Neurorecovery Center Report

View our annual quality report detailing our facility’s patient satisfaction, infection control, pulmonary, rehabilitation, and brain injury data.

Nexus Neurorecovery Center Report

Nexus Neurorecovery Center offers the following cognitive therapy groups:

•    Brain Education

  This group discusses the importance of various therapies, structure, and family/friend support. Strategies introduced will help prepare both participants and families for life at home and within the community. 0Depending on the group of participants, additional topics such as organization, problem solving, sequencing, and neuroplasticity may be discussed.

•    Healthy Living

  This group addresses some of the major areas of health and wellness, educating participants and providing discussion regarding their normal health routine. Topics included within Healthy Living are: Monday: Reducing stress, receiving support from family/friends, thinking positively, and mindfulness; Wednesday: Nutrition, hydration, self-management, information processing, and stress management; Friday: Sleep strategies, stretching, nutrition, and exercise.

•    Memory Strategies

  Memory is one of the most commonly affected cognitive functions of the brain after an acquired brain injury. This group provides information on memory (types of memory, what a memory really is, why it is important), as well as how and why it is affected after injury. Internal and external strategies, including compensatory strategies, are also implemented to increase retrieval and memory.

•    Social Cognition

  Social skills are a large part of human interactions and having the ability to adapt to social situations is imperative. In this group, facilitators discuss the importance of social skills and give examples of where are they used (i.e. how to ask for help, subtle cues, body language, family interaction, in the community/job environment).

•    Foundations

  Scheduled as the first group of the day, participants are transitioning from their homes to begin programming for the day. In this group, each participant’s schedule is reviewed for the day, previous evening’s activities are discussed, and uplifting, recent news stories are shared.

•    Relaxation

  Teaching the importance of relaxation in everyday life, Relaxation incorporates mindfulness into activities and ways to relax. This group includes hands-on experiences such as guided meditation, mindful eating/drinking, and yoga. The group discusses ways each prefers to relax, and facilitators offer suggest modes of relaxation, including deep breathing, mediation, yoga, art therapy, aroma therapy, exercise, and leisure activities. This group is especially beneficial for persons who have or currently experience challenges with anger management, anxiety attacks, cardiac health, depression, general well-being, headache, high blood pressure, compromised immune systems, insomnia, pain management, stress management, and addiction.

•    Insight & Awareness

  This group raises awareness of how an injury can alter one’s perspective and social skills. The goal is to return patients to his or her highest level of independence, by identifying areas in which they can improve.

•    Movement & Music

  Music and movement are very important in everyday life. When the two come together, they can strengthen neuropathways and aid in overall movement and speech. In this group, movement patterns are thoughtfully performed, and participants are encouraged to enjoy music, as they strengthen, stretch, and engage in a full-body activity.

•    Problem Solving

  Solving problems is an everyday skill that takes thought and multiple-step reasoning. There are many ways to approach situations, both new and familiar. The group may work together or independently to solve a common problem or problem solve scenarios where a difficult situation may arise. Reactions to the problem are the pivotal point, and tools to use when responding in a healthy way are shared and learned to better tackle real-world issues.

•    Family Dynamics

  After a traumatic injury, family roles often shift dramatically and may not return to how they were pre-injury. This group discusses who the family system involves (immediate family, distant family, friends, co-workers, etc.), how the dynamics may have shifted, and where this change may affect the individuals involved. This group may also discuss what has changed, why it has changed, and how to communicate with the participant’s support system to work together.

•    Life Skills

  An occupational therapy led group that meets three times a week. Wednesday focuses on functional math and money management as well as safety, Thursday focuses on meal planning and food purchasing in the community, and Friday is meal preparation, safety implementing, and consuming.

•    Grupo Esparanza

  This group is specifically for our Spanish-speaking residents. The focus of discussion is brain function, education, and well-being. The facilitator is equipped with information from therapists, as well as literature about various neurological diseases. The participants provide group support, if needed, allowing each other to share and discuss, per his or her level of comfort. All conversations remain confidential, unless agreed upon otherwise.

•    Substance Abuse

  This therapy group is for people who have either previously utilized/abused substances, or for those who have discussed/displayed wanting to rely on substances once returned to home. The group discusses the struggles of substances, how to alter their home environment, and other coping mechanisms that could be implemented.

•    Nexus 101

  Different Nexus facilitators lead this group to explain how their job relates to the participants and obtain feedback on new ideas. The facilitators will talk about Nexus, answer questions, and find answers to questions they don’t know.

Other Programs Include:

•    Executive Development

  This “white collar” program prepares residents to return to business world and reinforces entrepreneurial practices. This program strengthens cognitive skills, problem solving, creative thinking, attention to detail, concentration, and basic reading, writing and math skills.

•    Carpet Cleaning

  This program educates residents about how to utilize an industrial machine and to clean and properly maintain interior spaces. Residents train in safety awareness and improve physical stamina, cognitive skills, attention to detail, production speed, and work quality, as well as basic reading, math, reasoning, and sequencing skills.

•    Small Engine Repair

  With access to hundreds of Original Equipment Manufacturer (OEM) service manuals, this program allows residents to study, learn, and produce information from 2-diminesional drawings into 3-dimensional products. This program is designed to be a test of skills including visual-spatial, problem solving, fine and gross finger manipulation, reasoning, creativity, memory, attention to detail, concentration, gross motor movement, and analytical skills.