Brain injury and stroke care

Our brain injury care supports adults who’ve acquired their brain injury through trauma, stroke, anoxic/hypoxic injuries and illnesses such as meningitis. We also support those with prolonged disorders of consciousness (PDOC).

We support people to optimise their quality of life and achieve their potential for functional independence.

Together with individuals and professionals, we create care plans designed around individual goals, whether that’s achieving full rehabilitation or maintaining optimal function following injury.

Focusing on maximising independence and building everyday living skills, our holistic approach involves developing cognitive skills, promoting meaningful activities, providing therapy interventions and encouraging community engagement.

Our approach to brain injury care

We work with individuals, their loved ones and professionals to ensure a safe, smooth transition from admission to discharge.

This involves a detailed clinical needs assessment, a community fit assessment, and input from Exemplar Health Care clinical experts.

Thanks to our high staffing levels that are based on individual need, we can adapt our approach and care to meet every person’s needs.

Together with loved ones and fellow professionals, we design individual care plans that reflect a person’s holistic needs.

We also work in partnership with local authority partners, NHS services and other community bodies to strengthen care when needed.

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Service user and carer playing cards
Service user teaching carer how to play guitar

Therapy led interventions

We offer community-based and in-house therapy-led interventions such as:

  • community involvement

  • daily living skills development

  • educational programmes

  • falls prevention

  • fatigue management

  • financial management training

  • mobility support

  • pain management

  • sensory strategies

  • social skills development

  • strength building.

Supporting neurophysical needs

Brain injury affects everyone differently. It may result in significant and potentially long-term physical impairment.

Our Nurse-led teams are trained to support those with brain injuries who also have:

  • physical disabilities and health conditions including ataxia, paralysis, seizures and swallowing difficulties

  • cardiac conditions

  • diabetes

  • dysphagia

  • post traumatic epilepsy

  • prolonged disorders of consciousness

  • the need for invasive mechanical ventilation

  • tracheostomies

  • continence management including catheters

  • PEG feeding tubes.

Care home resident high fiving a carer
Nurse sat with service user

Supporting neurobehavioural needs

Brain injury may result in cognitive and behavioural changes such as:

  • poor memory and learning

  • reasoning, problem solving and decision-making difficulties

  • reduced insight and awareness

  • communication difficulties

  • irritability and aggression

  • overly personal remarks or sexually disinhibited behaviour

  • poor social judgment.

We take a person-centred approach which may include positive behavioural support, mindfulness, psychiatry and cognitive skills development.

Care from a multidisciplinary team

Our brain injury care homes have a dedicated clinical, therapy and support team which includes trained Health Care Assistants and Registered Nurses.

People also have the support of Exemplar Health Care clinical experts, who work together to share learnings and best practice, and facilitate continued care pathways.

They include:

  • Behaviour Support Practitioners

  • Neurological and Rehabilitation Services Consultant

  • Speech and Language Therapist

  • Lead Therapist

  • Consultant Psychiatrist (in times of crisis).

Unit manager stood outside smiling for camera
Therapy assistant sat smiling at camera

Positive behaviour support

Many of the people we support are considered to display behaviours that are ‘too complex’ for mainstream care providers, such as aggressive and sexualised behaviours.

At Exemplar Health Care, we help them manage, reduce, and even eliminate these behaviours.

Our Exemplar Health Care clinical experts, including our Behaviour Support Team and a Consultant Psychiatrist, are available in times of crisis, and all colleagues complete Exemplar Positive Behaviour Support (EPBS) training (certificated by Bild ACT).

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