the BRAIN - Shepherd Center

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CoverStory Photo by Gary Meek Lauren Rushen, 25, of Hartselle, Ala., experienced a stroke in September 2008. She completed Shepherd Center's Young Stroke Rehabilitation Program. Recently, she returned to visit with several of her therapists, left to right, Erin Mattingly, Jane Woodward and Lora Harvey. 4 Spinal Column w w w. s h e p h e r d . o r g
HEALING the brain Shepherd Center brain injury programs include specialized treatment for young stroke patients, people in semi-comatose states and soldiers injured in battle. By Bill Sanders Twenty-five-year-olds aren’t supposed to have strokes, particularly those in good health and with few, if any, risk factors. And neither should 20-year-olds spend five weeks in a coma, nor should 22- year-olds experience the death and destruction of war. But, in reality, these things happen, and that’s why Shepherd Center’s Acquired Brain Injury (ABI) Program has designed three unique, specialized programs among the many in its broad continuum of care. Shepherd’s Young Stroke Program treats stroke patients in their 20s, 30s and 40s, helping them with parenting skills, work re-entry or academic skills if they are still in school. “For just about all of them, there is a change in lifestyle,” says ABI program director Susan Johnson, MA, CCC, CCM. “We teach them strategies to live to their highest level of independence while focusing on re-integrating into their community.” Shepherd’s Pre-Rehabilitation and Education Program (PREP) admits patients who are semi-comatose or in a minimally conscious state for a five-week program that focuses on medical, pharmacological and equipment needs, while optimizing their recovery for emergence from their coma. The program also focuses on educating the patient’s family on how to take care of their loved one once he or she goes home. Patients who emerge from their coma go directly into Shepherd’s intensive rehabilitation program. Those who do not are discharged to their home or an alternative setting that supports their ongoing needs until they are ready for more intensive therapy. “We started PREP nine years ago because managed care policies were forcing families to take 18- or 19-year-old semi-comatose or minimally conscious patients to nursing homes because there were little to no other alternatives,” Johnson explains. Fall 2009 5
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