Slow to Recover-

NRIO ' s Slow to Recover program begins with coma stimulation and continues rehabilitation services for those individuals identified as "slow to recover." The program begins with tactile, sound, olefactory and environmental stimulation to those clients who are at a low level of consciousness or emerging from a coma and progresses to a rehabilitation program which is designed to enhance functioning. Movement of large muscle groups and massage are implemented to prevent atrophy, to improve circulation and to increase sensory integration. A program integrating rehabilitation to maximize therapeutic gain is offered to individuals as they make and sustain progress from coma or minimally conscious states throughout recovery.

Individualized goals are determined upon intake to the program and reassessed throughout treatment.

• Increase arousal and response levels
• Decrease muscle atrophy, improve level of conditioning
• Increase awareness of environment
• Increase participation in environment
• Increase ability to communicate with care givers