Conditions we treat

Care programmes are carefully and thoughtfully designed around the needs of individual people and reflect their own recovery goals and personal preferences. We adapt care programmes to ensure that they maximise independence and are intensive enough to see genuine progress towards achieving agreed goals. Given the nature of the various conditions that we treat, care programmes can differ but are always person-centred and regularly reviewed.

 

Some of the conditions we treat include:

Brain injury

Brain injuries can have a profound effect on a person’s functioning. Severe injuries can cause serious physical disability as well as changes in thinking and behaviour. Brain injuries can be classified as a ‘traumatic brain injury’ which happened as a result of trauma (e.g. car accident, an assault or a fall), or an ‘acquired’ brain injury, which is brain damage that occurred after birth (e.g. an infection such as encephalitis, or hypoxic damage).

The Raphael Hospital is able to provide goal centred neurorehabilitation programmes tailored to a patient’s individual needs and aimed at developing maximising functional independence.

Brain tumours

A brain tumour is a growth of cells in the brain that multiplies in an abnormal, uncontrollable way. It can either be cancerous (malignant) or non-cancerous (benign). Brain tumours may produce symptoms that vary depending on the part of the brain involved. These may include headaches, seizures, problems with vision, vomiting and mental changes. More specific problems may include difficulty in walking, speaking and sensory functions

Guillain-Barré syndrome

Guillain-Barré Syndrome (GBS) is a rare and often disabling condition causing paralysis of the legs, and sometimes also the arms. Sensation can also be affected and there can be changes in blood pressure and heart rhythm. About one third of people need ventilator support as the muscles used in respiration can also be affected. The process of recovery can be a lengthy one with many patients needing a significant period of neurorehabilitation.

The Raphael Hospital’s expertly trained interdisciplinary team is able to meet all needs of patients with GBS. A patient with GBS is provided with a neurorehabilitation programme tailored to their individual needs, however complex, and aimed at developing maximising functional independence.

Multiple sclerosis

Multiple sclerosis (MS) is a neurological condition which affects around 100,000 people in the UK. Whilst most people manage their condition at home, and indeed many lead normal lives, some have a more progressive illness which may require specialist neurorehabilitation.

The Raphael Hospital can help patients in all stages of MS providing neurorehabilitation programmes tailored to their individual needs, however complex, and aimed at developing maximising function independence. Our Consultant Neuropsychologist has a world renowned expertise in MS and is able to provide support for patients with MS who are experiencing psychological or cognitive problems.

Parkinson’s disease

Parkinson’s Disease (PD) is a progressive neurological condition which affects physical movement. PD is caused by the loss of brain cells that produce a chemical called dopamine. Dopamine is a neurotransmitter which plays an important role in the co-ordination of moment. There are three main symptoms of PD; Tremor, slowness of movement and stiff, inflexible muscles. A person with PD can experience a wide range of physical and psychological symptoms.

The Raphael Hospital can help patients in all stages of PD providing neurorehabilitation programmes tailored to their individual needs, however complex, and aimed at developing and maximising functional independence.

Prolonged disorders of consciousness

Following severe brain injury, many patients progress through the different levels of consciousness when emerging from a coma.

  • Coma (Absent wakefulness and absent awareness)
  • Unresponsive Wakefulness Syndrome or Vegetative State (Wakefulness with absent awareness)
  • Minimally Conscious State (Wakefulness with minimal awareness)

Some patients will not emerge from a vegetative or minimally conscious state. Such states are classed as ‘Prolonged Disorders of Consciousness’ (PDOC). For such patients it is essential they receive specialist support in order to give them every chance of optimising their recovery.

The Raphael Hospital is well known for it’s expertise in the neurorehabilitation of patients in prolonged disorders of consciousness’. The Hospital has developed a specialist service which provides a full pathway supporting patient’s journey to consciousness. Not only is the Raphael Hospital one of the few services in the UK which can treat such complex patients, it is also a leader in research in the area of PDOC.

Spinal injury

A Spinal Cord Injury occurs when there is damage to the spinal cord that results in loss of function such as mobility or feeling. Depending on the where the spinal cord and nerve roots have been damaged, symptoms can range from pain to varying degrees of paralysis and lack of sensation. The Raphael Hospital is able to provide rehabilitation programmes tailored to a patient’s individual needs and aimed at developing maximising functional independence.

Stroke (cerebrovascular accident [CVA])

A stroke occurs due to the sudden death of some brain cells when the blood flow to the brain is impaired by blockage or rapture of an artery to the brain. Symptoms of a stroke depend on the area of at the brain affected and can cause physical and cognitive changes.

The Raphael Hospital’s dedicated interdisciplinary team is able to provide excellent neurorehabilitation programmes tailored to a patient’s individual needs and aimed at developing maximising functional independence.

Other conditions

There are many other neurological conditions, such as Motor Neurone Disease (MND), Progressive Supranuclear Palsy (PSP) and Huntington’s Disease, Chronic fatigue syndrome that require an expert-led neurorehabilitation service. These patients can benefit from the specialist, interdisciplinary neurorehabilitation programmes offered at the Raphael Hospital.