Distressed, Traumatic Brain Injury symptoms change as the brain heals. Find out what to during this crucial time period.

Overcome daily mobility challenges and continue living safely, independently, and comfortably in your own home. We bring expert support to your doorstep, ensuring peace of mind and an enhanced quality of life, without the disruption and stress of moving to an institutional facility. We offer physical assistance with essential daily activities (ADLs) such as bathing, dressing, grooming, using the toilet, and moving around the home (e.g., getting in and out of bed).

Maintaining Independence and Autonomy:

“We provide just enough assistance with daily tasks to ensure you remain in control of your life and safely in your own home, preserving your independence and dignity.

Retaining Dignity in Daily Routines:

“We offer personalized, one-on-one companionship and support with grooming, hygiene, and mobility, helping you feel respected and comfortable in your own environment.”

Reducing Isolation and Improving Mental Health:

“Our caregivers provide companionship, reduce feelings of loneliness, and facilitate social engagement, significantly boosting your daily happiness and emotional well-being.”

Aging in Place Safely:

“We create a secure, tailored environment at home, reducing the risk of falls and infections while helping you maintain your routine and connection to your community.”

Preventing Caregiver Burnout:

“We provide professional, compassionate relief to family caregivers, allowing them to take necessary breaks, reduce stress, and prevent burnout, ultimately ensuring long-term care sustainability”.

Ensuring Safety and Security:

Families need assurance that their loved ones are safe from falls, malnutrition, and medication mismanagement, particularly when they cannot be present 24/7, enabling peace of mind.

Handling Intimate Tasks

Families require skilled support to navigate chronic illnesses, post-surgical recovery, or dementia, ensuring that complex, expert care is managed effectively at home.

Navigating Complex Care Needs:

Families often look for support to maintain their own careers and personal lives, preventing them from having to choose between their jobs and their loved one’s care.

Physical Assistance: A Conversation-Based Definition

Daughter:

“Nurse, we keep hearing the term ‘personal care’ in Mom’s care plan. Can you explain what that actually means for her day-to-day?”

Nurse:

“Of course. It’s a key part of how we help people live comfortably and safely in their own homes. Think of personal care as the hands-on, non-medical support we provide with everyday, essential activities.”

Patient:

“Oh, so it’s the aide who helps me get ready in the morning?”

Nurse:

“Exactly. We often refer to these as ‘Activities of Daily Living,’ or ADLs. A personal care aide is there to help you physically with tasks that may be difficult to do on your own, while always respecting your dignity and independence.”

Daughter:

“What are some specific examples of those ADLs?”

Nurse:

“They include several core areas:

Bathing and Grooming: Assistance with bathing or showering, hair care, oral hygiene, and daily personal hygiene routines.
Dressing: Hands-on support with selecting and putting on clothing, including help with fasteners such as buttons, zippers, and socks.
Toileting and Incontinence Care: Safe assistance with bathroom use, continence support, and related personal hygiene.
Mobility: Physical support with walking, transfers, and positioning, including use of walkers or assistance getting in and out of bed or chairs.
Eating and Meal Preparation: Meal preparation aligned with dietary needs and hands-on assistance with eating when required.

Patient:

“And they can help with the dishes and a little cleaning too, right? My kitchen gets so messy.”

Nurse:

“Yes. Personal care often includes light housekeeping, laundry, and grocery shopping. These are called ‘instrumental activities of daily living.’ Aides can also provide medication reminders, but they cannot administer medications, as that is a medical task.”

Daughter:

“So it’s different from medical care, like changing bandages or giving shots?”

Nurse:

Exactly. If hands on support is needed for bathing, dressing, toileting, or mobility, that is personal care and requires a different level of trained assistance. Companion care is ideal when someone is mostly independent but benefits from a friendly presence, added supervision, and practical help to make daily life safer and easier at home.

Daughter:

“That makes a lot of sense. Personal care sounds exactly like what Mom needs to stay comfortable and safe at home.”

Nurse:

“That’s our goal—to provide personalized support so your mom can maintain her independence and quality of life in familiar surroundings. We’ll work together to create a care plan that fits her specific needs.”

Physical Assistance: Treatment Planning & Goal Setting

Comprehensive Client Assessment

The agency conducts a thorough initial assessment that evaluates physical functioning, cognitive status, mobility limitations, and safety risks within the home environment. This assessment establishes a baseline to guide appropriate care planning.

Client and Family Participation

Clients and family members are actively involved in setting goals. Care plans are designed to reflect personal routines, preferences, and quality-of-life priorities, rather than focusing solely on tasks or limitations.

Home Safety & Environment Review

Treatment planning includes evaluating the home environment for safety risks. When appropriate, recommendations may include environmental adjustments to reduce fall risk and support safe mobility within the home.

Clearly Defined and Measurable Goals

Goals are written to be specific, functional, and measurable. Emphasis is placed on maintaining or improving the client’s ability to perform daily activities safely and independently whenever possible.

Ongoing Review and Plan Adjustments

Care plans are reviewed periodically and updated when changes in health status, functional ability, or living circumstances occur. This ensures care remains appropriate as needs evolve over time.

Coordination With Healthcare Providers

When applicable, services are coordinated with physicians, therapists, and other healthcare professionals to ensure consistency with broader care recommendations, while remaining within the agency’s scope of service.

Support for Family Caregivers

Planning also considers the needs of family caregivers. This may include education, guidance, or respite services to support safe care delivery and reduce caregiver strain.

Overall, Client Centered Approach

Clients should expect an individualized, strengths-based approach that focuses on preserving function and independence, supporting safety, and adapting care as needs change—rather than simply performing tasks on their behalf.

Physical Assistance : Monitoring and Documentation

Service Plan/Plan of Care:

An individualized service plan is developed from a comprehensive assessment. Clients are informed of the specific non-medical assistance caregivers will provide.

Communication of Condition Changes:

Significant changes in physical or emotional status are communicated to the client, designated contacts, and healthcare providers as appropriate.

Daily Monitoring and Documentation:

Caregivers record daily care notes documenting observed condition, mood, mobility, and services provided to support continuity of care.

Safety and Mobility Assessment:

The home environment is assessed for safety risks, and the appropriate level of assistance is determined to support safe movement and fall prevention.

Emergency Procedures and Reporting:

Clear procedures are in place to document and promptly report falls, injuries, or sudden condition changes to supervisory staff.

Confidentiality and Rights (HIPAA)

All care documentation and personal information are maintained securely and in compliance with privacy and confidentiality regulations.

How to Book a Physical Assistance Consultation

I. Information Gathering & Documentation

Medication List:

A list of all prescriptions, over-the-counter medications, and supplements.

Medical History:

Information on chronic conditions, recent hospitalizations, and diagnoses.

Provider Contacts:

Names and numbers of primary care physicians and specialists.

Legal Documents:

Power of attorney or advanced directives, if applicable.

Insurance Information:

Details on long-term care insurance or Medicare/Medicaid.

2. Define Care Needs & Routines:

Map the Routine:

List specific Activities of Daily Living (ADLs) that require help, such as bathing, dressing, toileting, or transfers.

Identify Mobility Challenges:

Document the daily routine, including meal times, medication schedules, and preferred bedtimes.

Identify Mobility Challenges:

Note if the client needs help with walking, using a wheelchair, or standing up.

Assess Safety Risks:

Identify areas in the home that need improvement, such as tripping hazards, lighting, or the need for grab bars.

3. Prepare the Home Environment:

Define the Budget:

Know your financial limits and inquire about payment options (long-term care insurance, Medicaid, or private pay).

Involve Decision-Makers

Ensure all relevant family members are present for the consultation to ensure everyone is on the same page.

Choose the Setting:

Pick a comfortable, quiet, and private time/place for the consultation to allow for open discussion.

4. Formulate Questions for the Agency:

Choose the Setting:

Pick a comfortable, quiet, and private time/place for the consultation to allow for open discussion.

5. Involve the Loved One:

Discuss the goal of the consultation, focusing on enhancing independence, safety, and quality of life.

Ensure the loved one is comfortable with the process and, if possible, present during the consultation to express their preferences.

Questions? We’re Just a Call Away.

"Will I be safe during this transfer, or am I going to fall and get hurt?"

"I am in pain, scared to move alone, or struggling to regain my independence."

"Will I be dropped, or will this be painful and undignified?"

"Am I helping my loved one enough, or am I putting them in danger?"

"Am I progressing properly, and what are my realistic goals for returning home?"

Traumatic Brain Injury FAQs

Will they ever be the same as they were before the injury?

Recovery following a traumatic brain injury varies widely from person to person. Some individuals experience significant recovery, while others may have lasting changes in thinking, emotions, or physical function. Healing can continue for months or years as the brain adapts and forms new connections. Care often focuses on supporting function, safety, and adjustment to a new baseline rather than returning to a pre-injury state.

Why are they so irritable or emotional and not acting like themselves?

Emotional and behavioral changes are common after a brain injury because areas responsible for impulse control, mood regulation, and emotional processing may be affected. Irritability, anger, impulsivity, or withdrawal are symptoms of the injury rather than intentional behavior. Maintaining a calm environment, predictable routines, and clear communication can help reduce stress and agitation.

Why does the patient keep asking the same questions repeatedly?

Short-term memory impairment, often referred to as post-traumatic amnesia, can prevent the brain from reliably storing new information. Repetition is not intentional and reflects difficulty retaining recent events. Simple explanations, visual reminders, written schedules, and consistent routines are commonly used to support orientation and reduce frustration.

How much rest is needed, and can they watch TV or use their phone?

Early recovery often requires periods of cognitive and sensory rest to reduce headaches, fatigue, and symptom flare-ups. Excessive stimulation from screens, noise, or bright light may worsen symptoms. Cognitive activities are typically reintroduced gradually under the guidance of a healthcare provider, based on individual tolerance and symptom response.

Why are sleep patterns disrupted, with nighttime waking and daytime sleeping?

Traumatic brain injury can disrupt normal sleep-wake cycles, leading to daytime fatigue and nighttime restlessness. Supporting regular sleep routines, encouraging daytime activity and light exposure, and maintaining a quiet, dark environment at night may help over time. Sleep regulation often improves gradually as recovery progresses.