The TIRR Memorial Hermann Disorders of Consciousness (DoC) Program focuses on patients in a vegetative or minimally conscious state. Although these patients are often not ready to begin a traditional rehabilitation program, they can significantly benefit from a program that specializes in treating disorders of consciousness. The Disorders of Consciousness Program applies state-of-the-art advances to assess and treat these patients to help maximize their potential recoveries and outcomes.
Studies have shown that 35 to 40% of patients with disorders of consciousness are misdiagnosed and undertreated. Frequently thought of as vegetative, many are either conscious or minimally conscious.1
A disorder of consciousness is a condition of altered consciousness in which a patient has severely impaired levels of awareness and wakefulness. Examples include patients who are in coma, a vegetative state or a minimally conscious state.
A disorder of consciousness is often seen following a severe traumatic brain injury, an anoxic brain injury or stroke.
1 Advancing Best Practices in the Treatment of Patients with Disorders of Consciousness
Four families tell their stories and experiences with TIRR Memorial Hermann and the Disorders of Consciousness Rehabilitation program.
The Disorders of Consciousness Program treats patients who are still unconscious or have just recovered consciousness. This includes patients who are not yet communicating or following commands, and patients who have just begun to communicate or follow commands but do so inconsistently.
We have a knowledgeable outpatient interdisciplinary team that may include:
Additional team members of an inpatient stay may include:
The TIRR Memorial Hermann team works with patients and their families to:
Online education resources for patients and professionals are available to you and your loved ones.
In April 2021, Davis was transported to TIRR Memorial Hermann in Houston to enroll in the Disorders of Consciousness Program. The Coker family chose this rehabilitation center because of its reputation for exceptional care and their positive experience with Davis’s grandfather who had been treate...
On Dec. 31, 2022, Dustin Wood was celebrating the impending New Year by riding his dirt bike near his home town of Fort Worth, Texas. However, when a deer ran into his path, he collided with the animal and was thrown from his bike.
Aiyana “Yani” Jones came to the Disorders of Consciousness (DoC) Program at TIRR Memorial Hermann after autoimmune encephalitis left her in a near-comatose state. Yani had just been diagnosed with lupus; it was the summer of her junior year of college, and the disease had caused severe complicati...
Dallas Matamoros was a college student at LSU when he was hit by a car, resulting in a traumatic brain injury. It was May 27, 2020, and the physicians at the acute care hospital he was taken to gave him little chance of survival. His family, unwilling to accept this fate, sought out the help of T...
When Sierra Tobia takes care of her patients at TIRR Memorial Hermann, she does so with a unique perspective. She first came to TIRR Memorial Hermann as a patient in 2014, and, today as a nurse at TIRR Memorial Hermann, she has first-hand knowledge and understanding of her patients’ journeys.
Jack Rieger suffered a severe fall causing numerous injuries. After 9 months in UCLA intensive care, Jack was transferred to TIRR Memorial Hermann. From the therapy and education provided by the Disorders of Consciousness program, he was able to return safely home.
Nolan had just graduated high school in 2016 when he was involved in a rollover auto accident. He was ejected from the vehicle and suffered a severe traumatic brain injury. Nolan had an all-star, rock-star-level health care team at TIRR Memorial Hermann. Dr. Sunil Kothari, TIRR Memorial Hermann D...
While in the hospital in Washington, Eric’s neurologist suggested that the family look into the Disorders of Consciousness (DoC) Program at TIRR Memorial Hermann in Houston. Two weeks post discharge in May of 2018, Eric and Cheryl boarded a plane and traveled to Houston.
In April 2020, Corey Nowlin suffered a severe head injury. Today, thanks to the TIRR Memorial Hermann’s Disorders of Consciousness program, he’s able to communicate again.
When Jaclyn was admitted to the TIRR Memorial Hermann Disorders of Consciousness (DoC) Program, she was not responding to any commands. But the first thing the therapist said when she arrived at TIRR Memorial Hermann was, ‘we’re going to get her up.’ At that point Jaclyn had bee...
After an automobile accident left him bedridden and unresponsive, River's sister found hope for him with the TIRR Memorial Hermann Disorders of Consciousness Rehabilitation Program.
When 33-year-old John Keller was first admitted to TIRR Memorial Hermann on March 26, 2008, he was in a vegetative state. On impact, Keller suffered a fractured skull and pelvis and an intracranial hemorrhage resulting in a severe traumatic brain injury (TBI). Nine days later, he was transferred ...
This study aimed to empirically evaluate the hierarchical structure of the Coma Recovery Scale-Revised (CRS-R) rating scale categories and their alignment with the Aspen consensus criteria for determining disorders of consciousness (DoC) following a severe brain injury.
This is the first large retrospective cohort study on the primary medical and neurological complications and comorbidities in persons with DoC. A total of 146 patients admitted to a specialized inpatient DoC rehabilitation program from 1 January 2014 to 31 October 2018 were included.
Spasticity is one of the most frequent neurological impairments affecting persons with disorders of consciousness (DoC). If left untreated, it can mask signs of consciousness by inhibiting one's ability to interact with the environment. The lack of information about spasticity specific to patient...
Thousands of people are wrongly labeled unconscious after severe brain injuries each year. Some have their life support withdrawn; some are sent to nursing homes and left to lay in bed, aware but unable to show it. A fortunate few make it to a Houston rehab hospital, where those with even the wor...
Across the country, thousands of people with severe brain injuries are wrongly labeled as unconscious each year. Among them, a small number make it to a Houston rehab hospital, where those with even the worst injuries get a shot at recovery.
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For the 35th consecutive year, TIRR Memorial Hermann is recognized as the best rehabilitation hospital in Texas and No. 2 in the nation according to U.S. News and World Report's "Best Rehabilitation Hospitals" in America.
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