Prior to the accident, Jack was working as a pharmaceutical sales manager.
Case Study: Neurological rehabilitation
Jack suffered from a serious brain injury, various orthopedic, and musculoskeletal injuries. Following a lengthy hospital stay he required in-patient rehabilitation. He continues to experience hearing loss, balance problems, memory and organizational problems, and word retrieval difficulty.
He is unable to make decisions quickly or solve problems under stress.Rotator Cuff Tear Post Surgical Rehab Case Study First Visit With Rapid Release Technology
Jack has been unable to meet the demands of his pharmaceutical sales job and has been out of work for several years. His goal is to return to his previous position. It was determined Jack would be unable to return to competitive employment for the foreseeable future.
Our vocational specialist identified options for Jack to develop marketable skills. She helped him enroll in a sheltered workshop program for designed for TBI clients and a part-time volunteer opportunity was identified.Mag 254 wrong signature
He started making money at the workshop and feels he has made progress. The client is encouraged by the prospect of employment. His attorney obtained a sizable settlement for his client, who continues to develop skills and hopes to return to the work force one day. Go to navigation Go to content.
Our vocational specialist met with Jack and his therapy providers. Jack underwent testing to determine his computer skills, verbal skills, and cognitive endurance. The vocational counselor noted Jack's ability to perform repetitive data entry tasks, filing, and written documentation. She noted Jack becomes distracted and performs slowly.
They agreed to start with volunteer positions to give Jack a chance to use his skills in a real life setting. A volunteer position at the local "Y" was located.
Jack began helping in the customer service department. He performed simple tasks such as filing, managing the sign in sheet, and data entry. His work increased from 2 hours per week to 8 hours per week. Jack was unable to progress beyond 8 hours per week as he could not expand his skills to perform other jobs at the facility.Kelly Gustafson is a licensed clinical geriatric psychologist who works in private practice serving patients in a comprehensive care clinic, in long-term care facilities, in assisted living facilities, and in her outpatient clinic.Word classes exercises pdf
She has specialized training in pain management, geriatric psychology, and health psychology. At the time, Maria had just suffered a right frontal lobe cerebrovascular accident CVA with left-sided hemiparesis and worsened urinary incontinence. Although she experienced dramatic deterioration in most areas of functioning, her greatest concern and self-reported origin of most of her anxiety surrounded her urinary incontinence and subsequent changes in privacy.
Maria reported that she was never married and had no children. She was an independent and successful woman up until her CVA. She designed preschool programs in her early adulthood and later worked as a social worker for low-income children and families. She went back to school to become a registered home health nurse. After retirement, she raised a therapy dog and visited nursing homes and hospitals. The biggest blow to her self-esteem was that she now was the patient who relied on others for care, which was an extremely difficult reality for her to face.
Maria reported experiencing worsening urinary frequency and occasional urinary incontinence starting approximately 10 years ago, altering her quality of life. Over the years she increasingly focused on this physical symptom, while her social and professional life suffered, and she withdrew from many activities. While in rehabilitation, Maria interacted with staff and residents, used humor in most social environments, asserted ideas of hope and recovery, and stayed in contact with friends and family members in the community.
However, as time progressed she appeared to be more withdrawn, similar to her life pattern prior to her CVA. She isolated in her room between rehabilitation sessions, rarely spoke with other residents, and presented with increased anxiety and depression.
She used her call light at least every hour to request to go to the restroom. She often focused her attention on physical symptoms that could be related to a UTI. Even after results from multiple urinalyses were negative for an infection, she continued to question the accuracy of the results. Once we began talking about her urinary incontinence, common underlying themes were observed in session.
She experienced sadness regarding the loss of independence and control in her life. Maria felt as if she were not heard by staff. She acknowledged a decreased desire to interact with other residents and family. She expressed feelings of hopelessness and helplessness, and she displayed a poor self-image. Because she had developed good insight and empathy for others through her professional training and life experiences, she was able to pick up on negative non-verbal cues from the staff members, such as poor eye contact, quick and abrupt body movements, sighs and groans, and rapid speech.
She interpreted these cues as an act of not caring. Maria often felt abandoned. As a result of the culminating stress, her concerns about her urinary incontinence and requests for help continued to increase.
I recommended the following suggestions:. Within a couple of weeks, Maria noticed a change in her care and her overall self-image.Australian mining companies understand land rehabilitation is part of responsible mining. We recognise our responsibility as a temporary custodian of land. Mine rehabilitation is highly regulated, better implemented and more accountable than ever before. Mining companies understand land rehabilitation is fundamental to responsible mining.
It is a critical factor for ongoing community acceptance and a key indicator for corporate reporting. Read about our member companies rehabilitation successes. New Hope Group. New Hope has been progressively rehabilitating New Acland Mine since operations began in Rehabilitation commences immediately behind mining operations. Around Ha of mined land is rehabilitated.Biberon recien nacido dr brown
Five years of scientific cattle grazing trials conducted on the rehabilitated land indicate cattle on mined land perform as well, or better than, cattle on unmined land. To date, about ha of land has been rehabilitated. Innovative cattle grazing trials and a local tree species planting program are also in progress.
Physical Medicine & Rehabilitation Case Studies
P eabody - Wilkie Creek. This includes backfilling of open cut voids, re-shaping of dumps and undergoing demolition and associated works. Included within the final landform planning process are paddocks and cattle watering systems to support the end land use of grazing.
Skip to main content. Home Mine Rehabilitation - Case Studies. Mine Rehabilitation - Case Studies Australian mining companies understand land rehabilitation is part of responsible mining.
New Hope Group - Rehabilitation Pics.It is not uncommon for in-patients who are admitted for another problem to be referred and treated in the ward or in the out-patient department for a musculoskeletal problem.
The prevalence of specific conditions can vary between the different groups in the community. For example, sporting injuries are more likely to occur in the younger groups, whereas degenerative conditions such as osteoarthritis are more likely to occur as people progress in years. Musculoskeletal problems can result in pain and functional limitations disabilityand represent a major burden to the society due to associated health care costs and loss of productivity National Health Priority Action Council Musculoskeletal conditions, including arthritis, cause more disability than any other medical condition and affect one-third of all people with disability.
Since part of the chronic disease burden is attributed to risk factors such as physical inactivity Bauman people with musculoskeletal conditions are often referred to physiotherapy out-patients for management of their conditions. As in other areas of physiotherapy practice, musculoskeletal assessment and treatment requires a systematic clinical reasoning approach Edwards et al The clinical reasoning approach used in this chapter considers: i differential diagnoses based on assessment and clinical presentation; ii intervention based on the best evidence available; iii constant evaluation of therapy outcomes; iv adjustment of intervention programme in line with diagnosis and stage of progress; and v referring to or working together with other disciplines to exclude and or address confounding problems.
In assessing and treating common musculoskeletal conditions and measuring progress it is important to use outcome measures that are valid and reliable, and that consideration must be given to impairments of body structure and function as well as activity limitation and participation restriction, such as ability to return to work.
Referral to or working with other disciplines may involve tests such as X-rays or dynamic ultrasound scans, or the provision of orthotics to improve biomechanics. In addition to specific techniques, treatment may require education, ergonomic advice and the instruction of a home exercise programme to improve outcomes on function and pain.
There is an emerging and increasing body of research on the effectiveness of physiotherapy that provides the clinician in out-patients with an evidence base for their practice Herbert et al In prescribing exercises it can be important to know whether the exercise programme is performed correctly and adhered to by the client.
Conditions such as back problems or tendinopathies may be negatively affected by incorrect activity performance. Additional problems that can affect health outcomes are incorrect belief systems and mental health problems. For instance, people with osteoarthritis may think that movement harms the joint, but by not moving they put themselves at risk of developing problems associated with physical inactivity e.
Also, people with chronic pain may be depressed and are, therefore, less likely to be interested in performing exercises, and may benefit from counselling e.
As I am told to write this rehabilitation paper and to quote a definition, I understand that rehabilitation basically is a word of hope in the prisoner life not only for prisoners but as well for the selected individuals that strive to make prisoners better members of society. Don't use plagiarized sources. So, with that being said, my definition for rehabilitation is as follows: the idea or concept of making a prisoner better. The purpose of rehabilitation is almost with no form.
The basic idea derived from the idea that a person who has been incarcerated will never want to be sent back to prison after they have been set free. Well, as we can see that is not the case. Most prisoners go through these rehabilitation programs and are released and just as soon as they are released go back to the way they were before and become criminal offenders and prisoners again. The origins of rehabilitation focused on forcing an inmate to consider both the error of his or her ways, the gravity of the crime committed, and why good conduct and further avoidance of crime would be beneficial.
The penitentiary was a place for penitents to do penance. I think that you can improve rehabilitation by starting rehabilitation as soon as a prisoners become a prisoner and making better choices on what types of programs that will help prisoners personally and individually. I think that rehabilitation can make a big difference in prison as well as having prisoners go through rehabilitation when they are released too.
References Foster, B. Upper Saddle River. NJ: Prentice Hall. Rehabilitation Paper. Accessed April 14, This is just a sample. You can get your custom paper from our expert writers. We all grow up listening and trying to live day in and day out following the metaphorical phrase. For most of us, this idiom means little however; Evan Hunter uses a character from On the Sidewalk Bleeding to influence the reader of its importance Andy is a young Persuasive Writing task: Banning of guns in America Ever since the tragic shootings at Sandy Hook elementary school, it has brought attention to the people around the world for the introduction of the banning of guns.
In recent years, the firearm related deaths in America soared to over 30, but in Australia in the same In the past few years, increase in cybercrime conducted through the Internet, has emerged as a significant concern for government. It aims to address legal issues concerning online interactions and the There are so many different police agencies and levels here in the United States.
Here are a few of the Federal policing agencies: Department of agriculture, commerce, Defense, FBI, and justice, but there are 15 Federal departments. The State level agencies consist of highway patrols, port authorities, state police, fish and wild life police which This is it, this is the last time you will ever see daylight again.Follow the inspiring journeys of our clients. From the initial injury, through rehabilitation and finding recovery. We work with amazing people everyday and wanted to share these special stories….
Click through our 4 rehabilitation case studies to find how the injuries were evaluated, which rehabilitation methods were used and how recovery was reached. Mr M was injured in a coach accident whilst on a skiing holiday in and he suffered a severe traumatic brain injury.
He was able to appoint a Case Manager within a few months of his injuries and she became involved in June Mr M was a teacher and was desperate to return to work and had planned to do this in September It was evident that Mr M lacked insight into the severity of his injury, which is typical for many of our clients.
However his wife and family could see the change in him and were aware that his memory was affected and that he was having difficulty with motivation, initiation, organising and planning. It was important that we supported Mr M to gain some insight into his difficulties without upsetting him.
His Case Manager recommended that he worked with a vocational psychologist and neuropsychologist to consider the effects of the injury and how this may impact on his ability to return to teaching.
His Case Manager also negotiated with his employers and they also became involved in supporting Mr M with his rehabilitation.
During the rehabilitation it was evident that Mr M had retained many of his skills but to return to teaching a class independently was going to be too much. It took a number of months for Mr M to come to terms with this but with support it was a decision he made and had control of. Mr M has been able to retire from teaching and has been supported to set new goals and achievements. He has attended night school to learn to navigate and has qualified as a day skipper, he has qualified to drive a power boat, he is a qualified cricket umpire, he volunteers in his local community and continues to enjoy his family life.
Mr M still has case management to support him to manage his personal assistant and his two buddies. Mr S is relatively new in his post as Therapeutic Support Worker to a 19 year old man who suffered a severe traumatic brain injury as a result of a road traffic accident. Already he is making a difference. Mr S loves his job and reports that he now feels that he has a career in Health and Social care and not just a job.
He is currently working alongside the physiotherapist and is helping the client to stand. He is ensuring that speech therapist recommendations are put in place and the client is supported using an alphabet chat. In his previous role Mr S felt that he did not have enough time working with clients to make a real difference — not anymore! Mr S has regular contact with the Case Manager to include supervision and training. Mr S is a vital part of a large multi-disciplinary team and he spends most of his time with the client.
GD was injured in a car accident in when he was 10 years old. He is now 20 years old and Ali has been his Case Manager since He struggled in school and time was spent trying to help the teachers understand his brain injury.Lucas was a 49 year old male, who ran his own business as an IT consultant.
He lived with his wife and 2 adult children in their own home. Lucas was previously fully independent with all his daily activities and had no significant past medical history. Lucas fell down the stairs at work and sustained a sub arachnoid haemorrhage, a fractured skull, facial lacerations and 2 fractured ribs.
He was admitted to the nearest hospital with a trauma centre, where he underwent surgery to debride and evacuate the depressed skull fracture and debride and repair the lacerations. Following his acute admission, Lucas was transferred to a rehab unit, however his low mood deteriorated and he was increasingly agitated. Lucas made very little progress on the unit, so it was decided in his best interests for his rehab to be continued at home.
Lucas was referred to occupational therapy for an assessment of his physical and cognitive needs, to allow him to reach his optimal level of function. Lucas was independently mobile indoors and short distances outdoors using a walking stick with supervision.
He was independent with personal care and able to prepare simple meals such as breakfast and a hot drink, however he struggled with complex meal prep tasks. He previously enjoyed cooking and this had been the main household task he would participate in prior to his accident. Lucas required support to manage his daily routine; he required supervision to access the community and was dependent for financial management.
He fatigued easily and struggled to join in with group conversations, so was increasingly socially isolated. Lucas was able to come up with an overall cooking goal with support from the occupational therapist; he wished to prepare spaghetti bolognese safely and independently without getting distracted from the task.
A Case Study of Maria: Psychological Perspectives
The occupational therapist then worked with Lucas and his family on the following short term goals:. Assessment and treatment was completed simultaneously, through the use of functional tasks and repetitive practice of that task. Although Lucas had an overall cooking goal, in order to achieve it, meant that he was required to work on other functional skills at the same time, such as searching for and locating items in his kitchen in order to work out what was missing and would need to go on a shopping list, safely accessing the community to get to the local shops and making his way around a supermarket, as well as paying for shopping and transporting it home.Adc data
Occupational therapists are very aware of how frustrating it can be for clients to achieve what seems to them to be the simplest of tasks and how this frustration can turn into a negative mind set and demoralise the client. In order to avoid this and empower the client to gain a sense of achievement, a graded approach to activities is often used.
Over time he was encouraged to complete more of the steps on his own. Discussion with Lucas before starting a task and getting him to rate himself on how well he thought he would perform and then reflecting back at the end of the session on his actual performance also served as a method of encouraging self-monitoring and helped him to realise he could manage better than he thought.
Lucas was taught a strategy of using simple worded checklists for each step of the task and checking them off, before moving on to the next step. To address attentional difficulties, the OT began to introduce distractions into the environment, i.
By the end of 12 weeks of rehab Lucas was able to make Spaghetti Bolognese with distant supervision. Lucas had taken on board the strategies of using checklists to help him through the task, but was unable to recognise when he had deviated from a task and always required a prompt to return to his checklist. As Lucas had been required to regularly walk to his local shops, his confidence with community access improved along with confidence to speak with strangers and articulate his needs.
Lucas has not yet been able to return to work and is unsure of whether he wishes to do so, but he is interested in volunteering with a local charity as a means of further occupying his time and increasing his social interactions.
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