Traumatic Brain Injury - Case Study Part 3: Difference between revisions
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What treatment goals would you select for James? What considerations would you make towards James discharge planning? Have a conversation with your colleagues, please share your knowledge with others and answer their questions where you can. | What treatment goals would you select for James? What considerations would you make towards James discharge planning? Have a conversation with your colleagues, please share your knowledge with others and answer their questions where you can. | ||
[[Category:Course Pages]] | [[Category:Course Pages]] | ||
[[Category:Physioplus Content]] |
Revision as of 16:21, 22 June 2021
Presenting Condition[edit | edit source]
For background information go to
Traumatic Brain Injury - Case Study Part 1
Traumatic Brain Injury - Case Study Part 2
Assessment[edit | edit source]
6 Months Post Injury[edit | edit source]
Upper Limb | Lower Limb | |||
---|---|---|---|---|
Left | Right | Left | Right | |
Tone | Increased | NAD | Increased | NAD |
Power | 2/5 | 4/5 | 2/5 Ankle
3-/5 Hip 3-/5 Knee |
4+/5 |
Coordination | Impaired | |||
Range of Movement
Muscle Length |
Shoulder:
Flexion 110° Abd 90° IR 40° ER 50° Elbow: Full ROM Wrist: Full ROM |
Shoulder:
Full ROM Elbow: Full ROM Wrist: Full ROM |
Hip:
Full ROM Knee: Full ROM Ankle: Decreased ROM DF with Knee Ext -5° |
Hip:
Full ROM Knee: Full ROM Ankle: Decreased ROM DF with Knee Ext 0° |
Sensation | Unable to participate in formal testing
Does react to some tactile stimulation | |||
Proprioception | Unable to Assess | |||
Reflexes | Increased | NAD | Increased
Plantar - Upgoing |
NAD
Plantar - Downgoing |
Current Function[edit | edit source]
- No use of oxygen
- Blood pressure within normal limits
- Supervision with mat mobility
- Contact guard with stand turn transfers
- Contact guard to minimal assist of 1 & supervision of another for gait 1200m
- Minimal assist of 1 & supervision of 1 on 20 steps reciprocally with a handrail
- Minimal assist of 1 & supervision of 1 on 6 inch curb
Discharge Planning Considerations[edit | edit source]
- Family support
- Environment
- Equipment
- Further rehabilitation needs
Discussion[edit | edit source]
What treatment goals would you select for James? What considerations would you make towards James discharge planning? Have a conversation with your colleagues, please share your knowledge with others and answer their questions where you can.