Case Study - Displaced Child: Difference between revisions

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=== First Meeting ===
=== First Meeting ===
Maria, 69 years old, is referred to you at the orthopaedic department in the local hospital for physiotherapy after a fracture of her collum femoris resulting from falling on a slippery surface outside the grocery store. You meet her in her room, which she shares with one other lady. You are presented to her by the nurse that is the main contact in the department. She tells you during this meeting that she would prefer a female therapist, but since this is not possible due to a very heavy workload for other patients, she accepts, somewhat sceptical as you see it.
Ali, 8 years of age, with mild cerebral palsy (CP), has been resettled with family members in your region. Ali has been referred to physiotherapy because of walking difficulties. After the first consultation, where the child is accompanied by all the family members, you have agreed to see the child for regular training sessions where the focus is on movement, strength, balance, etc.


=== Second Meeting ===
=== Follow Up Sessions ===
Next meeting is in the group therapy room with other patients and therapists present. She tells you that she has pains in the fractured hip, but you know from her file that the operation went fine, so you inform her that this is normal at this stage. She is not well dressed for training, but on asking her, she tells you that this is the way she dresses. Gradually you feel that she warms to you and starts telling bits of her story. She tells you she came here with her husband, 11 years her senior, some 17 years ago. Her language level is not very high, but you feel that the two of you communicate well enough and decide not to ask for an interpreter. After some sessions she tells you she has to get well soon, her husband is in an institution with terminal cancer, and she must take care of him, as she is obliged to as his wife. Accepting that his life is coming to an end, she tells you that she feels a big dilemma about what to do when he passes away. Should she accept his wish to be buried in their home city, together with his parents and his two brothers that have passed away, leaving her and their two children and the grandchildren with no grave to visit here, or should she break her promise to him? She asks for your view.....
At every session one family member is accompanying and providing relevant information on request. An interpreter with no relation to the family is available for you. You discover as you get to know Ali, there are additional challenges apart from the CP. He seems to enjoy the training but is very tired and cannot tolerate very hard or long sessions. Asking about what he enjoys doing to develop the relationship, a dramatic story appears. The family suffered bombing of their house in their homeland, the big brother; Hussain, 16 years old was out of the house and was killed during the bombardment. Ali looked up to
 
Hussain as the big brother and grieved the loss. The family never had the chance so far to grieve together, their flight was dramatic, they had to buy their escape from human traffickers, and crossed the big ocean in a ramshackle boat that was about to sink before they arrived at a safe shore. After having lived for some months in a very basic camp, the family was transferred to a better camp before arriving in your town. Ali speaks about friends that were made during these stays, that he cannot get in touch with now. He does not sleep well, has nightmares, does not eat much, and finds it hard to connect to other children at this stage, he tells you that he might not be able to keep friends anymore.


== References  ==
== References  ==

Revision as of 17:31, 1 April 2022

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Abstract[edit | edit source]

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Key Words [edit | edit source]

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Patient Characteristics[edit | edit source]

First Meeting[edit | edit source]

Ali, 8 years of age, with mild cerebral palsy (CP), has been resettled with family members in your region. Ali has been referred to physiotherapy because of walking difficulties. After the first consultation, where the child is accompanied by all the family members, you have agreed to see the child for regular training sessions where the focus is on movement, strength, balance, etc.

Follow Up Sessions[edit | edit source]

At every session one family member is accompanying and providing relevant information on request. An interpreter with no relation to the family is available for you. You discover as you get to know Ali, there are additional challenges apart from the CP. He seems to enjoy the training but is very tired and cannot tolerate very hard or long sessions. Asking about what he enjoys doing to develop the relationship, a dramatic story appears. The family suffered bombing of their house in their homeland, the big brother; Hussain, 16 years old was out of the house and was killed during the bombardment. Ali looked up to

Hussain as the big brother and grieved the loss. The family never had the chance so far to grieve together, their flight was dramatic, they had to buy their escape from human traffickers, and crossed the big ocean in a ramshackle boat that was about to sink before they arrived at a safe shore. After having lived for some months in a very basic camp, the family was transferred to a better camp before arriving in your town. Ali speaks about friends that were made during these stays, that he cannot get in touch with now. He does not sleep well, has nightmares, does not eat much, and finds it hard to connect to other children at this stage, he tells you that he might not be able to keep friends anymore.

References [edit | edit source]