Traumatic Brain Injury - Case Study Part 3: Difference between revisions
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=== Current Function === | === Current Function === | ||
* No use of oxygen
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* Blood pressure within normal limits
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* Supervision with mat mobility
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* Contact guard with stand turn transfers
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* Contact guard to minimal assist of 1 & supervision of another for gait 1200m
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* Minimal assist of 1 & supervision of 1 on 20 steps reciprocally with a handrail
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* Minimal assist of 1 & supervision of 1 on 6 inch curb
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=== Discharge Planning Considerations === | === Discharge Planning Considerations === | ||
* Family support | |||
* Environment
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* Equipment
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* Further rehabilitation needs
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== Discussion == | == Discussion == | ||
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. | ||
Revision as of 12:49, 24 October 2019
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 | Decreased | NAD | Decreased | 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 | Decreased | NAD | Decreased
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.
