severe acquired brain injury case study

“I am so proud of myself and I am really glad that I can walk again. These day trips release the tension that I have accumulated in the past months.”

– Mrs H

Mrs H was admitted to Askham Village Community following a fall which subsequently resulted in a spinal injury. Mrs H engaged in a mixed therapy package with Physiotherapy and Occupational Therapy.

Upon admission Mrs H was unable to walk and carried out step transfers using a frame. Mrs H needed assistance with all aspects of her personal care. Mrs H engaged in hand therapy, gait training, leg strengthening and stepping practice in Physiotherapy. Mrs H also engaged with the Occupational Therapist in preparing and chopping ingredients as well as cooking meals.

Upon discharge, Mrs H could walk unaided, at times using a quad walking stick. Mrs H could safely walk up and down a set of stairs using a hand rail, and completed all transfers unaided. Mrs H began going out on day trips with other residents and staff, and was eventually able to complete light shopping independently. Mrs H began cooking meals for herself and others in the kitchen with minimal assistance.

Mrs H was also able to carry out her personal care including toileting, dressing and showering; just requiring assistance for hair washing due to limited mobility in her hands. Mrs H returned to a ground floor flat situated in the same block below her previous home. Although Mrs H could have managed the stairs to her original flat, living on the ground floor relieved some pressure and made Mrs H feel safer.

See below measurable outcomes from the Functional Assessment Measure (FIM + FAM) that was completed on admission and discharge.

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