The client is a young man who suffers from hypoxic brain injury (strangulation). He was injured on September 9, 2010. Strangulation is a result of being chocked by something or someone hence cutting off the supply of oxygen to the brain. The client got this injury when he attempted suicide by hanging himself. He was, however, found and resuscitated before he was taken to hospital. This client had no previous histories of admission or surgery. He spent six weeks in Waikato area hospital before being transferred to Cavit rehabilitation where he spent six months. Later, he was taken to a rehabilitation center in Hamilton where he stayed for twelve months after which he was taken home to continue his recovery process. His carer though raised concerns with the client’s health issues and that is why the patient started going to Life transition limited for further rehabilitation which he does till now. His social life on the other hand, was rather active he loved socializing with his friends both female and male. He enjoyed rap music, swimming, going to the beach, social networking and four wheel driving. He was about to attain his driving license.
Case Study: Hypoxic Brain Injury client (strangulation)
SOME INFORMATION ABOUT CLIENT FOR REHABILITATION CASE STUDY
You will need to create the information for this case study, but here is some information about the client for you to use as well.
Type of injury: Hypoxic Brain Injury (strangulation)
Date of injury: 09/10/2010
Client is a young male has sisters and brothers, he is the youngest member in the family. Family lives in the Waikato Area. Played rugby, spent time socialising with his friends, both male/female, like cars, 4 wheel driving, rap music, social networking, swimming, beach, takeaways, holidays, was in the process of getting his license. Has had no previous hospital admissions.
Client is on a full diet, eating anything he chooses, he is capable of feeding himself, though does reguire observation and minimal assistance, encouraged to do it on his own needs to be prompt.
Fatigue levels rise/fall depending on previous activities, sleep levels, excitement. This works in a pattern of several really good days, followed by a couple of fatigued days, some days he prefers to sleep in the morning, or have a longer nap in the afternoon. When fatigued appears sickly, vacant, stiff, unco-operative, grumpy and is general unwell.
Right leg gets stiff when he is fatigued and will push out in front of him, arms tend to get jammed in the air. Uses a talking board for communication, often uses thumbs up for yes , thumbs down for no. Mostly coqnitive, has difficulty with short term memory at times, sometimes forgets where he is when waking in the morning. Always has a night light on when dark, as he is afraid of the dark, this has occurred since his accident.
Teeth- reguires assistance
Hair- likes trendy haircut, encouraged to do it, though reguires assistance with product in hair
Dressing- encouraged to select his own, assist with dressing
Toileting- encourage to use the bottle, can hold his bladder and indicates for bathroom- dependent on his fatigue levels, often wears a uridome, bag strapped to leg, fleet enema used if having difficulty.
Exercises- daily stretching regime
Speech- vocal exercises
Standing-encouraged to stand
Swimming- 2-3 times per week
Hands- practice hand co-ordination
Memory- memory games, cross-words etc
TV- has a small amount daily, one movie per week
Power chair- power’s own chair improving all the time
Manual chair- can do with self- propelling
Outings- loves burnout competitions, off roader meets, targa rallys, movies, shopping, beach, fishing, zoo
Magazines- cars, 4×4, FHM magazine
Gym- x1 weekly
Hydrotherapy- x2 weekly
Physiotherapist, Speech Therapist, Occupational Therapist/ Eguipment manager, Registered Nurse , DR/GP, Personal trainer, Hand therapist, ACC case manager.
Client uses the Community swimming pools for hydrotherapy and a Gym facility for fitness. You can look at this web site for what is available in Hamilton, Waikato New Zealand
and look in the Waikato area, though agency has to be in the Hamilton area if you need more information.
MEDICATION: ( sensitive to penicillin)
Morn/Break: 10mg x1 Baclofen
Lunch/: 10mg x1 Baclofen
Dinner: 10mg x1 Baclofen
1mg x1 Melanton
Zopiclone (if difficulty sleeping)