Case Study: Hypoxic Brain Injury client (strangulation)

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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

Admission: 03/05/2013

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.

At Present:

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.

Personal cares:

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

Shower- daily

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

25mls Lactulose

PRN:                 Paracetamol

Zopiclone (if difficulty sleeping)

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.


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