A case History for rehabilitation Psychology.

3. CASE HISTORY
 Name : Ms W
 AGE :55 years
 Gender : Female
 Marital status : Unmarried
 Employment :Office Manager at Heath Care Clinic

4.  Precipitating Event : Vehicle collision
 Assessed by : Glass glow coma Scale
 Result of GCS :15 (MILD)
 Presenting complaints :
 Significant Fatigue
 Difficulty concentrating
 Difficulty with balance
 Frequent headaches
 Frequent forgetfulness

5. Every day about 7,000 people are hurt in car accidents. Many
more are injured in other accidents.
Wounds from these accidents can vary from minor scrapes and
bruises to much more serious injuries. Generally, accidental
injuries affect each body part a little differently. Treatment and
recovery after injuries also differs depending on the body part
and severity. After injuries of the incident life parts are often
altered but with rehabilitation it can be compensated and life
can be resumed.

6. Goal of Rehabilitation
 To help patient achieve as full a physical and psychological
recovery as possible
 To improve patients quality of life through gaining life
management skills ,a sense of direction for future and
resilience
 To help patient build social connectedness to family and
community
 To assist the person to return to safe & meaningful work
 To help them learn to understand and self manage physical
and mental health conditions to best of their ability.

7. Brain Injury Rehabilitation Team
 Physical therapist
 Occupational therapy
 Psychologist
 Neurologist consultant
 Chiropractioner

8.  Major problem was Ms W belief that she would not be
able to return back to work
 Solution.
 Consistent prognostic message from therapists
 Shaping of expectations
 Testing and assessment of functioning levels
 Provide information regarding outcome of tests
 Benefits from group therapy and interactions
 Benefits from peer support
 Belief in ones own ability.

9. Strategies to compensate after
injury
 Use of a journal/calendar
 Create a daily schedule
 “To do” lists and shopping lists
 Labeling items
 Learning to break tasks into small manageable steps
 Use of a tape recorder
 Encourage use of rest and low activity periods
 Work on accepting feedback or coaching from others
 Work on generalizing strategies to new situations
 Use of a high lighter
 Alarm watch
 Review schedule each day
 Post signs on the wall etc.
 Try to “routinize” the day as much as possible

10. Task to compensate for trauma
Cheat sheet Reinforce
 Safety checklist
 Things to do list
 Setting goals
 Attention
 Memory
 Skills traning

11. Things to keep in mind
 Progress can be inconsistent and unpredictable
 What works today may not work tomorrow, but may
work the following day
 Reduced stamina and fatigue may persist
 Impairment of memory may hinder new learning
 Transitions may be especially difficult

12. Thank you