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Case Study 2: Lower Good Recovery

The patient is independent, can take care of all
daily activities and go out. She is not in the
SEVERE DISABILITY category.
She has returned to normal life, resumed her
studies and household responsibilities.
She takes full and independent care of the children.
She enjoys social life as much as before the injury.
This puts her in the GOOD RECOVERY category.
A. Upper   Good:
   Return to normal life and NO current problems
   relating to the injury that affect daily life (dizziness,
   headache, and sensitivity to noise or light, slowness,
   memory failure, concentration problems).
Case Study 2: Lower Good Recovery

B. Lower Good:
  Return to normal life: BUT current
  problems relating to the injury that affect
  daily life (dizziness, headache, and
  sensitivity to noise or light, slowness,
  memory failure, concentration problems)
  Social activities: Resumed at least half as often
  as pre-injury
  Disruption or Strain: Occasional (less than
  once per week)
She does suffer from headaches and occasional strain,
which leads to Lower Good Recovery rating on the
GOS-E.
                           www.synapse-trial.com        2
Case Study 2: Lower Good Recovery

Additional Considerations:
 The occupational status refers to the
 ability to do rather than to actually do
 If someone is not working due to reasons
 unrelated to brain injury, but could work,
 that should be rated as GOOD RECOVERY
 In people without work or study, household
 responsibilities and social activities are good
 indicators for comparison between pre-injury
 and post-injury status

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Case 2 Discussion

  • 1. Case Study 2: Lower Good Recovery The patient is independent, can take care of all daily activities and go out. She is not in the SEVERE DISABILITY category. She has returned to normal life, resumed her studies and household responsibilities. She takes full and independent care of the children. She enjoys social life as much as before the injury. This puts her in the GOOD RECOVERY category. A. Upper Good: Return to normal life and NO current problems relating to the injury that affect daily life (dizziness, headache, and sensitivity to noise or light, slowness, memory failure, concentration problems).
  • 2. Case Study 2: Lower Good Recovery B. Lower Good: Return to normal life: BUT current problems relating to the injury that affect daily life (dizziness, headache, and sensitivity to noise or light, slowness, memory failure, concentration problems) Social activities: Resumed at least half as often as pre-injury Disruption or Strain: Occasional (less than once per week) She does suffer from headaches and occasional strain, which leads to Lower Good Recovery rating on the GOS-E. www.synapse-trial.com 2
  • 3. Case Study 2: Lower Good Recovery Additional Considerations:  The occupational status refers to the ability to do rather than to actually do  If someone is not working due to reasons unrelated to brain injury, but could work, that should be rated as GOOD RECOVERY  In people without work or study, household responsibilities and social activities are good indicators for comparison between pre-injury and post-injury status