Head Injury
Story 1: Patient D, 44-year-old, right-hand dominant male from Peenya, Bangalore had an alleged history of workplace injury on his head (head injury). A CT scan of the head/ brain had showed an acute Subdural hemorrhage (SDH) with mass effect, midline shift and right parietal sulcus traumatic SAH (subarachnoid hemorrhage). He was admitted in a hospital immediately. He underwent a craniotomy surgery for the same. Post operatively He had right hemiparesis/ hemiplegia and altered sensorium or coma.
#workplaceinjury #SDH #acuteSDH #headinjury #TBI #traumaticbraininjury #traumaticSAH #hemiplegiainheadinjury #hemiplegia #hemiparesis.
Patient presented with following complaints as the patient was referred for advanced neuro rehabilitation. A detailed CAREPa-Re evaluation revealed that he was unable to do the following:
- Unable to sit to stand without support
- Unable to stand without support and walk independently
- Dependent on caregivers in all Activities of Daily Living (ADL)
- Difficulty in functional use of the right hand
- Disoriented to his environment and surroundings
- Difficulty in comprehending simple questions and commands (Receptive Language RL issues),
- Difficulty in expression –trouble recalling words and names (Expressive Language EL),
- Improper syntactic structures.
- Inappropriate responses when questioned.
- Not oriented to place and person.
#CAREPa-Reevaluation #FIL #FBL. #FULL #sitting #RL #EL #comprehension #expression #speechtherapy #physiotherapy #occupationaltherapy
During the six weeks of admission, the patient underwent regular therapy sessions (3-4 hours/day) wherein the focus of intervention was to improve his functional use of his upper limbs (FULL) and lower limbs (FBL). Speech therapy was carried out for improving his communication verbally and cognitively (RL, EL). The patient showed a significant improvement with the neuro rehabilitation and he was seen communicating with his family members without any difficulty in his speech or cognition. His upper and lower limbs improved drastically and was finally able to walk and do his normal daily activity ADL independently (FIL 4).
#FIL #FBL. #FULL #sitting #RL #EL #advancedneurorehabilitation #cognitivetherapy #speechtherapy #FIL4
Add comment