A Case Study Illustrating continuing assessment and rehabilitation for longer-term needs
In 2013 James* suffered a cardiac arrest and subsequent hypoxic brain injury. James was referred to Tŷ Aberdafen from the acute rehabilitation ward of a local community hospital where there had been difficulties managing James’ complex cognitive and physical needs.
In the hospital, James had demonstrated agitation, hypersensitivity to pain, noise and lights, an apparent lack of vision and severe epilepsy. On admission to Tŷ Aberdafen, James showed slow processing and verbal perseveration (the repetition of a particular word or phrase). His difficulty with initiation meant that he was unable to communicate his basic needs or join in social situations.
The team at Tŷ Aberdafen carried out a full assessment of James’ cognitive, visual and physical impairments which informed the bespoke specialist rehabilitation plan. It was clear that formalised assessments would be difficult due to James’ cognitive, visual and physical impairments so rehabilitation goals were set which would:
James’ stay at Tŷ Aberdafen has been a successful one so far in that a full assessment of his rehabilitation needs has been made and a programme established to improve engagement and rehabilitation outcomes. James is now settled at Tŷ Aberdafen where the team are continuing to work with him to work towards greater independence. He is regularly supported to attend theatre, concert and music events and in December 2015 he was supported to attend a rock festival. In between concerts, James enjoys listening to rock music playlists on his tablet.
Below is a summary of the outcomes and the rehabilitation delivered by the team at TA.
*name changed to protect identity