As part of the Brain Injury Rehabilitation Trust's (BIRT) 25th anniversary celebrations, we are featuring a selection of case studies which highlight some success stories from within BIRT services. In September 2013 Mick suffered a cardiac arrest which resulted in a hypoxic brain injury. Mick's brain injury meant that he had various difficulties with mobility, cognition, behaviour, speech, swallowing and functional domains (effecting his ability to carry out tasks for daily living activities).

Following a year of treatment and initial rehabilitation in hospital, Mick was transferred to Thomas Edward Mitton House (TEM House) in October 2014 for a period of neurobehavioural assessment and rehabilitation. Prior to his admission to TEM House, Mick had been completely dependent upon others for all personal care (washing, dressing and using the bathroom). TEM House's Occupational Therapist, Jane Wilmott, implemented an errorless learning programme to support Mick with personal care and promote independence.

This involved Mick following the same structured routine on a daily basis with support from staff. Initially he required physical assistance from staff; however it then reduced to staff providing him with verbal prompts. Mick is now generally independent with personal care, requiring only occasional assistance and prompts.

The occupational therapy team at TEM House also worked with Mick to improve daily living activities such as laundry, cleaning and shopping. He required encouragement to participate in these activities, so was initially provided with a large amount of support which was gradually reduced. Mick is now physically independent in completing these activities.

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Upon admission, Mick presented with balance difficulties and required the assistance of another person to prevent him from falling. The physiotherapists and therapy assistants at TEM House worked with Mick on a daily basis to improve his balance. Mick’s mobility significantly improved and he is now able to mobilise independently.

Thanks to the improvement in his mobility, Mick is now able to regularly access the community. He enjoys playing pool, watching football and going out for meals. With staff support, Mick also helps to complete the weekly food shop.

Mick has now moved to Browns Wood, TEM House’s transitional living house in Milton Keynes. Mick has more independence with the benefit of support staff on site 24 hours a day, should he need them. Mick continues to get the help and rehabilitation support that he needs but in a much more independent setting.

Mick enjoys being more independent at Brown's Wood and said: "We go out and do something everyday." He says being at TEM House is a lot better than being in hospital, particularly because he is closer to his family, who visit every week.

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