A case study from Tŷ Aberdafen illustrating short-term rehabilitation prior to repatriation to residential care setting
Amir* was admitted to Tŷ Aberdafen for a short period of rehabilitation in May 2015. The longer term goal was for him to live in a non-specialist residential facility close to his family in Wales. Amir had acquired his brain injury in 2004, and was living in a brain injury residential home in Scotland until recently, when the family decided to return to Wales.
Amir’s aggressive behaviour around personal care meant many residential care homes felt unable to provide appropriate care and support. He has severe cognitive impairments affecting memory, orientation, insight, attention and fatigue. Amir was doubly incontinent and required support with all personal care and activities of daily living.
The team at Tŷ Aberdafen assessed the factors that were affecting Amir’s participation, and set rehabilitation goals which would:
Amir’s stay at Tŷ Aberdafen was a successful one in terms of rehabilitation gains around behaviour, physical and psychological well-being and maximising his potential in preparation for him to move into a residential care setting. After seven months, Amir was discharged to a care home local to his family, something vital to them as his wife is in poor health. Amir continues to need active support to work towards his identified goals so Tŷ Aberdafen provided a discharge report with recommendations some guidelines for techniques which would support Amir in this new placement.
Below is a summary of the outcomes and the rehabilitation delivered by the team at Tŷ Aberdafen.
*name changed to protect identity
Increased confidence in standing and improving his overall fitness, which helped with his transfers. Since admission he has progressed from a lengthy and inconsistent transfer regime often requiring a maxi-hoist, to consistently using the standing hoist.