Solution
Dr Insiyah R. answered on
Aug 04 2022
Instructions:
Read through the case study scenario and answer the questions that follow
Case Study: Sonny
Sonny sustained a severe traumatic
ain injury due to a motor vehicle accident. He has instability of knee joints which has reduced his walking endurance. He uses a walking stick and practices holding himself up in the backyard to improve his confidence and balance skills.
His blood pressure tends to rise due to high levels of stress and at other times when he is anxious he displays signs of depression and withdrawal. Sometimes he talks to himself and refuses to do anything. His
other Marlo has reported Sonny becoming more emotionally distressed over the loss of certain friendships since his accident, and only a few have remained around for support. He can have aggressive outbursts when he becomes overly distressed and asks Marlo for alcohol or cigarettes as this seems to be the only thing that will calm his distress. Sonny has mentioned wanting to get a part-time job or join a local club to meet some new people and be able to have a network of friends for daytime activities.
There are difficulties with memory, attention, reasoning, and problem solving. Sonny uses his mobile phone for appointment reminders, a whiteboard at home to assist with organisation and future planning, and support from his
other in planning, organising and ca
ying out weekly activities.
Sonny lives in a Department of Housing property with his
other Marlo who is cu
ently his primary carer however Marlo is going to be working full time, and Sonny will now need a full time carer. The carer will need to assist Sonny with his daily activities including transportation to attend medical appointments and visits to the shops. Sonny does not want a replacement carer, and refuses to accept this change in care.
Some areas of the residence are becoming challenging as Sonny struggles when stepping out of the bath or coming up the front steps. Since the accident, Sonny does not enjoy traveling in cars for long periods. The property is in close proximity to public transport and a local shopping strip.
1. What are some common disabilities as a result of TBI?
Ans: 1. Cognitive issues, such as those with thinking, memory, and reasoning, are among the most prevalent impairments.
2. Sensory processing includes vision, hearing, taste, smell and touch, communication including expression and comprehension,
3. Mental health issues include acting out, anxiety, depression, personality changes or personality disorder and anger issues.
2. What assessment tools could you use to assess this individual’s level of disability and care support needs? (Suggest two)
Ans. Adults' level of impairment is evaluated using in sonny,s case is the Functional Independence Measure (FIM) (Pavlovic et al,2019). Another assessment tool for determining the level of practical help needed by sonny with intellectual and developmental impairments is the Supports Intensity Scale (SIS). It measures a person's need for assistance with living tasks, behavioural issues, and medical issues. The SIS is suggested for use in resource allocation, individually tailored support planning, clinical support requirement determination, and financial planning...