Pt unable to be a writer

Pt is unable to be a writer

GOAL:

short term- Pt will demonstrate legible and comprehensible writing for at least 2 sentences in 2 months.

long term- Pt will write an article for the Voice weekly in 1 year.

INTERVENTION:

• Pt will practice writing daily starting with simple concepts and then progressing to following directions of what to write.

• Pt will practice using his typewriter.

patient unable to walk

Pt is unable to walk

GOAL:

short term- Pt will walk one lap around the floor using an assistive device twice a day in 3 months. 

long term- Pt will walk independently in one year

INTERVENTION:

• Pt will be assisted to stand at the edge of the bed daily thus increasing weight bearing through the legs and improving his strength and endurance.

• Pt will then progress to ambulating with a walker as tolerated.

Hallucinations

patient unable to sit

Pt is unable to sit for prolonged periods of time

GOAL:

short term- Pt will sit for 5 minutes unsupported for 2 out of 3 feedings in a day in 2 months

long term- Pt will sit unsupported for 30 minutes or longer in 6 months

INTERVENTION:

• Pt will receive NDT handling for trunk stability, including weight shifting, pelvic tilts and posture facilitation.

Weak neck extensors

Weak neck extensors

GOAL:

short term- Pt will hold his head in midline unsupported while sitting for 2 minutes 3 times a day in 2 months.

long term- Pt will hold his head up unsupported in sitting and standing during ADL’s in 6 months

INTERVENTION:

• Pt will receive PNF Hold Relax Active Movement technique for neck extensor strengthening. He will then be progressed to Rhythmic Stabilization techniques as strength improves. 

• Pt will be gradually increased from inclined lying in his wheelchair to an upright position as strength and head control increases.

Manuka honey

Cytomegalovirus