Case Studies

Experience is the child of thought, and thought is the child of action.
Benjamin Disraeli, Former Prime minister
He who likes cherries soon learns to climb
Anon
To live is so startling it leaves little time for anything else.
Emily Dickson
Life is like riding a bicycle. To keep your balance you must keep moving.
Albert Einstein
Every good thing is better if you can share with a friend.
Pam Brown B
Happiness is a state of activity.
Aristotle
Never discourage anyone...who continually makes progress, no matter how slow.
Plato

Background History

Rianna had been involved in a road traffic accident aged 2 whilst out with her grandparents. After the initial trauma she had made a seemly full recovery and had attended nursery school followed by primary school aged 4. Throughout the first few years of school her mother had been concerned that Rianna was not keeping up with her peers but was repeatedly told by school staff that Rianna was 'fine'. Rianna was referred to Occupational Therapy OT when she was 9 years old as her mum was concerned that Rianna was making poor progress at school, was disorganised and was very emotionally reactive.

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Sue

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Background History

Sue is a 72 year old lady, who had suffered 2 strokes following spinal surgery. She lives with her husband in a 2 bedroomed apartment in a small town. Her son lives in the south of the UK and her daughter lives with her husband and their 3 children in Australia.

Sue had always been an avid and confident computer user before her illness, using it mainly for storing photos, making diary journals for her grand children, skypeing her family in Australia and making movie clips.

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Background History

Harry started primary school in autumn 2009. After an initial settling in period, both school and his parents were still very worried that he was not interacting with the other children. As time progressed, he would become rather hostile and aggressive to other children if they approached him to play.  The teachers felt it odd that he whilst rejected the other children, he appeared to crave their attention.

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Medical History

Mary was 55 years of age when she experienced a left sided stroke in 2006, resulting in weakness (hemiplegia) of her right limbs. Her affected arm and leg were difficult to manage on a daily basis due to biomechanical and soft tissue changes which resulted in pain. Mary also had expressive and receptive dysphasia. Prior to the stroke, Mary lived an active life teaching students Spanish, she also had an interest in painting, aromatherapy and reading tarot cards.

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Background History

Susan was involved in a road traffic accident aged 11; she is now 22 years old. One afternoon whilst out with her friends, she was hit by a car as she was walking by the side of the road. As a result of the accident she sustained a brain injury. A CT scan at the local hospital showed diffuse brain swelling with small peticule haemorrhages and a basal skull fracture. Her intracranial pressure rose over the next 48 hours and a repeat CT scan showed that she had developed a left extradural haematoma. Susan was transferred to a regional specialist unit and a craniotomy and evacuation of the left extradural haematoma was performed the next day. Susan's initial recovery was variable and she was diagnosed with left hemiplegia and ptosis of the right eye. Susan was discharged home from hospital after an extensive period of rehabilitation but on discharge continued to have a number of difficulties. These related to mobility, she was using a wheelchair initially. She also had problems with self care, nocturnal bladder management, vision and hearing. The ptosis of her right eye, double vision and hearing loss in her right ear with tinnitus, added to her difficulties. Additionally difficulties with short term memory, slight disinhibition, mental slowness and difficulties with comprehension had also been identified by the Rehabilitation Team.

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Medical History

Jenny is a 35 year old professional woman who was diagnosed with acute rheumatoid arthritis 2 years ago. She takes non- steroidal anti-inflammatory medication on a regular basis. Since diagnosis she has had four episodes of acute exacerbation of her condition each time she was treated with a short course of steroids.

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Declan McNichol

Bill Young

Angela Gordon

Birgit Rathje-Vale

Helen Smart