Mobility Aid Practice Cases PDF

Mobility Aid Practice Cases Complete the following for each case – Based on your previous descriptions of the task, the individual and the environment – What mobility aid(s) would you suggest and why? Which gait pattern(s) would you teach and why? What will you need to keep i...

Mobility Aid Practice Cases Complete the following for each case – Based on your previous descriptions of the task, the individual and the environment – What mobility aid(s) would you suggest and why? Which gait pattern(s) would you teach and why? What will you need to keep in mind when teaching your patient to use the aid? o Communication & instructions o Touch facilitation o Mood, fear, anxiety, motivation o ….. Is there anything else you need to work on with this patient in order to help them use the aid safely and confidently? o Strength o Coordination o Attention, dual tasking o …….. Are there any other suggestions or changes you might make for this patient? Cases Aunty Linny - Task: Walking with a cane on uneven surfaces outside Patient Details Injury Details 65 years old Injury – Total hip replacement on left side 1 year ago Lives independently at home No follow up rehabilitation Walks with a cane She as recently tried to increase her Hearing loss - finds it difficult to follow walking distance but is noticing that she conversation at a normal volume, especially loses her balance easily, especially on when there is background noise but is able uneven surfaces (e.g. pavement cracks to lip read etc). She is afraid of falling, becoming more anxious and finding it harder to leave the house. Task: Walking with a cane on uneven surfaces outside Pippi Larson- Task: Walking at school Patient Details Injury Details 11-years-old Injury – Currently undergoing Lives with her parents chemotherapy for leukaemia. Loves school and has many supportive The chemo is making her very tired, she friends there. finds it difficult to have enough energy to hold herself up and maintain her balance while walking, especially towards the end of Task: Walking at school the school day. She often needs to sit and rest. Her family has asked for a walking aid to help her continue to attend school despite the fatigue. Luca Brown - Task: Walking at school Patient Details Injury Details 7-years-old Injury – 1 week ago fell from a tree and fractured his right femur in several places Lives with his father and two older brothers Finding it very difficult to be forced to stay sitting or lying down Active and strong Unable to take any weight through his right ADHD – impulsive, tends to move and do lower limb things very fast, difficulty maintaining attention on a single task Task: Walking at school Heta - Task: Stand on the sideline and watch her tamariki’s rugby games Patient Details Injury Details 45-year-old mother Condition – Heta has a had a severe right ear infection, the infection has cleared but Lives with her husband and three tamariki she now experiences dizziness Task: Stand on the sideline and watch Symptoms – ‘World spinning’ when she her tamariki’s rugby games turns her head, causing loss of balance Heta is becoming very nervous about turning and movement, moves very slowly to avoid losing her balance and tends to stay home where she feels safer. Matilda - Task: Daily tasks at home Patient Details Injury Details 80-year-old Condition – Matilda has had 3 falls in the last 3 months. 2 falls occurred in the house Wears glasses while rushing – once to answer the phone and once to reach the bathroom. The other occurred when carrying her shopping from Memory loss, finds it difficult to remember the car. She is now afraid of falling and new information and to follow hesitant to go out. complex/detailed instructions Lives alone in own home with a small dog, but she enjoys being around people in a Symptoms – ‘Fear of falling, anxiety lively environment. Has a ramped access to her home, the rest of the home is flat Task: Daily tasks at home Fatima - Task: Walking at the mall with friends Patient Details Injury Details 30-year-old Condition – Multiple sclerosis Lives at home with her parents who help with her care Symptoms – Weakness and loss of Feels isolated at home, unable to go out sensation at both lower limbs. with friends. Fatima and her family are concerned about the stigma associated with Uses the furniture to walk around the house using a walking aid to leave the house. (doesn’t have a mobility aid). Memory and cognition are unaffected by her condition. Fatima complains of others frequently speaking to her in patronising ways and making assumptions about her intelligence and ability to understand. She is reluctant to use a mobility aid due to associated stigma and fear that this will contribute to the negative and inaccurate assumptions that others make about her. Task: Walking at the mall with friends Tana - Task: Walking and daily tasks at home Patient Details Injury Details 25-year-old Condition – Traumatic brain injury (TBI) occurred during a car accident 6 months Lives at home with parents and younger ago. brother. 6 stairs to the front door of the house. Symptoms – Right sided weakness at Find it difficult to understand and remember upper and lower limbs (4/5 Oxford scale), verbal instructions, find pictures & blurred vision right eye. demonstrations clearer. Able to stand up from sitting and stand still independently. Has balance difficulties with Prior to the accident Tana was a fit and walking and daily tasks around the house. active engineering student. Task: Walking and daily tasks at home (e.g. dishes, cooking, cleaning…) Alroy - Task: Walking without assistance/aid, progressing to walking on uneven ground Patient Details Injury Details 53-year-old Condition – Illness which affected the function of his peripheral nerves. Lives at home with wife and children. His nerves may still recover but it will take Alroy used to work as a landscape time. gardener and is keen to get back to work. Alroy is funny and high-energy, constantly cracking jokes. Symptoms – Loss of strength and sensation at both feet and ankles. Task: Walking without assistance/aid, progressing to walking on uneven Uses furniture to walk around the house. ground Yeung Wai Man - Task: Passing things across the table Patient Details Injury Details 31-year-old Condition – Traumatic brain injury after falling from a ladder. Lives in a flat with 3 roommates. His family lives on the same street, he sees them regularly, especially for dinners several times a week. Symptoms – Loss of control and strength at his hips, abdominal muscles and lower Task: Pass a plate across a dining table limbs. Has a manual wheelchair but is working to improve his strength and control so he can stand and walk more easily. His wheelchair has support at his sides to held keep his body steady and upright. Loses his balance in sitting if he doesn’t have support at his sides, particularly if reaching/learning (e.g. reaching for something, passing food across a table etc.)