Elaine lives with her partner Dave in a 3 bedroom rented house. She is a mother to 5 children and grandmother to 11 grandchildren. Elaine used to work full time as a public relations officer. Elaine loves to see and socialise with her family and friends. She enjoys cooking, watching films and eating out.
• Reduced balance and mobility resulting in walking with a stick and one other person
• Poor conversation and initiation talking to family and friends
• Significantly poor memory and memory recall
• Poor planning and organising skills with an inability to think flexibility
• Reduced vision and figure ground skills
• Significantly impaired orientation and recall of family and friends
• Involuntary global tremor at rest
• Increased levels of anxiety and poor confidence
• Reduced concentration and attention
• Assistance needed with all Activities of daily living
• Assistance with all activities of daily living
• Verbal prompting and assistance with cooking and meal prep and orientation within
kitchen
• Assistance and constant verbal prompting with morning routine including washing,
dressing and self-organisation
• Full assistance to support communication and memory recall through the day
• Assistance of one when mobilising indoors and outdoors
• Significantly poor orientation to day, date, year and place
• Significant levels of fatigue
Hobbs Rehabilitation provided Elaine with regular weekly therapy for 2 blocks of 40 hours over the past 8 months with transitional periods in between. Therapy took place in Hobbs Winchester clinic and at home and in her local community. A final 4 home visits were completed carrying out joint transitional work with Elaine’s new carer to continue her rehabilitation.
Occupational Therapy
• Focused on her functional goals, increasing her confidence,
participation in daily activities and orientating her within her own home
• Using cognitive strategies to practicing the use of her mobile phone
• Engaging in meal prep and cooking
• Accessing her local shops and community
Physiotherapy
• Focused on balance work, walking unaided indoors and outdoors
• Reduced overuse of shoulders and increasing strength in upper limbs
Speech and Language Therapy
• Focused on building up conversational skills, use of mobile phone to generate words, messages and initiate conversation with family and friends
• Looking at information processing through reading, writing down key information to support her cognitive communication difficulties and poor memory
• Independent choosing own clothes, dressing and following an independent morning routine
• Independently making self and partner a hot drink and breakfast
• Elaine is able to prepare and cook a main evening meal with the use of written instructions and verbal prompting only
• Elaine is able to write a shopping list with verbal prompts and walk to the local shop to buy items with supervision and verbal prompting only
• Independently use written prompts to orientate self to daily routine and weekly structure
• Elaine’s confidence has significantly improved when completing daily tasks without prompts to initiate
• Able to independently answer mobile phone, prompting needed to call on her phone with
on-going practice needed
• Able to independently mobilise indoors with use of stick and minimal supervision when
outdoors
• Increased engagement in conversation with family and friends and ability to read and
discuss information
• Elaine now has a full time carer in place at home to continue rehabilitation, as partner has returned to work full time
Don’t just take our word for it – take theirs.
