Placing You at the Centre of Care

Case Study

ID | Stroke | Laverstock Care Centre

December 18, 2024

ID is a 70 year old gentleman who sustained a stroke in November 2023.
He was admitted to Laverstock Care Centre for a period of 26 weeks of inpatient rehabilitation funded by Wiltshire ICB. A further 12 weeks of funding was agreed with the aim of getting him home to his property that was not ideal environmentally.

Main Areas Affected

• Left sided weakness
• Left sided quadrantinopia
• Overactivity of right side
• Anxiety and anticipation of pain response
• Cognitive impairment including reduced attention and reduced insight into impairments
• Cognitive communication disorder
• Vestibular dysfunction
• Needed supervision when eating

Functional Ability on Admission

• Difficult bed mobility as he was a pusher with anxiety, thus hindering the movement
• Full hoist for all transfers
• Reduced sitting balance with reduced awareness of midline
• Dependent for all personal activities of daily living including toileting, washing, and
dressing. These tasks took a significant amount of time as he needed lots of reassurance

Hobbs Rehabilitation Input

• Full multi-disciplinary team input including assessment and treatment progression with physiotherapy, occupational therapy, speech and language therapy, psychology, rehab Assistant and rehab Consultant.
• Neurotechnology including the FES bike, Exomotus, Omego bike, M2 robot and the ARJO electric standaid,
• Implementation of a sleep system
• Orthotics review
• Spasticity review and administration of botox
• Comprehensive discharge planning to enable him to get home to a property that was not ideal.

Functional Ability on Discharge

• Improved ability to participate in rolling, requiring assistance of 1.
• Improved midline awareness and sitting balance.
• Able to transfer with molift stand aid with assistance of 2 carers.
• Has practiced standing transfer with molift with partner as an assistance of 1 with the aim to
do this when at home when the carers were not available.
• Has mobilised 8 metres with facilitation with an ARJO Encore standing aid with assistance of 2.
• Can sit out in a standard commode for a shower everyday.
• Able to participate in elements of personal care.

Outcomes

Trunk impairment scale improvement from
70% Improvement
Modified Barthel Index
18% Improvement
Berg balance
9% Improvement

Goals

The aim for him and his wife to get home rather than for him to go to a care home
Achieved
To transfer with a molift stand aid consistently with assistance of 2
Achieved
Improved sitting balance such that he can shower daily with minimal assistance of 1 in a standard shower chair
Achieved

Testimonial

ID:
“I feel fortunate to have found somewhere with such good care and therapy. The accommodation facilities and staff are all excellent.”

Partner: “ As a relative I’m thrilled that my partner had the opportunity to be part of Hobbs rehabilitation. He has really benefitted from the skill and dedication of the team”.

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