Frank Case Study

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Frank Case Study by Mind Map: Frank Case Study

1. Right CVA, Left Hemiplegia, Left Neglect

1.1. Right CVA

1.1.1. Internal carotid artery

1.2. Left Hemiplegia

1.3. Left Neglect

2. Coronary artery disease and diabetes

3. Symptoms

3.1. Slurred speech

3.2. Unbearable headaches

3.3. Loss of control on left side

3.3.1. Weakness in LE and UE

3.4. Perception defictis

3.4.1. Figure ground and spatial relations

3.5. Right and left confusion

3.6. Cognitive defictis

3.6.1. Poor attention span

3.6.2. Insight

3.6.3. Judgement

3.6.4. Safety awareness

3.7. Functional mobility deficits

3.7.1. Poor dynamic sitting

3.7.2. Poor standing balance

3.8. Sensation deficits

3.8.1. Light touch

3.8.2. Sharp-dull

3.8.3. Stereognosis

4. Pre-Accident: Occupations

4.1. Very active

4.2. Recently retired as a postman

4.3. Traveler

4.4. Likes to garden and woodwork

4.5. Home maintenance

4.6. Grocery shopping

5. Family and Lifestyle

5.1. Son from previous marriage

5.2. Strong marriage

5.2.1. Supportive and motivated

5.3. Many friends from previous job

5.3.1. Weekly bowling

5.4. Ranch-style home

5.4.1. 5 steps to the front door

5.4.2. Garage is unattached

5.5. Wears glasses

5.6. Right hand dominant

6. Rehabilitation

6.1. OT

6.1.1. 2 intervention sessions

6.1.2. Observation, interview, manual muscle testing, perceptual and sensory testing

6.1.2.1. Barthel index of ADL's

6.1.2.1.1. Difficulty with right and left discrimination

6.1.2.1.2. Difficulty managing clothes

6.1.2.1.3. Bathing

6.1.2.1.4. Ambulation

6.1.3. PROM

6.1.3.1. Shoulder flexion

6.1.3.1.1. 85 degrees

6.1.3.2. Shoulder abduction

6.1.3.2.1. 70 degrees

6.1.3.3. Elbow flexion

6.1.3.3.1. 100 degrees

6.1.3.4. Wrist and hand

6.1.3.4.1. WNL

6.1.4. Muscle tone #

6.1.4.1. Wrist and fingers

6.1.4.1.1. 2

6.1.4.2. UE

6.1.4.2.1. 2

6.1.4.3. Neck

6.1.4.3.1. 2

6.1.4.4. Trunk

6.1.4.4.1. 2

6.1.4.5. LE

6.1.4.5.1. 1

6.1.5. AROM

6.1.5.1. Shoulder flexion/extension

6.1.5.1.1. 0 to 50 degrees

6.1.5.2. Adduction/abduction

6.1.5.2.1. 0 to 45 degrees

6.1.5.3. Internal rotation

6.1.5.3.1. 0 to 5 degrees

6.1.5.4. External rotation

6.1.5.4.1. 0 to 15 degrees

6.1.5.5. Elbow flexion/extension

6.1.5.5.1. 0 to 60 degrees

6.1.5.6. Supination

6.1.5.6.1. 0 to 15 degrees

6.1.5.7. Pronation

6.1.5.7.1. WNL

6.1.5.8. Wrist extension

6.1.5.8.1. 0 to 10 degrees

6.1.5.9. Wrist flexion

6.1.5.9.1. 0 to 45 degrees

6.1.5.10. Finger flexion

6.1.5.10.1. Half normal range

6.1.5.11. Finger extension

6.1.5.11.1. Weak

6.1.6. Strength

6.1.6.1. Not tested because of increased tone

6.2. Speech Therapy

6.3. PT

6.4. Recreational Therapy

6.5. Nursing

6.6. Dietary

6.7. Physiatry