|Case Study #2
Case: Mr. Bob Smith
Carl is an SLP on the Traumatic Rehabilitation Team at the Acute Rehabilitation Hospital (ARH). Mr. Bob Smith, who sustained a traumatic brain injury (TBI) 1 week ago, is Carl’s patient. Mr. Smith also receives physical and occupational therapy and is followed by the neuropsychologist and the social worker on the TBI service. Mr. Smith’s wife, Nellie, visits daily and wants to learn more about working with her husband. His problems with attention, combativeness, confusion, and memory loss and his dysarthria are quite troubling to her.
Bob receives therapy 3 hours per day (1 hour each for physical therapy, occupational therapy, and speech-language pathology services), and the social worker meets with Nellie about every 3 or 4 days to “check in” and to address any questions. At the most recent appointment, the social worker informed Nellie that the physician on Bob’s case, a physiatrist, is concerned because Nellie has not followed up on the request to look into some nursing facilities post-discharge.
The social worker and the physiatrist feel that Bob will be able to be discharged in about a week from the acute rehabilitation setting but will not be safe to be at home at that time. Nellie has asked for a copy of her husband’s therapy schedule so she can participate, but the schedule—though published— is rarely followed. Nellie is worried about so many things—his lack of progress, who will help her figure all of this out, finances, explaining Bob’s condition to friends, and the list goes on and on. She also has a full-time job as an accountant and helps to take care of an aging parent, who lives in an apartment close to the family home. She attended a patient education conference, but the conference addressed topics that are not on her list of concerns for Bob at the moment. She feels that Bob is being “pushed out” of the acute-care setting, and she is upset.
Case #2 Assignment (Bob Smith)
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