Lоss оf grey-white differentiаtiоn on CT indicаtes.....
Instructiоns: Reаd the cаse belоw аnd, 1. Determine what infоrmation needs to be collected in the assessment 2. Determine how you will collect this information (framework, model or theory) You are provided 5 minutes to complete this self-study exercise. Following this, the assessor will take you through a series of oral questions related to the case. Case study part 1 Ken, age 72, had a left cerebrovascular accident (CVA) two years ago and suffered physical impairment. He is aphasic but able to communicate his basic needs. Ken has lived in a long-term care facility for the past year. He has a recurring pressure wound (decubitus ulcer) on his left ischial tuberosity that has not fully healed with bed rest. As the occupational therapist providing monthly services to the long-term care facility, you receive a referral to see this gentleman. Information in the client record: Ken has residual physical impairment with aphasia but can communicate his basic needs; Co-morbidities include hypertension, type 2 diabetes, hypercholesterolemia and mild obesity; Ken is receiving wound care twice daily from nursing staff, and a wound care specialist consults on a monthly basis; The wound care specialist’s notes indicate that the pressure wound has been slowly healing over the past month; For the past two weeks, Ken has refused to eat in the dining area and has not participated in social activities in the long-term care facility; Ken requires a one-person assist to use the commode; Ken uses a wheelchair for mobility due to right-sided weakness; Ken never married. He has a sister who lives close by and provides support with managing Ken's finances; Ken is alert and oriented to person, place and time. Ken is a retired police officer and was active in his community. He receives a full pension from the police department as well as Canada Old Age Security and Canada Pension. The long-term care facility offers social work, nursing care and dietician services. The attending physician provides weekly on-site services. Nursing staff identify which clients the physician is to see.