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FRANK (Patient Profile (Dressing apraxia, Transfers with min assist and…
FRANK
Patient Profile
Dressing apraxia
Transfers with min assist and mod verbal cueing
Uses Hemi walker
Bathes at sink
Poor safety awareness
Good humor and amiable
Doesn't know why he needs therapy but stays because wife told him to
Strong support system in wife
Therapy Team
Physical Therapy
Speech Therapy
Recreational Therapy
Occupational Therapy
Nursing
Dietary
Physiatry
Assessments
Observation and interview
Manual Muscle Testing
Perceptual and sensory testing
Barthel Index
Ashworth Scale
Context/Environment
Five steps into ranch-style home
Suburban neighborhood
Garage not attached to house
Chief Complaints
Unbearable Headache
Slurred Speech
Loss of left-side control
Performance Patterns
Roles
Gardener
Woodworker
Retired postal worker
husband
father
Routines
Weekly bowling
Diagnosis
R CVA
Deficits
perception: figure- ground and spatial awareness
R-L confusion
profound L neglect
Cognitive Deficits
poor attention span
poor insight
judgement
poor safety awareness
impaired sensation for light and sharp touch
impaired stereognosis on affected side
difficulty moving around environment
Comorbidities
Coronary Artery Disease
Diabetes