Instructions: Read through the case study scenario and answer the questions that follow. Case Study: Sonny Sonny sustained a severe traumatic brain injury due to a motor vehicle accident. He has...

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Instructions:


Read through the case study scenario and answer the questions that follow.












Case Study: Sonny




Sonny sustained a severe traumatic brain injury due to a motor vehicle accident. He has instability of knee joints which has reduced his walking endurance. He uses a walking stick and practices holding himself up in the backyard to improve his confidence and balance skills.



His blood pressure tends to rise due to high levels of stress and at other times when he is anxious he displays signs of depression and withdrawal. Sometimes he talks to himself and refuses to do anything. His brother Marlo has reported Sonny becoming more emotionally distressed over the loss of certain friendships since his accident, and only few have remained around for support. He can have aggressive outbursts when he becomes overly distressed and asks Marlo for alcohol or cigarettes as this seems to be the only thing that will calm his distress. Sonny has mentioned wanting to get a part time job or join a local club to meet some new people and be able to have a network of friends for daytime activities.



There are difficulties with memory, attention, reasoning, and problem solving. Sonny uses his mobile phone for appointment reminders, a whiteboard at home to assist with organisation and future planning, and support from his brother in planning, organising and carrying out weekly activities.



Sonny lives in a Department of Housing property with his brother Marlo who is currently his primary carer however Marlo is going to be working full time, and Sonny will now need a full time carer. The carer will need to assist Sonny with his daily activities including transportation to attend medical appointments and visits to the shops. Sonny does not want a replacement carer, and refuses to accept this change in care.



Some areas of the residence are becoming challenging as Sonny struggles when stepping out of the bath or coming up the front steps. Since the accident, Sonny does not enjoy traveling in cars for long periods. The property is in close proximity to public transport and a local shopping strip.





1.What are some common disabilities as a result of TBI?
2.What assessment tools could you use to assess this individual’s level of disability and care support needs? (Suggest two)
3.What information is available about the individual? Discuss physical, psychological, residential, and social aspects.
4.Describe the role of the person assessing Sonny’s needs.
5.What potential complex issues or risk factors can you identify in this scenario?
6.Following discussion Sonny has identified the following individual goals. How could these goals be achieved?





























Sonny’s goals



How could these goals be achieved?



To regain confidence in walking independently for longer periods of time







To increase social networks








To travel in a private car for longer than 20 minutes at a time








To develop vocational skills








To reduce intake of alcohol and cigarettes












7.Who will be involved in this care plan? List at least one person for each goal.




























Sonny’s goals



Who will be involved?



To regain confidence in walking independently for longer periods of time








To increase social networks







To travel in a private car for longer than 20 minutes at a time







To develop vocational skills








To reduce intake of alcohol and cigarettes




8.How would you review and monitor the progress of this plan? Include timeframes.
9.Develop a sample plan period for one day. The plan should include tasks, time period and who is involved in assisting with these tasks. Use the template provided to help develop your plan.




































Time



Tasks



Who



Early morning











Morning











Lunchtime











Afternoon











Evening/Night










Answered 3 days AfterAug 01, 2022

Answer To: Instructions: Read through the case study scenario and answer the questions that follow. Case Study:...

Dr Insiyah R. answered on Aug 04 2022
60 Votes
Instructions:
Read through the case study scenario and answer the questions that follow
    Case Study: Sonny
    Sonny sustained a severe traumatic brain injury due to a motor vehicle accident. He has instability of knee joints which has reduced his walking endurance. He uses a walking stick and practices holding himself up i
n the backyard to improve his confidence and balance skills.
His blood pressure tends to rise due to high levels of stress and at other times when he is anxious he displays signs of depression and withdrawal. Sometimes he talks to himself and refuses to do anything. His brother Marlo has reported Sonny becoming more emotionally distressed over the loss of certain friendships since his accident, and only a few have remained around for support. He can have aggressive outbursts when he becomes overly distressed and asks Marlo for alcohol or cigarettes as this seems to be the only thing that will calm his distress. Sonny has mentioned wanting to get a part-time job or join a local club to meet some new people and be able to have a network of friends for daytime activities.
There are difficulties with memory, attention, reasoning, and problem solving. Sonny uses his mobile phone for appointment reminders, a whiteboard at home to assist with organisation and future planning, and support from his brother in planning, organising and carrying out weekly activities.
Sonny lives in a Department of Housing property with his brother Marlo who is currently his primary carer however Marlo is going to be working full time, and Sonny will now need a full time carer. The carer will need to assist Sonny with his daily activities including transportation to attend medical appointments and visits to the shops. Sonny does not want a replacement carer, and refuses to accept this change in care.
Some areas of the residence are becoming challenging as Sonny struggles when stepping out of the bath or coming up the front steps. Since the accident, Sonny does not enjoy traveling in cars for long periods. The property is in close proximity to public transport and a local shopping strip.
1. What are some common disabilities as a result of TBI?
Ans: 1. Cognitive issues, such as those with thinking, memory, and reasoning, are among the most prevalent impairments.
2. Sensory processing includes vision, hearing, taste, smell and touch, communication including expression and comprehension,
3. Mental health issues include acting out, anxiety, depression, personality changes or personality disorder and anger issues.
2. What assessment tools could you use to assess this individual’s level of disability and care support needs? (Suggest two)
Ans. Adults' level of impairment is evaluated using in sonny,s case is the Functional Independence Measure (FIM) (Pavlovic et al,2019). Another assessment tool for determining the level of practical help needed by sonny with intellectual and developmental impairments is the Supports Intensity Scale (SIS). It measures a person's need for assistance with living tasks, behavioural issues, and medical issues. The SIS is suggested for use in resource allocation, individually tailored support planning, clinical support requirement determination, and financial planning...
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