POI Class Quiz

Case Study 1: John, a 58-year-old male, suffered a left hemispheric stroke six weeks ago. Prior to the stroke, John was independent and active, enjoying cycling and woodworking. Post-stroke, he presents with significant difficulty attending to or responding to stimuli on his left side. He has no sensory deficits in his left arm or leg. Still, he seems unaware of his left side during functional tasks, frequently ignoring it or failing to orient himself properly when engaging in activities like dressing, eating, or navigating his environment.

1. What approach/framework would you use with John?

Case Study 1: John, a 58-year-old male, suffered a left hemispheric stroke six weeks ago. Prior to the stroke, John was independent and active, enjoying cycling and woodworking. Post-stroke, he presents with significant difficulty attending to or responding to stimuli on his left side. He has no sensory deficits in his left arm or leg. Still, he seems unaware of his left side during functional tasks, frequently ignoring it or failing to orient himself properly when engaging in activities like dressing, eating, or navigating his environment.

2. What ADLs/IADLs, not listed, may be impacted?

Case Study 1: John, a 58-year-old male, suffered a left hemispheric stroke six weeks ago. Prior to the stroke, John was independent and active, enjoying cycling and woodworking. Post-stroke, he presents with significant difficulty attending to or responding to stimuli on his left side. He has no sensory deficits in his left arm or leg. Still, he seems unaware of his left side during functional tasks, frequently ignoring it or failing to orient himself properly when engaging in activities like dressing, eating, or navigating his environment.

3. What intervention focus area(s) could be used?

Case Study 1: John, a 58-year-old male, suffered a left hemispheric stroke six weeks ago. Prior to the stroke, John was independent and active, enjoying cycling and woodworking. Post-stroke, he presents with significant difficulty attending to or responding to stimuli on his left side. He has no sensory deficits in his left arm or leg. Still, he seems unaware of his left side during functional tasks, frequently ignoring it or failing to orient himself properly when engaging in activities like dressing, eating, or navigating his environment.

Turn to your group and think of one intervention or activity you would use with John.

Case Study 2: Barbara is a 54-year-old female with a history of type 2 diabetes. Over the last two years, she has experienced increasing difficulty with numbness, tingling, and a loss of sensation in her feet and hands, which was diagnosed as peripheral neuropathy. Despite managing her diabetes with medication and lifestyle changes, Barbara’s sensory deficits have progressively worsened, particularly in her upper extremities. This has resulted in difficulties with daily tasks requiring tactile feedback, such as dressing, cooking, and safely navigating her home. Barbara reports difficulty distinguishing between temperatures and textures, affecting her ability to cook and perform self-care tasks (e.g., managing hot water for showers). Her ability to safely engage in activities, such as driving or walking outside, has been compromised due to impaired proprioception and sensory feedback from her feet and hands.

1. What approach/framework would you use with Barbara?

Case Study 2: Barbara is a 54-year-old female with a history of type 2 diabetes. Over the last two years, she has experienced increasing difficulty with numbness, tingling, and a loss of sensation in her feet and hands, which was diagnosed as peripheral neuropathy. Despite managing her diabetes with medication and lifestyle changes, Barbara’s sensory deficits have progressively worsened, particularly in her upper extremities. This has resulted in difficulties with daily tasks requiring tactile feedback, such as dressing, cooking, and safely navigating her home. Barbara reports difficulty distinguishing between temperatures and textures, affecting her ability to cook and perform self-care tasks (e.g., managing hot water for showers). Her ability to safely engage in activities, such as driving or walking outside, has been compromised due to impaired proprioception and sensory feedback from her feet and hands.

2. What ADLs/IADLs, not listed, may be impacted?

Case Study 2: Barbara is a 54-year-old female with a history of type 2 diabetes. Over the last two years, she has experienced increasing difficulty with numbness, tingling, and a loss of sensation in her feet and hands, which was diagnosed as peripheral neuropathy. Despite managing her diabetes with medication and lifestyle changes, Barbara’s sensory deficits have progressively worsened, particularly in her upper extremities. This has resulted in difficulties with daily tasks requiring tactile feedback, such as dressing, cooking, and safely navigating her home. Barbara reports difficulty distinguishing between temperatures and textures, affecting her ability to cook and perform self-care tasks (e.g., managing hot water for showers). Her ability to safely engage in activities, such as driving or walking outside, has been compromised due to impaired proprioception and sensory feedback from her feet and hands.

3. What intervention focus area(s) could be used?

Case Study 2: Barbara is a 54-year-old female with a history of type 2 diabetes. Over the last two years, she has experienced increasing difficulty with numbness, tingling, and a loss of sensation in her feet and hands, which was diagnosed as peripheral neuropathy. Despite managing her diabetes with medication and lifestyle changes, Barbara’s sensory deficits have progressively worsened, particularly in her upper extremities. This has resulted in difficulties with daily tasks requiring tactile feedback, such as dressing, cooking, and safely navigating her home. Barbara reports difficulty distinguishing between temperatures and textures, affecting her ability to cook and perform self-care tasks (e.g., managing hot water for showers). Her ability to safely engage in activities, such as driving or walking outside, has been compromised due to impaired proprioception and sensory feedback from her feet and hands.

4. Turn to your group and think of one intervention or activity you would use with Barbara.

Case Study 3: Maria, a 34-year-old female, was involved in a car accident three months ago, resulting in a moderate traumatic brain injury (TBI). She was initially unconscious for several hours and underwent rehabilitation in an inpatient setting. Although Maria has progressed in regaining basic physical functions, she continues to struggle with coordination when required to perform tasks involving cognitive and physical components. Maria has a history of being a busy professional who was actively engaged in work and recreational activities before the accident.

1. What approach/framework would you use with Maria?

Case Study 3: Maria, a 34-year-old female, was involved in a car accident three months ago, resulting in a moderate traumatic brain injury (TBI). She was initially unconscious for several hours and underwent rehabilitation in an inpatient setting. Although Maria has progressed in regaining basic physical functions, she continues to struggle with coordination when required to perform tasks involving cognitive and physical components. Maria has a history of being a busy professional who was actively engaged in work and recreational activities before the accident.

2. What ADLs/IADLs, not listed, may be impacted?