Case Studies – Walsall – Occupational Therapy

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Case studies from Walsall Council

 

Example One

A woman presents at surgery after having had a fall down front steps. She no serious injuries, but has lost confidence. She lives alone and is now not going out.

What we did

OT visited same week and ordered rails which were marked urgent and fitted 3 days later. OT also completed a full assessment, providing advice on other small items of equipment for eating & dressing difficulties. The woman is now aware of Indep Living Centre for future information for any further difficulties.

 

Example Two

A man with advanced dementia is at times uncooperative, resulting in his family cancelling care calls as they feel they would prefer to take on the support role, as they know his condition and he responds to them. However, his health & abilities were complex and the family were unsure if they could manage. They were also concerned that he was staying in bed permanently, and needed guidance on the risks and issues associated with this.

What we did

OT carried out an assessment. Significant follow up visits and support was provided, including fully assessing his abilities & support needs, providing Moving & Handling equipment (hoist & Slings /4-way glide system), and several visits to train the family to use the equipment. This built confidence and support which enabled the family to provide the support they wanted for their father.

The OT also provided a specialist profile chair with integral pressure from ICES stock, to make easier the process of transferring the man out of bed for periods of time throughout the week into this chair.  The ability for family to support him in getting out of bed improved his skin integrity, posture, feeding & drinking abilities, and social interaction. The family now plan to take him out when the weather improves.

The OT provided a high number of visits for this case, including several daily visits when the hoist & slings were first introduced to train the family. A Moving & Handling Assessment & Safe System of works was also completed along with DFG ramping to help him access the ground floor shower room. The SU & family also had information about possible respite break, carers assessments, and support available.

This work resulted in no commissioned support care calls a saving of 3 x daily calls of 2 x carers, but most importantly the man & his family have achieved the goal to provide his support, and improve his quality of life.

 

Example Three

Miss W is a young lady with significant health conditions, which severely impact upon her mobility and ability to undertake her daily living tasks.

Her assessment identified the need for the following support;

  • Accommodation and home management
  • Equipment, Mobility and Transfers
  • Telecare
  • Social Support
  • Finances

What we did

The Occupational Therapist supported with a Disabled Facilities Grant Application to assist with access issues for bathing in provision of a wet room, ramped front door access, and a widening of the kitchen door access. Miss W was also provided with a new toilet frame, trial glide sheets for ease of transfers, and a specialist chair for comfort and ease of transfers. Telecare was also provided. Miss W’s physical disabilities limit her social opportunities and reduced her social contacts. She received NCO support to explore social, leisure and holiday travel opportunities. She was also referred to Welfare Rights to ensure all her benefits were maximised.

Miss W is happy to continue with her informal care and support network, which works well to meet her needs. This will be further complimented by equipment and adaptations to her property, which will hopefully help to improve the quality of her life. The outcome of Miss W’s assessment was that she did not require any commissioned services. Her needs continued to be met with her natural support network, equipment and adaptations, in addition to signposting to other agencies.

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