Stroke - Brian P2

Question 1

What is the prognosis?

Answer 1

more positive prognosis
+ engaging well with rehab
+ keen to be discharged > optimistic mind set > interacting with other patients and activities
+ sit unsupported on plinth
+ feed himself, dress upper half, address aspects of hygiene

• no change in low tone palpation
• shoulder remains in subluxation and reduced PROM
  ~ effecting ADL

Question 2

Prioritised problem list

Answer 2

• unable to step with L leg
• 2cm gap > shoulder subluxation
• no power in L ankle DF or PF
• no power and limited PROM in wrist and finger flexion
• L shoulder external rotation > no power, to neutral PROM
• cannot localise light touch in LUL
• low tone in LLL

Question 3

Short term goals

Answer 3

• 1/5 ankle DF and PF in 2 weeks
• 1/5 wrist and finger extension in 2 weeks
• 1/5 and + 10 degrees shoulder external rotation
• increase elbow extension from -20 to -10 in 2 weeks
• S2S independently in 3 weeks > recruit more muscle control in LL
• transfers with AO1 in 3 weeks

Question 4

Long term goals

Answer 4

• walk independently with LLL recruitment
• fully dress himself
• address stairs