Below is a selection of anonymous case studies that give an idea of the work The Rehabilitation Network and its Case Managers can do and the positive impact of early intervention and case managed rehabilitation.
RTA resulting in Orthopaedic & Urological injuries
Mr M was involved in a road traffic accident in which he sustained a fractured pelvis, ruptured bladder and prostate damage. He was a self-employed company director and following his accident was unable to return to his business, which later folded.
Our case manager ascertained during the initial needs assessment that Mr M needed some equipment to assist bathing transfers and adequate seating around the home with pressure support alongside additional physiotherapy and psychological support. Our case manager was able to quickly arrange for the supply of a high seat chair, pressure cushions, and grab rails. Additional private physiotherapy was arranged following discharge from the NHS to build on the progress already made, whilst liaising with the medical team from two different hospitals treating Mr M. In addition, our case manager arranged for gym membership and a programme was designed with input from the physiotherapist and a personal trainer.
It had also been identified that Mr M might later need psychological support to help with processing the trauma, pain management, and dealing with the life changes and loss of his business. Our case manager arranged for this and Mr M was soon reporting that he was feeling better, improving in mobility and function, and ready to start thinking about returning to work, and was helped in finding a volunteer job leading to part-time employment. Our case manager helped Mr M with planning a return to work and analysing his transferable skills; he was further assisted by a Disability Employment Adviser at his local Job Centre Plus and began retraining whilst maintaining a part-time job.
Crushed foot – different employer/different job
Mr C at age 28 worked as a forklift truck driver. At work a 1500 KG tool fell on his foot and crushed it.
Following rehabilitation assessment, the case manager arranged with the GP for occupational therapy to assist with mobility at home; arranged language classes (his English was poor), basic skills training and a computer course at the local college – all provided free through the Disability Employment Adviser. Following general computer training, the case manager worked with the employer and identified an appropriate alternative job as a stock taker with initial training on the computerised system.
Now Mr C, has returned to work full time earning more than he did previously as a forklift truck driver and his English is improving.
Brain injury – paediatric
At the age of 11 Ms D was hit by a car and severely injured.
Following initial needs assessment the case manager obtained medical records from hospitals; organised a neuropsychological evaluation; arranged for occupational therapy prior to Ms D returning to school; worked with the special educational needs co-ordinator at the school and the educational psychologist; arranged for additional support for Ms D at school; arranged for a head injury charity to visit the home and give support; arranged private specialist counselling for Ms D.
Ms D is now doing better at school in all subjects, has done well in her end of year tests is much more settled with good prospects for her GCSE results.
Chronic pain – job retention
The low back pain that developed after a sports injury in his twenties caused Mr A to struggle with simple things like sitting for long periods of time. Many investigations revealed no specific cause and treatments designed to alleviate the pain never lasted more than a few months. He took more and more sick leave from his work in a building society head office and was concerned when warned by his manager that further time off would result in dismissal. Following rehabilitation assessment, the case manager referred him to a chronic pain management course. He received help from the team, consisting of a consultant in pain management, physiotherapist, occupational therapist and cognitive behavioural therapist.
As he began to come to terms with his chronic pain, he set long term and daily goals for himself and regularly carried out gentle exercises, he became ready to return to his employment. The case manager negotiated a phased return to work and arranged for the company to acquire an ergonomically designed desk and chair. Agreement was made for Mr A to take frequent short breaks to prevent stiffening of his joints as advised by the physiotherapist. He successfully took up his job again and found he was able to pace himself and achieve satisfactory results in his work