In the context of Ageing Australia and the rising prevalence of neurological conditions, there is an increased need for exploration to enhance understanding of rehabilitation and restorative disorders, and heighten awareness of optimising holistic, person-centred, innovative, inter-professional and evidence-based practices. Advanced practitioners are required to demonstrate the ability to articulate their reasoning and decision-making in-patient care in the written format to share knowledge and skills and promote discussion with professional peers. Description of assessment task • Select 2 cases of people in your current or previous clinical experience; • The 2 clinical cases selected should align with learning from Modules 1 and/or 2. • One of the selected cases should consider complexities where communication and / or cognitive impairments and/or cultural awareness and/or another significant contextual factor needed to be considered. • You will need to compare and contrast aspects of your 2 cases and produce a compare and contrast thematic essay; communicating evidence-based reasoning and decision making. This must be related to person-centred, holistic management across the continuum of care. • Your thematic compare and contrast essay should: o be written in third person academic writing; o be structured with introduction, body and conclusion; and o succinctly meet the required word count. Your assignment should utilise the International Classification of Functioning, Disability and Health, Framework (ICF) as a conceptual framework. The essay should align with the weekly themes and learning explored in module 1 and 2 demonstrating your understanding and critical analysis of optimal holistic management with reference to literature and the below outlined areas of discussion. The most critical elements from the following list can be focussed on, and explored succinctly, with discussion including but not limited to: o how the pathophysiology, symptomatology, impairments and recovery mechanisms impacted on activity performance and participation for selected cases in activities and participation within home, work or leisure, and how this influenced clinical reasoning, decision making and management from a discipline specific and holistic team perspective; o the impact of varying contextual factors identified in your two presented case stories and how this influenced management and outcomes; o critical analysis of evidence-based holistic management including assessment and management that occurred from a discipline specific and holistic interprofessional team perspective for the patient’s journey across the continuum of care; o how person-centred or innovative practices were employed, or could have been considered, and the impact of service delivery model or setting on management. I will complete the ICF model for the appendix. The two cases to be used are (you can add in information to the case to assist with the writing/flow): Case 1 Mr Mor, 85 year old male following right posterior cerebral artery infarct. PMHx: AF, HTN, Pituitary ademona Premorbid mobility: indep nil aid Social history: Lives in a single storey home with his wife who has recently been diagnosed with breast cancer and is due to commence chemotherapy. No steps or stairs to access the home. Has two adult children and grandchildren. Retired 10 years ago as a CEO. Previously independent in activities of daily living. Impairments: L sided hemiparathesia and reduced proprioception, L side hemiparesis (gr 1-2 strength), L sided hemianopia, L side neglect, depression, fatigue, L shoulder pain Activity limitations: unable to walk (wheelchair bound or walk 3meters with 2 physios Assisting), unable to use L UL in function such as self care or feeding, unable to drive, unable to get in and out of bed, unable to sit unsupported, unable to stand unsupported Participation limitations: unable to drive, unable to attend social gathering with friends, unable to attend synagogue Case 2 Mr Alex, 23 year old with newly diagnosed relapsing-remitting multiple sclerosis PMHx: none significant Social History: Lives with his parents in a double storey home. Recently graduated with a bachelors in social work. Independent with activities of daily living. Impairment: fatigue, possibly anxiety, temporomandibular pain Left sided, R wrist pain, Activity limitations: reduced ability to use R hand in function such as brushing teeth etc, reduced ability to sleep undisrupted, difficulty chewing food, Participation limitation: unable to spend time outdoor on hot days due to fatigue, unable to use computer for gaming with friends, decreased social outing due to pain and anxiety
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