DISABILITY PRESENTATION

PATIENT HISTORY
82 YEARS OLD, MALE
REASONS:

Admitted to National Rehabilitation Hospital 3 weeks ago for speech therapy

as a consequence of spinal stenosis post surgery.
Cervical region - what motor, tingling
Mater hospital
Speech impairment, speech therapy
SEQUELAE
o Communication difficulties --> speaking
o swallowing difficulties
2 surgeries were performed. One from the back but not successful and one
from the neck.
Previous hospital?
Spinal stenosis diagnoses last November. Happen suddenly with back pain
and he went to his GP. X ray were performed.

PAST MEDICAL/SURGICAL HISTORY

Had total knee replacement and right shoulder surgery

Father had stroke but no family member had spinal stenosis

SOCIAL HISTORY

Work as office manager before retired

Housing :
o 2 storey but everything in the first floor
o New bathroom
o Live alone
Family :
o Married twice, both wives died
o 1 daughter
Hobby : horse riding
Smoking and alcohol : stop long time ago

FUNCTIONAL STATUS

Fully independent
Happy with his live
Usually walk, do not exercise much
Drive by himself , independent

CURRENT FUNCTIONAL STATUS

Now on wheelchair and crutches

Lost sensation of both hand. Right handed -- affected him

REVIEW OF SYSTEMS

Neuropathic pain:
o Loss of sensation on both hands
o Pins and needles
o Hard to make fist on right hand
Speech : voice almost gone but can come back
No issue with bladder

DIET

On modified diet : minced and gravy food, food was horrible and he lost
weight because of that
Has problem in swallowing. Food can get into trachea.
Drinking is ok

ALLERGIES

itching

MEDICATION

What he was before and after surgery

Upper limb stiffness
Voice impairment
Risk factors - ageing, more female than male
Office manager ? does it have any cause for spinal stenosis?

TOPIC INTEREST
Speech and language therapy
1. Brief introduction - dysphagsia, people at risk, food, swallowing

2.
3.
4.
5.
6.
7.

Type of therapy - speech

Effectiveness of each techniques
Disadvantages
Improvements from past techniques
Suggestion
Conclusion