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Case no.1

Group
1.MISS  NATCHA  RATANAGASET 5831803008
2.MISS  BENJAPORN  NGAMRATCHADA 5831803021
3.MISS  KAMONRAT  CHOKSATAPORN 5831803044
4.MISS  JITSUPA  PORNWISANUKUL 5831803048
5.MISS  PANATSAYA  KONGDEE 5831803055
6.MISS  SMITRA  DECHSAWATHIRAN 5831803059

Problem lists

1. Left sided body involvement and incoordination.
2. Frequency falling about 2 times per month.

3. Feeling tried constantly and had not enough energy to do housework.

Possible assessment

1. Coordination test
- Finger to nose

- Finger to therapist’s finger

- Finger to finger

- Alternate nose to finger

- Finger opposition

- Mass grasp

- Pronation / supination

- Rebound test

- Tapping of hand and foot

- Pointing and past pointing

- Alternate heel to knee, heel to toe

- Toe to examiner’s finger

- Heel on shin

- Heel tapping test

- Drawing a circle

- Position holding

2. Functional balance assessment

3. Hand function assessment (e.g. lift the bottle to drink and writing)

Short term goals

1. Decrease falling rate by improving balance
2. Improve hand function

3. Decrease feeling tried

Long term goals

1. The patient is able to sew again
2. The patient is able to square dance with her club

Treatment

1. Balance training
2. Breathing control exercise

3. Position training by biofeedback (mirror)

4. Frankel’s exercise

Red flag of the case

1.  Modified Borg Scale assessment during any assessment or treatment
(RPE more than 4, suddenly stop assessment or treatment)

2. Severe headache

3. Drowsily

4. Nausea and vomiting

5. Convulsing

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Group 2
1.Miss Phitchayapa  Tama   5831803029
2.Miss Muneefah  Alee 5831803032
3.Miss Roongnapa  Senkruea 5831803034
4.Miss Amonrat  Ketsawad
5831803041
5.Miss Ainthira  Sonsukong 5831803061

Problem lists
1.Patient is not able to stand
2.Patient is dependent for all mobility

Assessments
1.Balance
2.Bed mobility
3.Functional mobility
4.PROM

Short term goals (in 2 visits)
1.Improve balance posture
2.Ablility to do bed mobility with moderate assistance

Long term goals
1.Patient is independent for bed mobility within 2 months
2.Patient is able to stand and perform all mobility with minimal assistance or independent within 3 months

Treatments
1.Passive movement
2.Balance training  and weight shifting
3.Bed mobility training

Precaution
1.Infection
2.Bed sore
3.ICP

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Group 3
1.Miss Pranpariya Kongmeesuk 5831803024
2.Miss Pichsinee Kaewsitthidech 5831803028
3.Miss Fuengfa Tairatwutipanya 5831803030
4.Miss Sirada Chinthong 5831803037
5.Issaree Suppasri 5831803043

Problems lists
- not able to track to auditory/ visual stimuli
- Patient does not respond to verbal command
- Patient does not to vocalize / make any attempt at communication
- decorticate posture
- nonepurposeful movement in UE and LE bilaterally Rt>Lt
- No active dorsiflexion
- Patient not able to stand

Assessments (after removing ventriculostomy)
- Glasgow coma scale
- PROM
- Muscle tone
- Muscle length
- Functional mobility
-balance
-Nystagmus sign test

Short term goals
- improve balance within 1 month
-improve bed mobility within 1 month
- improve gait pattern wiht ankle orthosis and reduce compensate movement within 2 month

Long term goals
- The patient is independent for do functional mobility
- The patient is able to walk with normal gait pattern

Treatment
- balance exercise
- passive exercise
- gait pattern
-train functional mobility

Prevention
- lung infection
-tube during assessment/ treatment

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Group 4
1. Mr.Natthapong  Dangbuatong
ID5831803011

2. Miss Mintra  Tho-ngam

ID5831803031

3. Mr.Saranyu  Plomin

ID5831803036

4. Miss Supatra  Khanapan

ID5831803039

5. Miss Jittraporn  Sripool

ID5831803047

Problem lists

1. Poor ambulation[sitting to standing ,walking]

2. Poor self-care

3. Expressive aphasia with dysarthria

4. Behavior impair

Assessments

1. Range of motion

2. Manual muscle test

3. Berg balance scale assessment

4. STREAM

5. Glasgow coma scale

Short term goals

1. Improve balance within 4 weeks

2. Improve ambulation within 6 weeks

3. Improve functional mobility within 8 weeks

Long term goals

1. The patients is able to walk with minimal/without assistance within  12 months

2. The patients is able to perform self-care independently within 12 months

Treatments

1. Strengthening exercise

2. Balance training

3. Ambulation training[sitting to standing, walking]

4. Functional training

Red Flag of the cases

1. Fracture at jaw, left scapula, left radius, right ankle

2. Beware of falling

3. Difficult to understand

4. Behavior impair

5. Wound

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Case no.3
1.Miss Nichakamon Panyawattanapong
5831803013
2.Miss Nitchaya Inhadkruad
5831803014
3.Miss Thipmanee Seephung
5831803017
4.MissTipawat Chankaow
5831803018
5.Miss Prapapim Kongwatmai
5831803023
6.Miss Surattana Noosuk
5831803040

Problem lists

- Not able to track to auditory or
visual stimuli.
- Patient does not respond to verbal command.
- Patient does not able to vocalize,or make any attempt at communication.
- Patient presents with decorticate posture.
- Nonpurposeful movement in UEs and LEs bilaterally.
- No active dorsiflexion.
- Patient is dependent for all mobility.
- Patient is not able to stand.

Assessments
- Glasgow coma scale
- Balance
- Passive movement test
- Functional mobility

Short term goals
- improve balance within 4-6 weeks
- improve bed mobility within 4-6 weeks
- improve ankle dorsiflexion within 4-6 weeks

Long term goals
- Patient is able to walk with normal gait pattern.
- patient is independent for bed mobility.
- patient is able to stand.

Treatments
- Balance training
- Tilt table
- Gait pattern
- Train of functional mobility
- Passive exercise

Precaution
- lung infection
- Intracranial pressure
- Bedsore
- Beware to transfer patient
- Vital sign

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Group 3
1.Mr. Tanthong petcharattana 5831803007
2.Mr. Buranat Audsavachulamanee 5831803020
3.Mr. Wasuphol Bootsast 5831803035
4.Miss Chalalai tubtimthong 5831803049
5.Patchareeporn  Manop 5831803057

Problems lists
- Frequency falling about 2 times monthly
-Incoordination
-ADC:Difficult to accomplish her hoursework
-Feeling tied constantly
-Balance
-Family problem: Her son is an algoholic

Assessments
- Coordination tests
- Function balance

Short term goals
- Increase balance
- Increase endurance
- Increase coordination

Long term goals
-  Able to sew again and to square dance with her club

Treatment
- Balance training
- Breathing control exercise
- Frankael's exercises
- Aerobic exercises
- Strengthening exercises

Prevention
- lung infection
-tube during assessment/ treatment

Red flag
- Repeated vomiting or nausea.
- Persistent headache.
- Convulsions or seizures.
- Increased confusion , restlessness or agitation.
- Drowsiness or Inability to awaken from sleep.

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Note
Please add column next to this example column

Group...
1.Ms.Sopida   5831803xxx

Problem lists
1. Poor hand functions
2. Impair walking due to fair dynamic standing balance

Assessments
1. PROM
2. Hand function assessment
3.Functional balance assessment

Short term goals
1. Improve hand function within 1 month
2. Improve gait pattern

Long term goals
1. The patients is able to walk independently within  3 months

Treatments
1. Passive movement
2. Positioning
3. Breathing exercise

Red Flag of the cases
- Note the critical notification of case

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group 7
1.MR.sirasit  Ninjaruswanid
5731803089
2.MR.Kitanarong Manosuk
5831803002
3.MR.Jirawut Yafan
58831803004
4.Mr.Natchanon Tongkhammun
5831803010
5.Mr.Phanupong Jitti
5831803058

Problems lists
1.Lost of coordination
2.Feeling tried (impair respiratory system due to brian stem damaged)
3.Difficult to do housework

Assessments
1.Cerebellar assessment (trunk mvt, Eye mvt, balance)
2.Breathing pattern
3.speech test
4.sensory examination (vibration, pain and temperature, Proprioception)
5.vital sign
6.coordination assessment
Short term goals
1.Improve coordination in 1 month
2.reduce risk of falling within 1 month
3.effective breathing within 3 week
4.improve endurance
Long term goal
1.be able to accomplish house work without tried
2.She can go back to sew again
3.be able to dance with her club agian

Treatment
1.Breathing control
2.endurance exercises
3.Frankael's exercises
4.balance exercises
5.Prevent falling

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Group 8 Member:
5831803012
5831803015
5831803026
5831803038

Problem list
1. Decorticate posture
2. Nonpurposeful movement in LEs and UEs
3. No active dorsiflexion
4. Dependent for all mobility
5. Not able to stand

Assessment
1. Glasgow Coma scale
2. PROM
3. The Rancho Los Amigos scale
4. Bladder and Bowel assessment
5. Bed mobility

Treatment

1. Passive Exercise

2. Balance and bed mobility training ( such as, weigh shifting, and supine to sit )

3. Tilt table

4. Posture managing technique

5. Sensory Stimuli ( always talking with patient )

Precaution

1. Infections ( such as, pneumonia, and urinary tract infection)

2. Bed sore

3. Respiratory function complication (tracheotomy tube intact)
4. ICP
5. Tube placement during assessment and treatment

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Group 9
1.Miss Kewalee Sukarin  5831803001
2.Miss Jidapa Tantasest  5831903003
3.Miss Nattakarn Arunwong
5831803009
4.Miss Thitiya Tosomwong
5831803019
5.Miss Praiwan Kidkian
5831803027

Problem lists
1.Aphasia and dysarthria
2.Cognitive function
3.Behavior control
4.Unable to perform self care
5.Unable to perform stand and walk without assistance
6.Poor posture

Assessments
1.Balance test
2.STREAM
3.ROM
4.RLAS
5.GCS
6.Manual muscle test
7.Berg balance scale
8.Mobility test

Short term goals
1.Improve ROM in 3-6 week
2.Improve balance in 4-6 week
3.Decrease poor posture in 4 week
4.Improve mobility in 4-6 week

Long term goals
1.Normal posture in 6 month
2.Able to perform self care in 6 month
3.Able to standing and walking without assistance

Treatments
1.Balance training
2.Ambulation training
3.Active exercise
4.Correct posture
5.consult

Red flag of the cases
1.Difficult to understand
2.Behavior and mood unstable
3.Wound

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Group 10
1.Miss Jirawan Kunfeung 5831803005
2.Miss Kaewkao Tomi 5831803046
3.Miss  Chinprapinporn 5831803051
4.Miss Nattawan Srisuwandit 5831803054
5.Miss Anchana Aunkham 5831803060

Problem list
1.  Dysarthria and aphasia.
2. Unable to perform self- care.
3.Chin rests an her chest.
4. Jiont stiffness.
5. Transfer pt.  dependent for sitting to stand, standing and walking.

Assessments
1.MMT
2.Mobility test
3.Balance test
4.STREAM
5.ROM
6.NIHSS

Short term goals
1. Improve ROM within 3 weeks.
2. Reduce level assistance in transfer.
3. Reduce poor posture within 3-4 weeks .
4. Speech in term word by word within 2-4 weeks.

Long term goals
1. Full ROM.
2. Able to stand and walk independent.
3. Turn to normal posture.
4. Can speak in sentence correctly.
5. Able to perform self-care.

Treatments
1.Hot pack
2.Mobilization
3.Active assist exercise
4.Training mobility(Function) example sitting to stand,walking
5.Muscle strength training
6. Consult speech therapist/OT
7.Balance training
8.Electrical stimulation

Red flag of the cases
1.pt. very difficult to understand.
2.pt. has swing mood by easily frustrated from difficult task---------------->became extremely agitated and scratched herself to the point of bleeding.
3.Be careful occur of lcer wound from mobility by wheelchair.

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Group 11
1.Mr.Thadton Jiravittayaporn
5831803016
2.Mr.Anon Khumsap
5831803042
3.Miss Keasaree Wankaew
5831803045

Problem list
1. Lt. side incoordination
2. Feeling tired constantly and not having enough energy
3. Falling

Possible Assessment
1. BBS
2. proprioception
3. Coordination test
4. Balance test
5. hand function
6. ADL
7. Gait

Short term goals
1. improve balance at least gr. Fair
2. improve gait pattern
3. reduce risk of falling
4. improve strength, endurance that involve house work

Long term goals
1. Improve ADL as much as normal
2. gait as much as normal
3. balance > gr. good
4. improve coordination as much as normal

Treatment
1. Balance training
2. Aerobic exs
3. Coordination training
4. Frankel’s exercise
5. repetitive functional task

Precaution
1. Falling
2. Headach
3. Seizures

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Group 12
1. Mr.Tapanapong Anuntraisoon ID:5731803014
2. Miss Pratchanan Kaewchabub ID:5731803033
3. Miss Pichaya Jiraprasertphan ID:5731803041
4. Miss Montira Chaibun
ID:5731803046

Problem lists
1. loss of coordination
2. loss of respond to verbal command
3. loss of speech
4. Poor posture (decorticate posture)
5. Nonpurposeful movement in UEs and LEs bilaterally, Right > Left.
6. No active dorsiflexion
7. Unable to perform stand

Assessments
1. PROM
2. Glasgow Coma scale (GCS)
3. Nystagmus sign test
4. Balance test
5. Functional mobility test
6. Bed mobility test

Short term goals
1. Improve balance within 1 month
2. Improve functional mobility within 1 month
3. Improve bed mobility within 1 month

Long term goals
1. The patients is independently for bed mobility within 2 months
2. The patients is independently for functional mobility 2 months
3. The patients is able to stand within 3 months
4. The patients is able to walk independently within 3 months (normal gait pattern)

Treatments
1. Passive exercise
2. Balance training
3. Functional training
4. Bed mobility training

Red Flag of the cases
1. ICP
2. Infection in lung
3. Bed sore
4. Patient has gastrostomy placement and tracheostomy
5. Intracrnial pressure

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1.Poramet Bunwiset
ID: 5831803022
2.Pramote Kongchan
ID : 5831803025
3.Rapeepat Nakrit
ID : 5831803033

Problem list
1. Immature behaviors
2. Severe expressive aphasia
3. Dysarthria
4. Difficult to understand
5. Inabilities to stand and walk without                                   assistance

Assessments
1. Glasgow coma scale
2. Berg balance scale
3. Balance test
4. Mobility test
5. Manual muscle test
6. ROM
7. STREAM

Shorterm goal
1.Improve upper limb & lower limb muscle strength within 4 week
2.Improve balance within 4 week

Longterm goal
1.Able to walk independent
2.Able to ADL independent

Treatment
1.balance training
2.Strengthening muscle
3.Sitting to standing training and gait training

Red flags
1.falling
2. Communication with pt difficultly.
3.be careful pressure ulcer