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| Post-Concussion Syndrome: A Case Study
| | <div class="editorbox"> '''Original Editor '''- [[Brianna Tam]] '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div> |
| Title:
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| Abstract
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| A narrative abstract includes a summary of the purpose, case presentation, intervention and outcomes. Should be written after you have completed the rest of the case.
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| Introduction
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| In the introduction, you give your readers an idea on the background of the case. Then discuss relevant cases and similar literature briefly. However, the most important aim of the introduction is driving your readers' attention to the purpose of your report. They should have a clear vision of your objectives.
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| If there is anything interesting or challenging you met when diagnosing or managing this case, it's worth mentioning in the introduction.
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| Client characteristics
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| E.g. Demographic and personal data, primary condition, nature of the condition, primary reason the patient was referred to Physiotherapy/sought help from physiotherapy, relevant comorbid conditions.
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| A 17-year old male suffered a traumatic brain injury during a hockey game when he collided with a player from the other team. The impact of the collision resulted in a direct blow to the front of his head and he immediately lost consciousness and fell to the ice. The loss of consciousness was brief and only lasted about 2 minutes. Once he regained consciousness, he reported feeling dizziness and confusion. He was taken by ambulance to the emergency department where he was assessed and diagnosed with a mild traumatic brain injury (a.k.a concussion). The next day, he felt even more dizzy and also reported feeling very nauseous and having an intense headache.
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| Over the next few months he experienced relapses in his recovery. He reports losing his balance quite often and having constant headaches. He has also been experiencing depression and troubles concentrating. His mother has noted that he has become quite irritable and will often lash out on his family for no reason. It has now been 3 months since his injury and the onset of his concussion symptoms. He was reassessed by his family doctor and diagnosed with post-concussion syndrome (PCS). He was referred to physiotherapy to improve his concussion symptoms and help him return to his previous function.
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| Examination findings
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| Subjective
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| patient comments, self-report, results of diagnostic tests if appropriate
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| Concussion baseline testing was done for all players of the team at the beginning of the season (this will tell us what his normal function is so we know when he has recovered and can return to sport)
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| Objective
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| what tests/outcome assessments you used to assess the patient
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| Outcome measures
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| Select outcome measures and tests that are appropriate for this patient’s condition, presentation, functional status, phase of recovery
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| Clinical impression
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| Physiotherapy diagnosis
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| Problem list
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| Intervention
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| Patient-centred treatment goals
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| STGs
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| LTGs
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| Management program
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| Intervention approaches, techniques, relevant details. Consistent with Evidence Based Practice - consider research evidence, patient condition, preferences and values, and treatment context/setting when identifying key elements of treatment.
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| Outcome
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| Report the degree of improvement or change in status post intervention.
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| Discharge plan or referrals to other health care professionals.
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| Discussion
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| Overall summary of the case
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| Broader implications of your case to management of other patients with similar conditions
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| Self-study questions
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| Create 2-3 multiple choice questions related to the content in your case.
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| E.g. based about the condition, outcome measure, intervention technique
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| Instructor will select a number of these questions (or refined versions of these questions) for the final exam.
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| References
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