Wednesday, June 13, 2012

Day 92 - Progress & Planning, June 13, 2012

Hello everyone!!

For all you Arizona Friends
Do you Love Ice Cream?
Do you Love Prizes?

Check this Out!!


Thanks Rob and Kristin for putting this together!
My gratitude goes out to all of those who continue to show all kinds of support for us! 
We truly couldn't make it through this without you. 

THANK YOU!



I know last time I posted I mentioned that I would be updating you all on Scott's progress from his therapy tests. 

He is currently in therapy. There are multiple areas of therapy he attends. The team of individuals at CTN (Center for Transitional Neuro Rehab) include: Physical Therapy, Occupational Therapy, Speech and Language Therapy, Neuropsychology, and Recreational Therapy.

Each of these areas did their own individual testing when Scott first arrived in the program. This last weekend we received the results of his scores in these areas as well as a treatment plan. Scott has agreed to share some of this information with all of you. The whole packet was about 30 pages but we will do small summaries of each area. 

Since Scott was in medical school and has done well with school throughout his life they expect him to be in the 93% of most of these categories. 

It is Estimated that Scott "may require up to 12 months of participation in the Home Independence and School Re-Entry Programs. His length of stay may be modified based on his progress."

His over all strengths:
a. Excellent Family Support
b. High Level of Pre-Injury Functioning
c. High Level of Motivation
d. Good Ability to Learn New Information and Utilize Compensations


Neuropsychology:

Superior Range:
- Retrieval and Use of Academic Information
- Nonverbal Abstract Reasoning

High Average: 
- Knowledge of Word Meanings
- Verbal Comprehension and Knowledge of Social Rules
- Auditory Attention
- Immediate Memory Capacity
- Anticipatory Planning and Problem Solving

Average Range:  
- Verbal Abstraction
- Two and Three Dimensional Visual Integration 
- Problem Solving
- Working Memory
- Mental Computation
- Arithmetic
- Verbal Working Memory
- Selective Visual Attention/Concentration and Scanning
- Mental Flexibility
- New Concept Formation & Problem Solving 
- Immediate and Delayed incidental Visual Recall and Delayed Visual Recognition

Low or Moderate Range: 
- Divided Visual Attention
- Speed
- Visuospatial Sequential Tracking
- Working Memory
- Divided Attention 
- Information Processing (Involving suppressing interference effects over timed delays)

Severe Deficits:
-Attention to Visual Details
- Sustained Attention 
- Psychomotor Speed

Very Severe Deficits: 
- Performance on Task of Speed of Information Processing Requiring Written & Oral Responding
- Sustained Visual Attention Speed
- Visuospatial Sequential Tracking 
- Performance on Task of Verbal Learning and Memory
- Visual Fluency
- Verbal Fluency
- Right Dominate Hand Simple and Complex Motor Speed
- Planning and Route Finding 
- Generating Strategies for Problem Solving   

Speech and Language:

Superior:
- Spelling Abilities (98th Percentile)


Mild Impairment:
- Auditory Comprehension
- Inferential Reasoning & Comprehension of Communication Intents

Moderate Impairment:
- Higher Level Language Processing
- Written Expression
- Arithmetic Abilities (21st Percentile/ 7th Grade Level) 
- Word Finding
- Overall Reading Abilities
- Memory

Moderate to Severe Impairment:
- Attention/Concentration 
- Speed of Processing

Severe Impairment:
- Language Formulation Skills
- Expression of Communication Intent


Occupational Therapy:
Areas of Difficulty:
- Vision
- Functional Math Skills
- Bilateral Hand Strength
- Fine Motor Coordination - (1st percentile - Very Severely Impaired)
- Right Upper Extremity Strength and Coordination
- Executive Cognitive Skills 
- Planning
- Problem Solving 
- Organization 

Hand Strength:
                                      Right Hand:                         Left Hand:               
Gross Grasp:                <10th Percentile                  25th Percentile          
2 Point Pinch:              <10th Percentile                   25th Percentile 
3 Point Pinch:                10th Percentile                   50th Percentile 
Lateral Pinch:                10th Percentile                   50th Percentile 


Physical Therapy:
Strengths: 
- Low and High Level Balance
- Overall Strength
- Gross Motor Control 
- Spousal Support 

Deficits:
- Left Ankle Range of Motion 
- Right Hip and Knee Flexor Strength
- Motor Coordination
- Motor Speed
- Quality of Gait
- High Level Balance
- Stamina


The Plan:
While in therapy he will be working on developing new strategies and compensations to help him overcome and deal with his difficulties. 


Basically Scott will be doing what he always does: Not necessarily in any particular order 
- Work Hard
- Play Hard
- Study Hard
- Love Life
- Serve Others

Now Some
VIDEOS!!

We recently found the "Recreation Room" on campus. Scott challenged me to a game of Ping Pong!! Now we make it an almost daily thing. After we finish our workout we go and play one game of Ping Pong or Billiards. 

video


I wanted to give you guys the chance to see Scott in action on the treadmill. He LOVES IT! I feel bad that I don't let him go above 5 but he has to keep his heart rate below 145.

video


Last but not least :
A huge thank you goes out to the Tieman Family for bringing over a training bike for Scott to borrow for awhile. He was so excited to get back on a "real bike."

What a huge moment for him. 3 months later and he is back on a bike. 
(Just not outside... or anywhere a car can hit him!!)

Now I just need to keep my eye on him and make sure he isn't sneaking off in the middle of the night to ride it!! (He wouldn't do it because he knows he shouldn't, but I am sure the thought crossed his mind.)

Happy day to all of you!!
Again, please remember how much you all mean to us. 
We love you.

Scott & Ashley

5 comments:

  1. Lookin' Good Scottie!!! Still a little "toeing in" on that right leg with your running, but soooo much better! And...I'll bet it feels great to be runnning again ... and biking again! And... Ping Pong...WOW! What a great and fun therapeutic game to play! I will work on a variety of deficits at once. Wahoo!

    I would also like to give some personal thanks to the Winters and Tiemans and the rest of your support system there in Arizona. You have been truly blessed to be surrounded by such loving and kind friends. It truly touches my heart and warms my soul to know that you have so much support. Thank you to all from the bottom of my heart!

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    Replies
    1. Watching Scott on the treadmill was AMAZING !!! It made us think of the earlier videos where he could barely move his right leg and had to have someone supporting him with a gait belt. Now look at him go !!! WOW !!! And how about playing Ping Pong with a right hand that for the longest time was practically useless? This progress really gives us hope for continued improvement and progress. Thank you for the in depth update.

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  2. An indoor trainer.....What a great replacement for the Foosball table!

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  3. WOW!! What wonderful progress!! I'm so happy for you!
    Scott, you remind me so much of Rob. A hard worker, taking an injury in stride, and keeping a sense of humor through it all. Way to go on the ping pong and tredmil, that is awesome!
    I know I said this before, but I know things are going to get better for you both. Recovery can be slow, but it's there. Yesterday was Rob's 10 month mark, he amazes me daily with something he can do or comprehend or remember or just something. It gets better.
    I wish I could be there for the Ice Cream social, I would really love to meet you. Maybe someday. Take care!

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  4. Hi Ashley and Scott!!.
    Just reading your blog, catching up. I'm so proud to know the two of you, to be able to say you are part of my family. Your commitment to each other, love and positive attitudes are something the world could use a BIG dose of.
    We Love you both and think of you often. You are always in my prayers.
    Love Kristie and the family

    ReplyDelete