Community Reintegration Case Analysis

Community Reintegration
Persons with central cord syndrome (CCS) face challenges beyond just adjusting to the physical limitations caused by their injury. These physical limitations turn into functional limitations that eventually create restrictions with daily tasks and participation with activities in society.

This exercise is to help the clinician identify factors necessary for the reintegration of someone with (CCS) to society.

We will be looking at the case of Bradley who had an accident leading to central cord syndrome 3 years ago.

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Community Reintegration
Persons with central cord syndrome (CCS) face challenges beyond just adjusting to the physical limitations caused by their injury. These physical limitations turn into functional limitations that eventually create restrictions with daily tasks and participation with activities in society.

This exercise is to help the clinician identify factors necessary for the reintegration of someone with (CCS) to society.

We will be looking at the case of Bradley who had an accident leading to central cord syndrome 3 years ago.

CCS

The ICF Model

The World Health Organization's International Classification of Functioning, Disability and Health (ICF) is a conceptual framework that reflects the interaction between body functions, body structures, and activities and participation of an individual within a social and environmental context. Our goal as therapists for Bradley is to optimally apply interventions from the acute phase into community integration.
The goal of community integration is minimizing obstacles, disruptions and at the same time identifying access to community-based resources. This is a multidisciplinary approach with many stakeholders involved in the process.

Question No. 1 (20 points)

Provide 5 issues and specific concerns under that issue that you should address in the community reintegration of Bradley:

Example:

Community Integration Concern 1:Housing and household situation:

Specific concerns: Is desirable housing accessible? In order to be independent with ADL, are assistive devices available? Can the individual maintain housing without outside assistance?

Question No. 2 (20 points)

Facilitating Factors: Provide 5 things that may help/aid/facilitate this individual's return to community integration. How do these individual factors facilitate Bradley's return?

Example

Facilitating Factor 1: Return to a familiar community

Seamless integration is aided when the individual returns to a neighborhood they are familiar with.

Question No. 3 (20 points)

Hindrance Factors: Provide 5 things that may hinder this individual's return community integration. How does each individual factors hinder return?

Example

Hindering Factor 1: Lower Income

The ability to purchase accessibility tools and equipment including personal transportation is made challenging by lower income.

Full Answer Section

       
  • Home Modifications: Making necessary adjustments to Bradley's home to accommodate his needs and promote safety.
  • Workplace Accommodations: Collaborating with employers to create a supportive and inclusive work environment.
Issue 2: Functional Limitations
  • Mobility: Addressing challenges related to walking, balance, and transfers.
  • Fine Motor Skills: Assisting with activities of daily living (ADLs) that require dexterity and hand coordination.
  • Sensory Impairments: Managing sensory changes, such as pain, numbness, or temperature sensitivity.
  • Fatigue: Developing strategies to manage fatigue and conserve energy for daily activities.
  • Pain Management: Implementing effective pain management techniques to improve quality of life.
Issue 3: Psychological and Emotional Well-being
  • Depression and Anxiety: Addressing the emotional impact of the injury and providing support for mental health.
  • Body Image: Helping Bradley cope with changes in body image and self-esteem.
  • Social Isolation: Facilitating social interaction and reconnection with friends and family.
  • Coping Mechanisms: Teaching effective coping strategies for managing challenges and stress.
  • Resilience Building: Fostering resilience and a positive outlook on the future.
Issue 4: Social Participation
  • Role Changes: Assisting Bradley in adapting to new roles and responsibilities within the family and community.
  • Social Skills: Providing opportunities to practice social skills and reintegrate into social networks.
  • Leisure Activities: Identifying and facilitating participation in leisure activities that are enjoyable and accessible.
  • Inclusive Communities: Advocating for inclusive communities that accommodate individuals with disabilities.
  • Return to Work: Supporting Bradley in finding suitable employment or vocational training.
Issue 5: Support Systems
  • Family Involvement: Encouraging family participation in the rehabilitation process and providing support.
  • Caregiver Education: Educating caregivers about CCS and how to assist with daily care.
  • Community Resources: Identifying and connecting Bradley to available community resources and support groups.
  • Financial Planning: Assisting with financial planning and exploring available disability benefits.
 

Sample Answer

       

Issue 1: Physical Environment

  • Accessibility: Ensuring that Bradley's home, workplace, and community are physically accessible, including ramps, elevators, and wide doorways.
  • Assistive Technology: Identifying and providing appropriate assistive devices to enhance independence and participation.
  • Transportation: Arranging reliable and accessible transportation options to facilitate mobility within the community.