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Mark

Mark is 78 and a widower. He lives in a small semi-detached house that he used to share with his wife, and due to their affection towards their garden, he is keen to remain there for as long as possible.

As a result of arthritic changes in his hips and knees, Mark walks with a stick outdoors. This walking stick gives him additional support and confidence when negotiating outdoor surfaces.

The arthritic changes at his hips and knees make transferring out of his favorite armchair, in/out of the bath and on/off the toilet more difficult. To help him remain as safe and independent as possible, his local community occupational therapy service has supplied him with chair raisers, a bath lifter and a raised toilet seat to enable Mark to transfer safely and independently.

Mark has a FIM Score of 6.

Esther

Esther, 62, lives with her husband Ted and their dog Millie. With 3 children and 4 grandchildren, all of whom live nearby and regularly visit, Esther and Ted have active lives.

Esther recently suffered a stroke which has given her a left sided weakness, primarily affecting her leg. As a result, she now has a left foot drop and wears an Ankle/Foot Orthosis to help her walk.

Indoors she is able to walk with a rollator, but uses a wheelchair outdoors. Although Esther has a wheelchair, it is self-propelling. Only when she is really tired will she ask for help to push her.

For personal hygiene activities, Esther has been issued with a reclining bathlifter, however a self-propelling shower chair commode would be equally as suitable for her.

Esther has a FIM Score of 5.

Huw

Huw is in his late fifties and has Peripheral vascular disease, which makes carrying out daily tasks difficult due to his reduced standing tolerance. Due to his disease, he has ulcers on his legs for which District Nursing Services regularly attend to.

He has help from a carer twice a day, in the morning and in the evening. Huw’s carer uses a stand assist hoist and also helps with his washing and dressing. In the evening, they help Huw to prepare his food and get into his four-section electric profiling bed.

In between, Huw is able to mobilise with a rollator or walking stick around his home and is capable of making lunch and dinner for himself using aids. For personal hygiene activities, Huw tends to use a bathlifter to get in and out of the bath.

Huw has a FIM Score of 4.

Joan

Joan is 67 and has early onset dementia. She lives alone but has good support from her two sons who visit daily.

For safety reasons a home care package, including a low four-section electric profiling bed, has been set up and carers visit 3 times a day to help with bathing, dressing and meal preparation. Carers have noticed a change in Joan’s abilities recently, although she is still independently mobile, her ability to plan activities such as dressing  mean that they need to give Joan more verbal guidance and  physical assistance to ensure she puts her clothes on in the correct order.

Simple tasks such as making a cup of tea or a sandwich for lunch have also become more challenging for Joan as she commonly mixes up the order in which she does these tasks. Her sons take turns in the evenings to help their mum get into bed.

Joan has a FIM Score of 3.

Luke

Luke, 19, has Duchennes muscular dystrophy. He uses a powered wheelchair fitted with a moulded seat plus tilt, recline and elevating legrests and environmental controls.

He lives with his mother and father who have converted the lower part of their detached home to accommodate Luke’s needs, installing a wetfloor shower room and an overhead hoist. Carers visit Luke 3 times a day to assist his mother with his care and hygiene needs, due to the fact he is catheterised.

In addition to his hygiene equipment, which includes a tilt-in-space shower chair commode, Luke has an alternating pressure relieving mattresses on his four-section electric profiling bed. For transfers he uses an overhead hoist and also needs assistance to reposition himself in both his wheelchair, and his bed.

Luke has a FIM Score of 2.

Olivia

Olivia is 69 and lives with her husband, John. Just over 18 months ago she was diagnosed with Motor neurone disease and she is now fully dependent on carers, who visit her 4 times a day, and her husband for assistance with all day to day tasks.

For independence in her home, she has a specialist four-section electric profiling bed with a pressure re-distributing mattress, a gantry hoist system and showering equipment, including an electronically powered tilt-in-space shower chair commode.

Olivia also has a powered wheelchair, which is fitted with specialist controls as well as a seat cushion, back support and tilt, recline and elevating legrests. Due her specialist controls, Olivia is able to operate her powered wheelchair herself, but for all other tasks she requires assistance.

Olivia has a FIM Score of 1.

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