In accordance with the Nursing Midwifery Council, (2009) code of professional conduct the client’s name will remain anonymous though out my assignment and replaced with the pseudonym (Susan) to maintain confidentiality. Susan is aged 35, single and is currently unemployed, although prior to suffering a brain injury Susan had had a number of different jobs from she left school at 16. Susan acquired a brain injury following viral herpes encephalitis. According to Chaundhuri and Kennedy (2002) this is an inflammation of the brain parenchyma associated with clinical evidence of cerebral dysfunction. This was obtained as a result of an infective process where a viral infection occurs in another part of the body and then travels to your brain this in turn affects the temporal frontal and limbic region which is associated with memory problems. The cognitive assessments indicated that Susan has difficulties with her memory, speed of information processing, comprehension and problem solving. Wilson (2003) suggests the aim of cognitive rehabilitation is concerned with the assessment evaluation and treatment and natural recovery of service users who have experienced a brain injury, however it isn’t without limitations as interventions are heterogeneous in nature. Susan needs prompting to enable her to carry out her hygiene needs by members of the nursing team. Susan also requires assistance with relation to preparing meals as risk assessments have reviled that she may be at risk when using electric or gas cooking apparatus due to her short term memory problems.
The Brain Injury Rehabilitation Unit maintained correspondence with Susan’s pervious hospital and worked off medical records obtained from her General practitioner. The information gathered form said sources provided detailed and valuable information on Susan’s previous medical history. Results from previous psychometric tests were cross referenced with each other which aided greatly with decision making...