I have a patient who was getting multiple lumbar punctures and over time, they discovered through scans that he had a small collection of fluid in his cranial space. These scans were all completed before we worked together so I unfortunately didn’t have access to the results. Despite my suspicion, my client’s wife kept telling me the fluid was from the lumbar punctures.
After several follow ups, we were planning on bringing this up to the physician. Before we got to that stage, the client started having deficits. For example, he was having a hard time walking and doing some of the things he was normally able to do. I immediately voiced my concern that I wasn’t confident in the conclusion of cerebral spinal fluid, but I thought that he could have a brain bleed from a fall he had taken earlier, as he was also experiencing short term memory deficits.
Soon after this, my client’s wife called me and told me they were heading to the ER. I told her what tests to expect as well as what the intervention would be. As she was getting all this information live from the ER, she was telling me what was going on right away so that we could figure out as soon as possible what the next steps should be.
Throughout this process it was important for us to hold on to the story. As you move from Intensive care to inpatient rehab, it’s important to have all the details of what’s happened because it affects treatment options and expectations of outcomes. Overall, it helps us know what we need to be successful.
Me having the ability to explain to her what was going on was so important to her and her husband. Being there so she could ask questions and ask as someone she can turn to offered great value to her and her peace of mind. My client is now at home where we can all shoulder the burden together.
-Ryan
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