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Putting together a mind map for a case study using Inspiration. Step One. To compose my case study outline I started with background information of the client which I added via the ‘add or edit note’ section behind the icon of an elderly woman. I chose a cartoon of an elderly
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To compose my case study outline I
started with background information of the
client which I added via the ‘add or edit
note’ section behind the icon of an elderly
woman. I chose a cartoon of an elderly
woman to represent the client. I found this
easier to recall than just a coloured shape.
You can also label your chosen picture as
I have. There are lots of alternatives to
choose from so you can tailor the mind
map to your own specifications whatever
makes it easier for you to remember the
I then made a problem list and chose
a puzzle icon to list these behind.
For the short term goals again I chose
a picture which would remind me of
the information stored in the notes
behind the icon.
I then repeated this for long term
goals using a different picture. As
well as placing book, article and
web links behind the references
icon (see next slide) I also added
some links under short and long
term goals which made it easier
for me to link the goal with the
reference. Using this software you
can also add video and audio
links although I didn’t use these in
this case study.
I found saving my references
within the mind map structure
very useful. Having all your
references listed here saves
you time searching for that
scrap of paper you originally
wrote the link on and it also
enables you to cut and paste
them into the finished article.
The software also structures your mind map notes into a
linear format (see following slides) which forms the basis
of your written case study. The structure of the outline can
be reordered and you can add and edit the notes as you go
along. I found by the time I done the 5 steps the case study
had practically written itself. I then used Spellex to check
the spelling and grammar and Texthelp to read it back to
me as I often find after working on an assignment for a
while you tend to read what you think you have written and
not what is actually on the paper.
75 years old female
Previously admitted to A&E #NOF, Surgery DHS fitted, Current admission due to fall at home.
2.Reduced muscle strength/mild residual L sided weakness (CVA 5yrs ago)
5. Reduced b/c, confidence, fear of falling
6. Reduced stance on L side.
7. Mild RA in hands
8. Environmental factors
Short term goals - Within 4 weeks:
1. Review use/technique of walking aid
2. Independent with bed/chair exs 3/7. Independent with functional activities 1/52
Outcome measure: TUSS
3. Liaise with Drs to ensure adequate pain ctl 1/7. Reassess b4 each Rx
4. As above. Review and modify check Polypharmacy.
5. Balance exs, decrease EMS by 4 within 1/52, increase Berg b/c to 48 within 2/52
Outcome measure: EMS and Berg b/c scores and SMART goals.
6. Re-education of gait.
7. Medical problem - Liaise with Drs 1/7. Avoid intervention during flare ups.
8. Liaise with OT and SS to assess home hazards, home improvements, POC?
Long term goals - More than 4 weeks:
1. Increase distance to 30m independently outside with appropriate walking aid 3/12
2. Group ex classes +/or ORTAGO (home exercise plan) http://www.acc.co.nz/injury-prevention/home-safety/older-adults/preventing-falls/otago-exercise-programme/index.htm?ssSourceNodeId=4001&ssSourceSiteId=1494
3. As ST( short term) goal
4. As ST goal
5. Reduce EMS to 0 within 3/52, Increase Berg b/c to 56 within 3/52
6. Parallell bars, WZF...> Delta rollator, Hydrotherapy?
7. As ST goal.
8. Plan EDD, arrange community physio follow up (as deemed necessary) in consultation with MDT
American Geriatrics Society (2001) Guideline for the prevention of falls in older people Journal of the American Geriatrics Society 49, 664-672
Buchner, D.M., Beresford, S.A., Larson, E.B., LaCroix, A.Z. and Wagner, E.H. (1992) Effects of physical activity on health status in older adults IN: Lord, S.R., Sherrington, C., Menz, H.B. and Close, J.C.T. (2007) Falls in Older People - Risk factors and strategies for Prevention Cambridge: Cambridge University Press
Chartered Society of Physiotherapists (CSP), (2007) Osteoporosis audit pack - guidelines for management of osteoporosis Available from: http:// www.csp.org.uk/uploads/documents/OsteoAudit.pdf [Accessed 29/05/07]
Department of Health (dh), (2001) National Service Framework (NSF) for Older People Available from: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4003066 [Accessed 30/05/07]
Jack, C.I., Smith, T. and Neoh, C (1995) Visual intervention IN: American Geriatrics Society (2001) Guideline for the prevention of falls in older people Journal of the American Geriatrics Society 49, 669
Lord, S.R. and Bashford G.M. (1996) Shoe characteristics and balance in older women Journal of American Geriatrics Society 44, 429-433
Lord, S.R., Sherrington, C., Menz, H.B. and Close, J.C.T. (2007) Falls in Older People - Risk factors and strategies for Prevention Cambridge: Cambridge University Press
Lawrence, T.M., White, C.T., Wenn, R. and Moran, C.G. (2005) The current hospital costs of treating hip fractures Injury, 36, 88-91
Lord, S.R., Sambrook, P.N. and Gilbert, C. (1994) Postural stability, falls and fractures in the elderly Medical Journal of Australia 160, 684-91
Mitchell, E. and Dyer, J. (2002) Preventing falls in older people - charting practice change by audit Professional Nurse July 2002, 17 (11) 665-668
National Osteoporosis Society (nos), (2007) Bone density scanning
Available from: http://www.nos.org.uk/dr_media/nos/Bone_Density.pdf_
National Institute for Health and Clinical Excellence (NICE), (2004) 048 New guidelines for the NHS on the assessment and prevention of falls in older people Available from: http:// www.nice.org.uk/page.aspx?o=233389 [Accessed 30/05/07]
National Institute for Health and Clinical Excellence (NICE), (2005) CG21 Falls guidance Available from: http://guidance.nice.org.uk/CG21/guidance/pdf/English [Accessed 28/05/07]
Peden, M., McGee, K. and Sharma, G. (2002) The injury chart book - a graphical overview of the global burden of injuries Available from: http://whqlibdoc.who.int/publications/924156220X.pdf [Accessed 30/05/07]
Skelton, D.A. and Dinan, S. M. (1999) Exercise for falls management - rationale for an exercised programme aimed at reducing postural instability Physiotherapy Theory and Practice 15 (2) 105-120
Skelton, D.A. and McLaughlin, A. (1996) Training functional ability in old age Physiotherapy 82, 159-167
Simpson, J.M., Marsh, N. and Harrington, R. (1998) Guidelines for Managing Falls among Elderly People British Journal of Occupational Therapy 1998 61 (4) 165-168
Studenski, S., Duncan, P.W. and Chandler, J. (1994) Predicting falls - the role of mobility and non-physical factors Journal of the American Geriatrics Society 42, 297-302
World Health Organisation (WHO), (2007) - Incidence of Falls in older people Available from: http://www.euro.who.int/HEN/Syntheses/Fallsrisk/20040319_5 [Accessed 30/05/07]
World Health Organisation Regional Office for Europe (WHO), (2007) Summary of evidence to support interventions to reduce falls and injuries Available from:
http://www.euro.who.int/HEN/Syntheses/Fallsrisk/20040318_6 [Accessed 30/05/07]