Client Note (Logan)
Logan
Client ID 053
- Name
- Logan
- Primary Diagnosis
- Spina bifida
- Insurance
- BCBS
- Referring Physician
- J. Bognar, DO
- Age
- 16
- Gender Identity
- Male
- Pronouns
- He/him/his
- Race/Ethnicity
- White
16yo WM with spina bifida, diagnosed prenatally. Underwent prenatal repair of myelomeningocele. Received OT/PT throughout early childhood. Does not currently receive therapy services.
Marital status:Single
Primary language:English
Current level of function:Modified independent, completing ADL/IADLs with adaptive equipment PRN. Ambulates short distances with lofstrand crutches and B AFOs. Uses manual wheelchair for longer distances. Does not drive.
Employment/work/school:Currently in high school.
Play/leisure/interests:Enjoys participating in adaptive sports program activities, including wheelchair basketball and archery. Plays video games with friends and likes to draw.
Environmental factors:Lives with parents in one-story house with 1 STE, no handrails. Standard toilet height, no grab bars. Walk-in shower (2” ledge) with handheld shower hose and shower chair.
Oxybutynin