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Client Note (Tristan)

Tristan

Client ID 056

Name
Tristan
Primary Diagnosis
TBI
Insurance
BCBS
Referring Physician
M. Dominguez, MD
Age
26
Gender Identity
Male
Pronouns
He/him/his
Race/Ethnicity
White

26yo WM with TBI sustained 9 years ago from samurai sword blade that lodged into forehead. Reports the blade breaking off the handle as he and his friends alternated tossing a plastic bottle in the air and striking it with the sword. Comatose for 2 months in acute care. Underwent craniotomy, cranioplasty, and tracheostomy. D/c to inpatient rehabilitation for 1 month. Continues to receive outpatient OT/PT.

Marital status:Single

Primary language:English

Current level of function:Partial assist for ADLs/IADLs. Completes transfers and ambulates short distances with FWW and partial assist, modified independent for manual wheelchair propulsion.

Employment/work/school:High school education. Currently unemployed.

Play/leisure/interests:Enjoys participating in adaptive sports program activities, including billiards, cycling, trap shooting, kayaking, bowling, water skiing, and surfing. Likes to listen to music and take hunting and fishing trips with his dad.

Environmental factors:Lives with dad in one-story house with 1 STE, ramp, no handrails. Walk-in shower (2” ledge), shower curtain, handheld shower head, nonskid mat, shower chair, grab bars. Standard toilet with no grab bars. Owns manual wheelchair, FWW, stander, trackchair, and parallel bars.

Outpatient OT/PT

Lamotrigine
Baclofen

Disclaimer: Although the individuals in ICE videos are real patients, the exact history has been altered to protect their identities.