Mr. A is an 18 year old trainee carpenter who had a frontal lobe haematoma evacuation following a RTA two months ago. He has tightness in his right pectoralis major which is restricting his upper limb function. You have asked a junior physio to perform some gentle stretches however they report that Mr. A however she reports that whenever she enters the room he begins to touch his genitals and displays inappropriate behaviour. How do you manage this situation?
Mr. C is a 30 year old who had a TBI following a cycling accident. He finds it difficult to communicate and is finding that he gets frustrated that he cannot express what he needs. He continues to point at his left calf suggesting that he has a problem here however when you try to assess the area he becomes agitated. He begins to swear and lash out. How would you manage this situation?
- Awareness of potential threats – Building rapport.
- Pain management- time with treatment.
- Work in twos. Liaise with nursing staff.
- Visual cues/ cards (time out periods if aggressive)