case study - parvathi

Parvathy

Parvathi was 2.5 years old and was referred to ASSA by local village health nurse. She was diagnosed with intellectual disability. Following initial assessment, the multidisciplinary rehab team at ASSA identified challenges in:

  • Activities of Daily Living (ADLs)
  • Communication
  • Self-care
  • Cognition

Parents identified the following goals through COPM at baseline.

  1. Wear undergarments
  2. Colour with crayons
  3. Following simple commands
  4. Naming 10 common objects

Based on this, goals and treatment plan were co-created between parents and ASSA’s therapists.

Goal Treatment
Color with a crayon within a given diagram
  • Holding crayon
  • Coloring a diagram
  • Scribbling a diagram
Name 10 common objects
  • Teach real common object
  • Teach by flash cards
  • Teach using pictures in book
Wearing undergarment
  • Point to the clothes
  • Physically assisted learning
  • Verbally assisted learning
  • Teach by video
Follow simple commands
  • Create a situation
  • Play activities like passing the ball, throw ball
  • Listen to the word (Tata, give, come)
  • Give positive reinforcement

After 6 months, Parvathi showed significant improvement in her development and the COPM was reassessed and the performance and satisfaction scores improved as seen below.

After 6 months, the parents identified the following goals using the COPM:
  1. Wear undergarments
  2. Speak three letter words
  3. Counting numbers up to 10
  4. Trace letters
The following plan was instituted:
Goal Treatment
Counting the numbers up to 10 with object
  • Count the numbers orally
  • Pickup objects and put inside a box
Trace the letters
  • Using clay activity
  • Trace the letters in sand
  • Trace the letters in different texture
  • Trace (straight line – horizontal, vertical, square, curve, circle)
Speak three letter words
  • Using picture cards
  • Visual feedback (using mirror)
  • Teach to express their needs with modelling
After the next 6 month cycle, Parvathi showed significant improvement in her development and the COPM was reassessed and the performance and satisfaction scores improved as seen below.
Parvathy COPM2

Overall, Paravthi’s family caregiver strain decreased over time, family empowerement and program engagement increased. This case study highlights how a family centred approach with parents setting goals and co-creating plans with therapists, leads to better outcomes.

Outcome parvathy
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