http://metaot.com/topic/casestudy The taxonomy view with a depth of 0. en http://metaot.com/blogs/%5Buser%5D-7 <p>Allex is a 54 year old man who is currently 7 in full time employment as an IT trouble shooter. He previously participated in golf, cycling and long distances running as leisure activities and enjoyed keeping fit and active.In 2003 Allex was involved in a road traffic accident when he was knocked of his bicycle by a lorry. He incurred an injury to the cervical spine. Initially he received treatment of medications and outpatient physiotherapy; however, there was no significant relief of his pain and weakness, and in 2005 Allex received a cervical fusion at one level. Despite some improvement in strength, Allex has continued to report neck and upper back pain, headaches and decreased function. He has been referred again for outpatient rehabilitation with a diagnosis of chronic back pain. Upon presentation to you, Allex appeared to hold a negative attitude towards treatment and a sceptical view that it would help. He reported that work was difficult for him as he has to sit for extended periods, and he often experiences headaches at the end of the day. He has reluctantly given up his previous hobbies as he is not able to do them without pain.</p> <p>Your intervention has been exercise based. Now at 6 weeks following initial presentation, Allex has attended only 3 of 8 scheduled visits (the first, third and seventh) and he is often late when he arrives, which causes disruption to your schedule and waits for your following clients. When he does attend, he often repeats the same information to you about the changes he has had to make in his lifestyle since his original injury, and the activities he has had to give up. He continues to complain that he is experiencing pain though he did recently attempt some running again as the weather was nice and he wanted to be outside, but this increased his pain significantly. He feels that his headaches may be slightly less frequent, though wonders if this is more related to a decreased work load stress rather than your intervention. He reports that the exercises you have prescribed are difficult to do at the suggested frequency due to his busy schedule. The referring physician has asked that you contact her to discuss Allex's progress and your recommendations at this point.<br /> Considering the above information, what factors do you feel are influencing Allex’s engagement in the programme? How would you progress in your approach to Allex?</p> <p><a href="http://metaot.com/blogs/%5Buser%5D-7">read more</a></p> http://metaot.com/blogs/%5Buser%5D-7#comments Back Case-Study Example Motivation Pain Sat, 08 Dec 2007 20:03:17 +0000 subhajit 1187 at http://metaot.com