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  • Sarah
    Client ID 048

  • Name:
    Sarah
    Age:
    40
    Primary Diagnosis:
    SCI
    Gender Identity:
    Female
    Insurance: 
    BCBS
    Pronouns:
    She/her/hers
    Referring Physician: 
    D. Williams, MD
    Race/Ethnicity:
    White

  • History of present illness:
    40yo WF with spina bifida, diagnosed at birth. Received OT/PT throughout childhood. However, does not currently receive therapy services.

    Past medical/surgical history:
    Post-birth myelomeningocele repair

  • Marital status: Married 3 years.

    Primary language: English.

    Current level of function: Modified independent, completing ADL/IADLs at wheelchair-level with adaptive equipment PRN, including driving with hand controls.

    Employment/work/school: College education. Licensed pharmacist working full-time as the administrative coordinator for a community health clinic. Work duties involve prolonged sitting at a desk and occasional lifting up to 15 pounds.

    Play/leisure/interests: Proud cat-owner. Enjoys participating in adaptive sports program activities, including wheelchair basketball and hand-cycling. Competes with husband in the wheelchair division of 5Ks, half marathons, and marathons state-wide.

    Environmental factors: Lives with husband in one-story house. 1 STE with ramp, no handrails. Zero-entry shower with built-in bench, handheld shower head, grab bars. Standard toilet height with grab bars.

  • Fall precautions
    May ambulate if BP is above 110/70

  • Gabapentin
    Oxybutynin

  • X-ray: L femoral neck non-displaced fracture

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

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