osephine is 86 years old and an unmarried piano teacher. She has recently had a number of falls, her mobility has deteriorated and she is struggling to cope at home

Paper details:
Josephine is 86 years old and an unmarried piano teacher. She has recently had a number of falls, her mobility has deteriorated and she is struggling to cope at home. She has no past medical history of note although has recently had some leg ulcers which are healing well. She was admitted into an Intermediate Care Unit for a short course of intensive rehabilitation.
She lives on her own in a first floor flat and is keen to return as soon as she can. Prior to this admission she had not left the flat for some time as she is very anxious about walking down the stairs. Friends had been bringing her shopping. Josephine likes to keep busy and enjoys writing. She no longer plays the piano but still enjoys teaching the students she has had for a long time.
Please see the video’s in the folder ‘Josephine’ in the BBL assessment folder.
The essay should focus on the case of Josephine as a means of critically engaging with approaches to rehabilitation. Use of the literature is required to support comments made and critical analysis of the literature is required throughout the assignment. Although the essay may be approached in a number of ways, the following areas should be addressed:
• A brief description to Josephine’s presentation, the functional problem you plan to focus on in your essay and justification for this prioritisation. This should relate to one of the main areas of study including gait, balance, sit to stand or reach and grasp and should be specific not only to her physical presentation but also her narrative (presented on the video). Appropriate literature should support both your description and justification.
• The main body should include a detailed and critical engagement with one identified approach (or intervention) which would support her rehabilitation in the area identified. This could relate to a specific practice regime, or behavioural strategies. This must be justified and the approach (or intervention) utilised supported through reference to relevant literature. Any limits in the current literature should be identified and discussed. You should also include reference to how you will measure the impact of your approach, which should also be justified with reference to the literature.
• A conclusion which summarises the strengths and weaknesses of the approach selected with specific reference to Josephine.
• The literature presented through this case study should show evidence of critical engagement.

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