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Presentation/PPT
27/08/2022
Assessment Task Your task is twofold: 1. Make a reasonable conjecture as to the nature of PGs injuries and specify which areas of her brain you believe to be damaged. Back up your arguments with published research. 2. Once you have established the nature of the injuries, account for the case as presented i.e. explain the psychological functioning with regard to neurophysiology. Hence, you should be able to give reasons for why some of PGs abilities have been spared, and some impaired. PG was involved in a minor automobile accident. Significant injuries included a sprained wrist, back, and neck pain. She was evaluated on the scene by paramedics but refused to be taken to the hospital. There was no head impact or loss of consciousness. However, she reported being in a daze afterwards for several hours, and could not drive herself home. In addition to the wrist, neck, and back pain for which she sought and received treatment, she complained of chronic headaches after the accident and an inability to concentrate and focus. She returned to work immediately after the accident. She had been a successful self-employed business owner. Upon her return to work, she began experiencing difficulties managing her affairs, remembering to schedule crucial business appointments, and accomplishing necessary tasks. As a result, she began to feel frustrated and overwhelmed. Her moods became dysphoric, she could not sleep well, and she was fatigued. After several weeks, she concluded that she was unable to manage her business. A family member took over management of the business. PG was referred for an evaluation. Her presentation was suspect initially due to the reported low impact of the automobile accident, and interest in secondary gain via litigation. A thorough malingering analysis was performed. The results revealed no evidence of symptom exaggeration. Her history was significant for a severe automobile accident 20 years prior which resulted in a 10-day coma. She completed a neuropsychological assessment. The results revealed significant deficits in attention and executive functioning. The difficulties with attention were obvious. However, impaired executive functioning could only be revealed through an assessment. This impairment impacted her judgment, her ability to reason and problem-solve, attend to multiple tasks simultaneously, and utilize abstract thought. This hindered her ability to successfully manage her business, which she was able to do prior to the accident, and resulted in frustration and depressive symptoms. Although in a low-impact accident, the significant previous head injury likely decreased her threshold for future head injury. The treatment plan consisted on an educational component regarding her deficits, counselling to develop improved coping mechanisms, and cognitive rehabilitation focusing on problem-solving and compensatory strategies.
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