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This message has been cross posted to the following Discussions: IALCP and Forensic .
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Hello All,

Now that I am back at my desk at last, I am trying to decide which late report I should work on first...

I wanted to ask about this one.  I was retained by the plaintiff atty. to do a Vocational and LCP assessment for a person injured in an MVA.  She has intermittent dizziness, balance issues, headaches, decreased stamina.  She reports feeling "foggy."  She reports increased symptoms with using the computer and must use the computer much of the time at work.

She's had all the best treatment and seems to do a good job controlling symptoms as much as possible.  She works full-time in a relatively stressful & demanding administrative job at a major medical center, but notes her bosses are very understanding about her problems.  They tolerate her being late or even occasionally needing to lie down at work.  Coworkers have "covered" for her in terms of selected job duties.  The job she has is one in which she "worked her way up" over a period of 20-some years.  She would never get the same job today without advanced degrees. 

Regarding home life, recreational activities are decreased.  She now goes to bed early due to fatigue from work. 

There don't seem to be many future certain hard numbers attached to this one.  She likely needs help with outdoor work and heavy housekeeping. 

Regarding vocational issues, she is earning a good income, so her greatest risk is related to if she would lose her job.  I can address that, but wonder if I am missing something in that regard.

Much of this seems to me to be about her quality of life and pain & suffering.  I feel as if my conclusions so far are pretty vague.

Any suggestions as to how I might do the best and most meaningful report in this situation?   

Any thoughts appreciated!

PattyC
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Patricia A. Costantini
Rehab Consultant
PattyC4303@aol.com
Pittsburgh, PA United States
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http://www.masseyeandear.org/specialties/otolaryngology/balance/

Hi Patty,
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Regina Pepin
BSN, RN, PCCN, CLCP
regina.pepin@gmail.com
Norton, MA United States
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Original Message:
Sent: 10-30-2012 15:35
From: Patricia A. Costantini
Subject: question about impact of inner ear, balance impairment

This message has been cross posted to the following Discussions: IALCP and Forensic .
-------------------------------------------
Hello All,

Now that I am back at my desk at last, I am trying to decide which late report I should work on first...

I wanted to ask about this one.  I was retained by the plaintiff atty. to do a Vocational and LCP assessment for a person injured in an MVA.  She has intermittent dizziness, balance issues, headaches, decreased stamina.  She reports feeling "foggy."  She reports increased symptoms with using the computer and must use the computer much of the time at work.

She's had all the best treatment and seems to do a good job controlling symptoms as much as possible.  She works full-time in a relatively stressful & demanding administrative job at a major medical center, but notes her bosses are very understanding about her problems.  They tolerate her being late or even occasionally needing to lie down at work.  Coworkers have "covered" for her in terms of selected job duties.  The job she has is one in which she "worked her way up" over a period of 20-some years.  She would never get the same job today without advanced degrees. 

Regarding home life, recreational activities are decreased.  She now goes to bed early due to fatigue from work. 

There don't seem to be many future certain hard numbers attached to this one.  She likely needs help with outdoor work and heavy housekeeping. 

Regarding vocational issues, she is earning a good income, so her greatest risk is related to if she would lose her job.  I can address that, but wonder if I am missing something in that regard.

Much of this seems to me to be about her quality of life and pain & suffering.  I feel as if my conclusions so far are pretty vague.

Any suggestions as to how I might do the best and most meaningful report in this situation?   

Any thoughts appreciated!

PattyC
-------------------------------------------
Patricia A. Costantini
Rehab Consultant
PattyC4303@aol.com
Pittsburgh, PA United States
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Patty, I wonder if this client has had a consult with an ENT and  an Audiologist post accident. Hearing  and vestibular fc'ns need to be addressed to pinpoint the cause(s) and provide her with appropriate treatment so that her QOL improves. Hope this helps.

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Maria SCARINGI
Speech-Language Pathologist, Life Care Planner, Case Management
maria@kidspeech.ca
Don Mills (TORONTO), ON Canada
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Original Message:
Sent: 10-30-2012 15:35
From: Patricia A. Costantini
Subject: question about impact of inner ear, balance impairment

This message has been cross posted to the following Discussions: IALCP and Forensic .
-------------------------------------------
Hello All,

Now that I am back at my desk at last, I am trying to decide which late report I should work on first...

I wanted to ask about this one.  I was retained by the plaintiff atty. to do a Vocational and LCP assessment for a person injured in an MVA.  She has intermittent dizziness, balance issues, headaches, decreased stamina.  She reports feeling "foggy."  She reports increased symptoms with using the computer and must use the computer much of the time at work.

She's had all the best treatment and seems to do a good job controlling symptoms as much as possible.  She works full-time in a relatively stressful & demanding administrative job at a major medical center, but notes her bosses are very understanding about her problems.  They tolerate her being late or even occasionally needing to lie down at work.  Coworkers have "covered" for her in terms of selected job duties.  The job she has is one in which she "worked her way up" over a period of 20-some years.  She would never get the same job today without advanced degrees. 

Regarding home life, recreational activities are decreased.  She now goes to bed early due to fatigue from work. 

There don't seem to be many future certain hard numbers attached to this one.  She likely needs help with outdoor work and heavy housekeeping. 

Regarding vocational issues, she is earning a good income, so her greatest risk is related to if she would lose her job.  I can address that, but wonder if I am missing something in that regard.

Much of this seems to me to be about her quality of life and pain & suffering.  I feel as if my conclusions so far are pretty vague.

Any suggestions as to how I might do the best and most meaningful report in this situation?   

Any thoughts appreciated!

PattyC
-------------------------------------------
Patricia A. Costantini
Rehab Consultant
PattyC4303@aol.com
Pittsburgh, PA United States
-------------------------------------------