Case examples
The following examples are also a chance to practice delivering predictions so you can continue building your confidence and skill. First, think about how you would approach discussing the PREP2 prediction and what information you already know, and if any additional information could be helpful. Make sure you consider how you would communicate to both the patient and their family, and talk this through with a colleague.
Before you start, consider these reflective questions as you review each case:
“How would you forecast your message?”
“What empathic statements would be appropriate?”
“What rehabilitation focus would you emphasise?”
“What follow-up supports might be needed?”
After you practice each case, make sure to reflect on your performance. If you’re the colleague listening, remember that constructive feedback is essential for helping your partner improve!
We will return to these case examples during the online training.
Mr Sharma (56 y)
Clinical information: Left hemisphere LACI
PREP2 information: SAFE score = 0, MEP+
PREP2 prediction: Good
Additional information: Mr Sharma works as an engineer in a large company. He regularly travels overseas. He is right-handed.
Mr Fisher (64 y)
Clinical information: Left hemisphere PACI
PREP2 information: SAFE score = 0, MEP-, NIHSS = 5
PREP2 prediction: Limited
Additional information: Mr Fisher has some word-finding difficulties. He has a supportive wife, and together they own and operate a small business. He is keen to return to work.
Mrs Parata (58 y)
Clinical information: Left hemisphere TACI
PREP2 information: SAFE score = 0, MEP-, NIHSS = 9
PREP2 prediction: Poor
Additional information: Mrs Parata is currently unable to walk and her communication is impaired by dysarthria. She lives alone, and has a supportive daughter who lives nearby. She is right-handed.
