Patient Story: Orthopaedic Rehabilitation
Case Study: 28 year old female with Multiple Orthopaedic Injuries Following Road Traffic Collision
Background & Injury History
Patient involved in a road traffic collision (bus collision)
Hospital admission for approximately 2.5 weeks
Injuries included:
Right ankle fractures
Left foot fractures
Left-sided facial fractures
Left eyelid haematoma
Medicess involvement: Initial Needs Assessment
- Physiotherapy to address lower limb fractures and restore functional mobility
- Structured rehabilitation to support independence in activities of daily living
- A patient-centred approach tailored to individual communication needs
- Support with community access, including use of public transport
- Functional goal-setting to enable return to pre-injury activities
- Coordination of appropriate post-discharge rehabilitation services
Treatment & Services
Physiotherapy
- Identification and coordination of an independent physiotherapist with experience supporting patients with learning disabilities
- Individualised assessment and structured rehabilitation programme
- Clear, patient-centred communication to support engagement and understanding
Functional Rehabilitation
- Goal-oriented rehabilitation focused on restoring mobility and independence
- Targeted support to enable safe use of public transport
- Rehabilitation aimed at independent stair negotiation and community access
Rehabilitation Delivery
- Focused programme of physiotherapy sessions tailored to the patient’s needs
- Emphasis on practical, real-world functional outcomes
- Resolution of symptoms achieved within a short course of treatment
Case Coordination
- Ongoing review of progress following Initial Needs Assessment
- Liaison with treating clinicians and review of medical records
- Coordination of appropriate rehabilitation input following discharge
Vocational & Functional Reintegration
- Rehabilitation goals aligned to support a return to the patient’s volunteering role
- Functional progression focused on building confidence in community mobility and routine activities
- Successful return to volunteering at a local charity shop, enabling engagement in meaningful and pre-injury activities
Outcome & Case Management Impact:
- Resolution of symptoms following targeted physiotherapy
- Improved mobility and functional independence
- Increased confidence in community access
- Successful return to a volunteer role
- Re-engagement in pre-injury activities
- Early identification of post-discharge rehabilitation needs
- Appropriate clinician selection aligned to patient needs
- Delivery of focused, efficient rehabilitation
- Coordinated support for functional recovery and reintegration
- Facilitated return to meaningful activity
Our rehabilitation case manager says:
“A wonderful family to work with, this case required consistent communication with both the patient and their family to ensure rehabilitation needs were clearly identified and supported throughout. By maintaining regular contact and coordinating appropriate input, we were able to provide structured support across both the rehabilitation and wider process, enabling steady progress and improved confidence.”
Our patient's view - accident rehabilitation:
“I am very grateful for the support provided by Medicess. Initially, there was limited rehabilitation input, which made recovery more challenging. Once Medicess became involved, everything was more structured and easier to manage. The support made a real difference to my recovery, and I only wish we had been referred earlier.”