Patient Story: Orthopaedic & Psychological Rehabilitation

Case Study: 65-year-old female with Orthopaedic and Psychological Injuries Following Workplace Machinery Accident

Background & Injury History

  • Patient involved in a workplace machinery accident
  • Sustained a crush injury to the right ankle
  • Injuries included:
    • Right fibula fracture
    • Talar fracture
  • Associated psychological symptoms following the incident

Medicess Involvement: Initial Needs Assessment

Key Needs Identified
  • Physiotherapy to support recovery from lower limb fractures
  • Orthopaedic review and surgical input
  • Psychological support to address post-accident symptoms
  • Functional assessment and rehabilitation planning
  • Support with activities of daily living
  • Liaison with employer to support return-to-work planning

Treatment & Services

Physiotherapy & Orthopaedic Management

  • Coordination of physiotherapy to support mobility and recovery
  • Arrangement of specialist orthopaedic consultation and surgery
  • Ongoing follow-up and review of orthopaedic progress
  • Provision of specialised footwear to support rehabilitation

Psychological Rehabilitation

  • Identification and coordination of appropriate psychological interventions
  • Support to address post-accident psychological symptoms
  • Structured approach to emotional and psychological recovery

Functional Rehabilitation & Case Coordination

  • Functional performance assessments to guide rehabilitation planning
  • Liaison with employer to support return-to-work pathway
  • Attendance at NHS appointments to advocate for the patient
  • Coordination of care across multiple providers

Domestic & Practical Support

  • Arrangement of private domestic care and household assistance
  • Support to maintain independence during recovery

Outcome & Case Management Impact:

  • Improved mobility and functional ability
  • Progress in both physical and psychological recovery
  • Increased independence with daily activities
  • Coordinated pathway towards return to work
  • Improved mobility and functional ability
  • Progress in both physical and psychological recovery
  • Increased independence with daily activities
  • Coordinated pathway towards return to work

Our rehabilitation case manager says:

“This case required a coordinated approach to both orthopaedic and psychological rehabilitation. By maintaining a strong working relationship with the patient and attending key appointments, we were able to advocate effectively, ensure clarity in the treatment pathway, and support steady progress towards recovery and return to work.”

Our patient's view - orthopaedic & psychological rehab:

“The support from Medicess made a real difference to my recovery. Having someone there to explain things clearly and attend appointments with me helped me feel more confident and supported throughout the process.”