Patient case study: Occupational Therapy

Patient case study: Occupational Therapy

We take pride in providing exceptional and personalised patient care for each of our patients.
Through our strategy of personalised high-intensity rehabilitation, we’re able to achieve strong
clinical outcomes like the one below.

Our patient’s background and our challenge

Mabel was 83 years old when she suffered from a stroke. As a result, she was admitted to hospital, and after two weeks she was deemed fit enough to be transferred to Circle’s Rehabilitation Centre to continue with her treatment.

The stroke left Mabel struggling to walk, unable to manoeuvre and use all bathroom facilities, as well as being unable to dress herself and problem solve. This meant she was dependent on other people for many aspects of care.

Upon admission to Reading Hospital’s Rehabilitation Centre, her primary goal was to be able to go home with more independence, much to the desire of her grown-up family and grandchildren.

Exceptional outcome

Through a rehabilitation care plan that focused on both functional and cognitive improvement, Mabel worked with physiotherapists and occupational therapists, among other experts, to work towards completing real world tasks. This helped her to remove some of her dependency on care support when she returned home.

Therapy and treatment

Mabel had regular physio sessions with dedicated members of staff to get back onto her feet throughout her stay, and it wasn’t long before she was able to enjoy short walks in the evening, as she had always done. Occupational Therapists assessed Mabel’s routines, hobbies and home environment in creating a bespoke treatment plan for her so she could complete everyday tasks such as washing, dressing or making a cup of tea, with as little help as possible. Her therapist was also able to teach Mabel’s family on how to help her on her road to recovery.

A typical day in rehabilitation for Mabel was shaped by some of the following activities:


Patients are helped to get ready for the day and have several menu options to choose from for breakfast, lunch and dinner.


Vital to the recovery of patients, our skilled staff provide physiotherapy or hydrotherapy.

Ward rounds:

Staff visit patients at regular intervals to check and discuss their progress.

Consultant visits:

The patient’s consultant also checks in to monitor the progress and success of treatment.


‘Functional Independence Measure’, also known as ‘FIM’, is a way in which we measure a patient’s rehabilitation progress. These assessments are internationally approved outcome measures used to accurately measure disability in the UK. The assessments have a set list of criteria which are used regularly before, during and after treatment. That way we can accurately see changes in how a patient is responding to rehabilitation in real-time and adjust the treatment plan if needed.

A FIM score is based on a scale of 0 to 7, whereby 0 means total dependence and 7 means independence.

A complete list of scores for the FIM is as follows:

1. Total assist needed
2. Maximal assist (you can perform 25 percent of the task)
3. Moderate assist (you can perform 50 percent of the task)
4. Minimal assist (you can perform 75 percent of the task)
5. Supervision needed
6. Modified independence (you use an assistive device)
7. Independence in performing the task

This scale is used to measure 18 separate tasks, including eating, bathing, toileting, walking and social interaction, to name a few.

To learn more about these assessment measures and our overall outcomes across Circle Rehabilitation click on the button below.

FIM & FAM rehabilitation measurements

After 15 nights at Circle Rehabilitation, Mabel was discharged with a FIM score of 6.3 compared to her score of 5 upon her arrival. The significant improvement in her FIM score meant her dependence on care and support went from modified dependence to near- independence, therefore improving her quality of life going forward. Whilst she hasn’t made a full recovery, which can be expected when also considering her age, she is able to very much enjoy time with her family and friends in the comfort of her own home.

*Some patient details have been changed to ensure patient privacy.

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