Case Histories:
Cerebral hypoxia

JS is a middle-aged man with a severe brain injury due to extended cardiac and respiratory arrest resulting in visual impairment, acquired dyslexia, and apperceptive visual agnosia. He had difficulties using a computer from both visual and cognitive points of view, and her difficulties using a mobile phone for voice or text functions. He has prosopagnosia, giving him difficulties recognising some people he knows.

I recommended a computer with a large widescreen monitor to accommodate his visual difficulties, along with appropriate software settings, and speech recognition software to accommodate his intermediate typing skills and spelling difficulties. I recommended a new model of phone with speech and command recognition to accommodate his visual and cognitive difficulties with conventional mobile phones. I recommended a custom door entry system to provide him with spoken identification of a person at his front door.


CW
is a young lady with a severe brain injury due to extended cardiac and respiratory arrest which resulted in hypoxic cerebral ischaemia. She has quadriplegia, no speech, and severe cognitive difficulties, and is unable to initiate communication.


She had been supplied with a communication aid which she used at a very basic level due to her inability to initiate communication, and because of her lack of initiation and severe cognitive limitations, I was not of the opinion that any alternative assistive technology would be beneficial to her, contrary to the recommendations of the claimant's expert.