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Success Stories
  Mikey is a seven-year-old boy who, at age nine months was involved in an accident resulting in a brain injury. When IKOR® became involved a full assessment was done and RN care manager discovered many issues with his care. IKOR® addressed those issues and identified his needs and made him available all the resources to take care them. As a result Mikey now has a comfortable wheelchair, has easier entry exit from the home, Mikey goes to school and his medical care and therapy is being monitored by IKOR® RN regularly.


Issues and Challenges
  • A wheelchair undersized for Mikey
  • Mikey needed his hand splints resized to prevent contracture
  • Mikey had a trach tube and a feeding tube in the stomach, which meant that he, could not speak or eat.
  • There had been no testing to show that these things were impossible for Mikey to accomplish
  • Mikey did not have a general pediatrician to address his medical needs
  • Mikey was not attending any physical therapy or schooling, and no home schooling had been provided
  • There were no wheelchair ramps inside or outside of the home
  • Mikey had had no routine childhood immunizations which are not only required for school attendance, but essential for a child with a disability who may be more susceptible to diseases
  • The van which was available to transport Mikey was not made to safely transport someone in a wheelchair
IKOR ApproachSM
  • Mikey had a wheelchair that fit his growing body
  • Mikey had re-sized hand splints made especially for him
  • A new pediatrician was obtained who had experience in working with the challenges of head injury, and Mikey had been examined.
  • All of the needed childhood immunizations for Mikey?s age had been completed, readying him for school
  • Ramps were built to enable Mikey?s wheelchair to go into his shower and to provide an easier entrance/ exit from the home
  • Mikey was interviewed and admitted to a public school geared to the special needs child, and the IKOR® nurse assured Mikey attendance during both winter and summer sessions to maximize his potential.
  • A daily physical therapy program was initiated, first through the local Easter Seals, and when admission to school was completed, through Mikey?s new school
  • The IKOR® nurse had successfully facilitated a tonsillectomy which the specialists had reported was necessary before the removal of the trach could be addressed
  • Mikey?s trach was successfully removed
  • A new van was located which was designed to safely transport Mikey in his wheelchair
Case Outcome
IKOR® 's work with Mikey is ongoing, and so is the progress!


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