Domestic Life Care Planning Certification Program Course 6 On-Site (Work Required Prior to Attendance)

It is assumed all students are familiar with Locked-in Syndrome in general. The case example to be used in this Module will involve an individual with locked-in syndrome. She is cognitively intact, but paralyzed, basically, from chin down and she cannot speak.  It is the responsibility of each participant to have a basic understanding of this constellation of impairment (combination of spinal cord injury, in relation to paralysis, but not a “true” spinal cord injury; brain injury, as it relates to speech, but not a “typical” brain injury).  Actually, there is little published specifically on locked-in relating to rehabilitation outcomes, but there is data available on issues of immobility and the non-verbal patient.   Read the case example [Medical/Chronological Summary]; you will prepare a Life Care Plan in the class as part of a group project.




1.     Each participant must bring a copy of one peer reviewed journal article pertaining to locked-in syndrome, including but not limited to issues and effects of immobility (rehabilitation, outcomes, etc.) [No articles regarding acute care; no book chapters, no web-based opinions from blogs or chat rooms]. The article should be rehabilitation-related pertaining to outcomes, therapies, rehabilitation programming, long term care, or specialized equipment, etc. The article should be able to substantiate specific recommendation(s) that may appear in the Life Care Plan for a person with locked-in (immobility) syndrome.

2.     Highlight the particular passage or statement in that article which can be used as a foundation for a particular LCP recommendation. In other words, the article you choose should have within it, the support or foundation for at least one specific recommendation that you would include in your LCP for this case.

Please prepare a BRIEF cover sheet for the article that contains a sentence from the article that supports a recommendation for this Life Care Plan and staple it to the article for submission at the seminar. This copy of the entire article and the cover sheet will be used for group reference during our LCPlanning project. Be sure to have your name on the article to receive credit for this homework.

You must email the summary sheet (cover sheet) ONLY (NOT THE ARTICLE) to the instructor within 7 days of the on-site class. Failure to provide the summary sheet 7 days PRIOR to the on-site class will result in an inability to attend the class.

Sample Cover Sheet:

Student Name:  John Student

Specific Recommendation:  Recreational Therapy

Citing:  In the areas of physical medicine and rehabilitation, studies have documented these Recreational Therapy (RT) outcomes:  Improved physical health; Reduced complications related to secondary disability; Improved long-term health status and reduced health risk factors; Improved cognitive functioning; Improved psychosocial health and well-being; Reduced reliance on the health care system; Increased life satisfaction; High-quality social relationships; Decreased depression; Increased self-efficacy, self-confidence, and adjustment to disability; Improved self-esteem; Increased ability to use activity to cope with stress from hospitalization/illness; Decreased social isolation; Increased perceived quality of life; Improved community functioning and ability to overcome barriers.

Article Source: Source:  Sorensen, Beth, MS, TRS/CTRS, CCM; Luken, Karen, MS, TRS/CTRS.  Improving Functional Outcomes with Recreational Therapy.  The Case Manager, September/October 1999, pages 48 – 52.

Checklist of activities required prior to attendance at the on-site:

1.     Have a general understanding of locked-in syndrome, immobility.

2.     Find one article for a foundation – prepare a cover sheet and email the cover sheet to course instructor ( 7 days in advance of the on-site

3.     Bring the entire article and the cover sheet to the on-site; please put your name on the article. Please bring layered clothing to wear, as the temperature is difficult to control for everyone’s satisfaction.

Click on the following links to download the files for the case example (bring this to the Onsite Training as it will not be reproduced for your use at the seminar):

• Evans Medical Summary

• Evans Case Example

• Defense Depo

• Expert Report Testimony


Julie Kitchen


Final Exam

Using the Assessments menu option at the left in Sakai, complete the Final exam.  Please complete prior to attending Onsite Training.  The exam consists of 5 multiple choice questions.


Once you have successfully completed the exam,

  • Go to
  • Login with gatorlink name and password
  • Locate the My Activities Drop box
  • Select My Certificates (You will be able to print a Certificate for the online portion of course 6)

Course Evaluation

Please click here to download the form and complete the Course Evaluation.