I have been focussing on treating Mr Tannerís hemiparetic hand, which is showing moderate improvement, although his pinch grip is still weak. He is having trouble with some tasks, such as holding a cup of water, holding utensils, doing up buttons and holding a pen.
Mr Tanner has enquired as to whether he will still be able to drive, as he values his independence and needs to be able to get to bowls. I advised him that at this point driving will not be possible, but that he may well be able to return to driving after further rehabilitation. I will arrange for a driving test to be scheduled for Mr Tanner in 2 months time. He didnít like this advice but seemed more accepting after some discussion.