One month after the accident, the initial, early post-acute care Rehab Cycle was completed with an evaluation of its progress. Encouragingly, Mr. Seiler’s recovery had surpassed expectations of both the health care team and the patient himself. The positive course of the recovery of the initially impaired body structures contributed to this result. Additionally, his engagement, motivation and self-discipline all contributed significantly, clearly paying off in his positive results. Each of the intervention target goals was achieved and remarkably six of the intervention targets exceeded their expected outcome values. Overall, this led to the achievement of all three cycle goals. The cycle goal for moving in different locations was also achieved beyond expectations. Taken together, these stepwise accomplishments resulted in reaching and surpassing the anticipated Service program goal of greater independence in daily living. Included here are a number of personal reflections on Mr. Seiler’s recovery:

The whole process of Mr. Seiler’s recovery has proceeded wonderfully. From the actions of his colleagues who first found him to the rescue crew and the medical teams responsible for his acute care and rehabilitation ... and of course, Mr. Seiler himself. Each person involved was a link in a chain that led an accident victim to the best possible recovery. We are all pleased beyond words.

Mr. Seiler’s physician

I think I’m one of the happiest patients here. Within one month, I’ve recovered so much. I didn’t think I would have my health back again. It’s my second life — I never thought I’d stand again. I will absolutely not take this second life for granted!I think being athletic helped me a lot — my swimming, skiing and working hard all contributed. I have a lot of strength and stamina; I drink very little and don’t smoke. Overall, I’m an exceptionally healthy person. Even my medical examinations after the accident showed I was in great health — this was really encouraging.

I have to admit that the greatest support for me was the care I received. The rescue workers, the intensive care team and the rehabilitation team were all so warm and understanding; they really helped me along psychologically.

Mr. Seiler, reflecting at the end of his Rehab Cycle

Figure 3: ICF Intervention Table

Figure 3: ICF Intervention Table

 Figure 4: ICF Evaluation Display

Figure 4: ICF Evaluation Display *ICF Qualifiers range from 0 = no problem to 4 = complete problem in the components of body functions (b), body structures (s), activity and participation (d) and from -4 = complete barrier to +4 = complete facilitator in the environmental factors. In personal factors, the sign + and - indicates to what extent a determined pf has a positive or negative influence on the individual’s functioning. °C1, 2, 3 mark the relation to Cycle goals 1, 2, 3; SG is related to Service Program Goal, G related to the Global Goal.