Our Service User, a 57-year-old female, was diagnosed with spinal muscular atrophy type II in early childhood. She has severe proximal muscle weakness, is wheelchair-bound, and relies on caregivers for most activities of daily living. Over time, progressive respiratory muscle weakness led to chronic hypoventilation, and she now requires ventilation support at night.

On assessment, the service user demonstrated significant muscle wasting, scoliosis, and severely reduced pulmonary function. Cognitive function and sensation are intact. She experiences frequent fatigue, shortness of breath on minimal exertion, and occasional respiratory infections.

To implement a successful care package, we needed a multidisciplinary approach to support the service users’ needs

• Respiratory care: tracheostomy and ventilation, assisted cough techniques, and monitoring for infections
• Physiotherapy: Passive and assisted exercises to maintain joint mobility and prevent contractures
• Occupational therapy: Adaptive devices for communication and limited self-care
• Emotional support: Counselling to address emotional challenges, anxiety, and social isolation

Nursing care focuses on ventilator management, skin integrity, nutrition, and psychosocial support. With coordinated care, the service user maintains quality of life, participation in social activities, and prevention of secondary complications, despite severe functional limitations