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  4. Competent Care for Persons With Spinal Cord Injury and Dysfunction in Acute Inpatient Rehabilitation

Competent Care for Persons With Spinal Cord Injury and Dysfunction in Acute Inpatient Rehabilitation

Top Spinal Cord Inj Rehabil, 2012 · DOI: 10.1310/sci1802-149 · Published: January 1, 2012

Spinal Cord InjuryHealthcareRehabilitation

Simple Explanation

This paper describes the resources needed to provide competent care for people with spinal cord injury or dysfunction during their initial acute rehabilitation admission. Comprehensive rehabilitation services must include a highly specialized interdisciplinary approach that addresses medical, physiologic, functional, psychological, and social issues. Communication and collaboration among team members are crucial for successful rehabilitation of the patient with SCI/D.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Not specified

Key Findings

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    SCI care involves more than treating just the medical and physiologic consequences of the injury.
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    The frequency of medical complications in SCI is inversely proportional to the quality of care available at the treatment facility.
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    Education and counseling related to sexuality and fertility following SCI/D should be a part of any program providing competent care.

Research Summary

This white paper outlines the essential elements of a spinal cord injury (SCI) program and the various discipline areas contributing to it, referencing previously published standards of care. It emphasizes the importance of an interdisciplinary team approach, skilled medical services, and specialized support services, including urological services and medical nutrition. The paper also addresses the unique needs of special populations, such as pediatric, elderly, bariatric, and brain-injured patients, as well as those with sensory and motor incomplete injuries, stressing the need for a continuum of care to achieve optimal functional outcomes.

Practical Implications

Enhanced Rehabilitation Programs

Facilities can use the guidelines to improve their SCI/D rehabilitation programs.

Improved Patient Outcomes

By implementing the recommendations, healthcare providers can enhance patient outcomes and quality of life.

Informed Decision-Making

Patients and families can use the information to make informed decisions about choosing a rehabilitation facility.

Study Limitations

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