SCI 8

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Author:
elementsninja
ID:
305811
Filename:
SCI 8
Updated:
2015-07-28 16:13:53
Tags:
SCI
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SCI 8
Description:
SCI 8
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  1. UMN, statistic, involuntary emptying, need a voiding schedule, catheter for over distended bladder
    Reflexive bladder
  2. LMN, bladder won’t contract, needs external force and catheter
    Flaccid bladder
  3. ROM, strength/endurance, coordination, spasticity management, sensory, mobility, positioning/pressure relief, ADLs, home accessibility/safety, community mobility, driving, vocational/avocational, SCI education
    Common treatment areas
  4. TX: Awareness of sensory deficits (pressure sores), Mobility (sip & puff, head control, mouth or chin control), SCI education-(Teach now to advocate for self-care) Vocational/Avocational training (use of AT with computer), Psychological adjustment, Strength/ Endurance (sitting tolerance)DME = Power wc, ventilator, mouth wand, environmental control unit, lift device, voice activated phone/computer, tilt-in-space shower/commode chair
    C1- C3 -limited movement of head and neck. Patient can talk, chew, swallow, blow    100% Dependent
  5. TX: ROM (tenodesis, PROM when spine stable), Strength/ Endurance (neck, shoulders, sitting), Awareness of sensory deficits (pressure sores), Mobility (bed, w/c), Positioning/Pressure relief (position outside of statistic position), ADL (adaptive devices/strategies), SCI education-(Teach now to advocate for self-care, environmental controls) Vocational/Avocational training (use of AT with computer), Psychological adjustment, Spasticity management (ROM, splint, positioning)DME =Power wc, mouth wand, environmental control unit, lift device, voice activated phone/computer, tilt-in-space shower/commode chair, long straw
    C3-C4  Add Trapezius & Diaphragm    Dependent for ADLs

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