Follow-up and Transition to Adulthood

Question 1

Re-examination

Answer 1

To ensure max participation–need to do continual re-exams and adjust POC as needed

Children d/c from rehab center usually follow up 2 or more times per year
– Includes reexam of level and completeness of injury, bowel and bladder fxn, skin integrity, monitor spine for development of scoliosis, determine need for meds d/t spasticity or incontinence

Question 2

Re-exam by PT

Answer 2

Not changes in any of the following areas: neuro, ROM, strength, sensation, spasticity

Teach children age appropriate self care- self cath, transfers, w/c mgmt

Adapt and modify w/c as needed to enhance independence

PT uses a consultative model
Make adjustments as appropriate at school as child grows (Accessibility and participation)

Question 3

Transitions

Answer 3

18 y/o with SCI in US are eligible for state vocational counseling services

Facilitation of education and employment = improved life satisfaction in adults who acquire pediatric SCI

Also need discussion about sexuality and reproduction as become teenagers and adults

• -fertility in women with SCI is not impaired, but sexual response may be
• -men- sperm quality decreases over time

Pregnancy in pt with SCI– managed as high-risk pregnancy