L8 Management of Subacute SCI Flashcards
What is unique about acute/inpatient rehab?
about 30 days long, 5 days a week, 3 hours a day
pt needs discharge plan w/available assistance
emphasis on optimizing patient function and independence
Documentation during rehab
CARE Tool
looks at current medical status, cognitive/mood/pain, impairments, functional status, overall plan of care
Functional status includes sitting on own, scooting, picking up objects from floor, and reaching
Bed mobility
should consider the use of assistive devices, task breakdown, home environment compared to practice environment
Balance Training
Seated and Standing balance, depending on the LOI
Transfer training
important for independence
consider the many different types of transfers we do throughout the day, from different surfaces
Remember w/bowel and bladder programs
life long use, unless neuro returns
interdisciplinary team to help
MD can give medications
may continue on into outpatient treatment
Considerations for w/c users
what type do they need for their impairment?
what type do they need for their home?
Considerations for ambulation
what is the most appropriate assistive device?
how to approach gait training early on__> parallel bars, standing balance, weight shifting
Family Training
encourage family to be present as much as possible
incorporate them into the training, especially for things the pt needs assistance on
perform a site visit to better understand the pts needs
Key themes for IRU/ARU
incorporate functional activities into your treatment plan
find balance between recovery and compensation depending on the pt
Post op restrictions
must wear cervical collar
spine restrictions (keep it in neutral)
no weight bearing restrictions
