scholarly journals Preventive care among primary care patients living with spinal cord injury

2018 ◽  
Vol 42 (6) ◽  
pp. 702-708 ◽  
Author(s):  
Aisha Lofters ◽  
Maha Chaudhry ◽  
Morgan Slater ◽  
Andree Schuler ◽  
James Milligan ◽  
...  
Keyword(s):  
Primary Care ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Preventive Care ◽  
Cord Injury ◽  
Primary Care Patients

Do measures of depressive symptoms function differently in people with spinal cord injury versus primary care patients: the CES-D, PHQ-9, and PROMIS®-D

2016 ◽  
Vol 26 (1) ◽  
pp. 139-148 ◽  
Author(s):  
Karon F. Cook ◽  
Michael A. Kallen ◽  
Charles Bombardier ◽  
Alyssa M. Bamer ◽  
Seung W. Choi ◽  
...  
Keyword(s):  
Primary Care ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Depressive Symptoms ◽  
Cord Injury ◽  
Primary Care Patients

scholarly journals A Primary Care Provider’s Guide to Preventive Health After Spinal Cord Injury

2020 ◽  
Vol 26 (3) ◽  
pp. 209-219
Author(s):  
James Milligan ◽  
Stephen Burns ◽  
Suzanne Groah ◽  
Jeremy Howcroft
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Preventive Care ◽  
Primary Care Providers ◽  
Preventive Health ◽  
Care Providers ◽  
Health Maintenance ◽  
Cord Injury

Objective: Provide guidance for preventive health and health maintenance after spinal cord injury (SCI) for primary care providers (PCPs). Main message: Individuals with SCI may not receive the same preventive health care as the general population. Additionally, SCI-related secondary conditions may put their health at risk. SCI is considered a complex condition associated with many barriers to receiving quality primary care. Attention to routine preventive care and the unique health considerations of persons with SCI can improve health and quality of life and may prevent unnecessary health care utilization. Conclusion: PCPs are experts in preventive care and continuity of care, however individuals with SCI may not receive the same preventive care due to numerous barriers. This article serves as a quick reference for PCPs.

scholarly journals A Primary Care Provider’s Guide to Spasticity Management in Spinal Cord Injury

2020 ◽  
Vol 26 (3) ◽  
pp. 157-165
Author(s):  
Philippines Cabahug ◽  
Charles Pickard ◽  
Travis Edmiston ◽  
Jesse A. Lieberman
Keyword(s):  
Primary Care ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
General Practitioner ◽  
Primary Care Providers ◽  
Care Providers ◽  
Patient Centered ◽  
Muscle Spasticity ◽  
Comprehensive Management ◽  
Cord Injury

Background: Muscle spasticity is a common sequela of spinal cord injury (SCI) that may impact daily function. Spasticity dynamically varies and is an important physiologic response to illness or other stressors. The challenge for the general practitioner is in recognizing, treating, and developing an effective plan focused on the patient’s individual goals. Objective: To provide the general practitioner with a basic contextual, diagnostic, and therapeutic approach to spasticity management for individuals with neurologic injury such as SCI. Discussion: Muscle spasticity can be disabling and can be managed effectively by using a comprehensive approach. We discuss a representative case and the assessment and planning for individuals with SCI and spasticity. Through an understanding of pathophysiology, careful history taking, and physical exam, a cause for increased spasticity can be identified, such as infection, constipation, or pregnancy. Symptomatology of these triggers is often quite different in the SCI population than in the general population. Management includes the treatment of this causative stressor as well as the thoughtful management of spasticity itself. Conclusion: Muscle spasticity is dynamic and requires a patient-centered approach. The general practitioner can play a key role in recognizing and treating spasticity in an individual with SCI. Comprehensive management to meet patient and caregiver goals involves primary care providers, specialists, and allied health practitioners.

scholarly journals A Primary Care Provider’s Guide to Sexual Health for Individuals With Spinal Cord Injury

2020 ◽  
Vol 26 (3) ◽  
pp. 144-151
Author(s):  
Sigmund Hough ◽  
Colleen Clemency Cordes ◽  
Lance L. Goetz ◽  
Angela Kuemmel ◽  
Jesse A. Lieberman ◽  
...  
Keyword(s):  
Primary Care ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Sexual Health ◽  
Medical Condition ◽  
Sexual Pleasure ◽  
Medical Illness ◽  
Social Construct ◽  
Primary Care Settings ◽  
Cord Injury

The collaboration with individuals regarding their sexual health is an important component of patient-centered health care. However, talking about sexual health in primary care settings is an area not fully addressed as a result of time limitations, medical task prioritization, awareness or knowledge deficit, and discomfort with the topic of sexuality. A critical shift in professional focus from disease and medical illness to the promotion of health and wellness is a prerequisite to address sexual health in the primary care setting. This article provides guidance for practitioners in primary care settings who are caring for persons with spinal cord injury. Clinicians should seize the opportunity during the encounter to reframe the experience of disability as a social construct status, moving away from the narrow view of medical condition and “find it, fix it” to a broader understanding that provides increased access to care for sexual health and sexual pleasure.

Primary care after spinal cord injury

1989 ◽  
Vol 86 (5) ◽  
pp. 211-218 ◽  
Author(s):  
Perry S. Tepperman
Keyword(s):  
Primary Care ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cord Injury
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