Community reintegration following spinal cord injury: Insights for health professionals in community rehabilitation services in New Zealand.

2015 ◽  
Vol 43 (3) ◽  
pp. 75-85 ◽  
Author(s):  
Kathryn Dwyer ◽  
Hilda Mulligan
2011 ◽  
Vol 11 ◽  
pp. 77-85 ◽  
Author(s):  
Subramanian Vaidyanathan ◽  
Bakul M. Soni ◽  
Gurpreet Singh ◽  
Tun Oo ◽  
Peter L. Hughes

Intermittent catheterisation is the preferred method of managing the neurogenic bladder in patients with spinal cord injury. However, spinal cord physicians experienced problems when trying to implement an intermittent catheterisation regime in some spinal cord injury patients in the northwest of England. We present illustrative cases to describe practical difficulties encountered by patients while trying to adopt an intermittent catheterisation regime. Barriers to intermittent catheterisation are (1) caregivers or nurses are not available to carry out five or six catheterisations a day; (2) lack of time to perform intermittent catheterisations; (3) unavailability of suitable toilet facilities in public places, including restaurants and offices; (4) redundant prepuce in a male patient, which prevents ready access to urethral meatus; (5) urethral false passage; (6) urethral sphincter spasm requiring the use of flexible-tip catheters and α-drenoceptor–blocking drugs; (7) reluctance to perform intermittent catheterisation in patients >60 years by some health professionals; and (8) difficulty in accessing the urethral meatus for catheterisation while the patient is sitting up, especially in female patients. These cases demonstrate the urgent need for provision of trained caregivers who can perform intermittent catheterisation, and improvement in public facilities that are suitable for performing catheterisation in spinal cord injury patients. Further, vigilance should be exercised during each catheterisation in order to prevent complications, such as urethral trauma and consequent false passages. Health professionals should make additional efforts to implement intermittent catheterisation in female spinal cord injury patients and in those >60 years.


1976 ◽  
Vol 7 (2) ◽  
pp. 76-88 ◽  
Author(s):  
Kathleen A. Felice ◽  
John E. Muthard ◽  
Laurie S. Hamilton

The findings of a pilot study of spinal-cord injury in Florida covering three topics are reported: 1) the incidence of spinal-cord injury in Florida, 2) the experiences of spinal-cord injured (SCI) persons and vocational rehabilitation counselors and their perceptions of the adequacy of their community's treatment and rehabilitation services for the SCI, and 3) the availability of facilities, equipment, and personnel for the care of SCI individuals in Florida. Recent developments in care for the SCI in Florida are discussed.


1993 ◽  
Vol 12 (2) ◽  
pp. 88-95 ◽  
Author(s):  
Graeme S. Dixon ◽  
John N. Danesh ◽  
Tudor H. Caradoc-Davies

2018 ◽  
Vol 24 (4) ◽  
pp. 306-314 ◽  
Author(s):  
Kikelomo Olawunmi Atobatele ◽  
Olubukola Adebisi Olaleye ◽  
Francis A. Fatoye ◽  
Talhatu Kolapo Hamzat

2020 ◽  
Author(s):  
Mohammad Anwar Hossain ◽  
K M Amran Hossain ◽  
Mohamed Sakel ◽  
Md. Feroz Kabir ◽  
Karen Saunders ◽  
...  

AbstractStudy DesignA prospective cross-sectional survey.ObjectiveThe study aimed to examine the Knowledge, Attitudes, and Practices (KAP) of people living with Spinal cord injury (SCI) towards COVID-19 and their psychological status during in-patient rehabilitation in Bangladesh.SettingThe Centre for the Rehabilitation of the Paralyzed (CRP) and the National Institute of Traumatology and Orthopedic Rehabilitation (NITOR), two tertiary level hospitals in Dhaka, Bangladesh.MethodsFrom July to September 2020, a prospective, cross-sectional survey of SCI subjects, 13-78 years of age, carried out in two SCI rehab centers in Bangladesh. Data has been collected by face to face interview through a pretested, and language validated questionnaire on KAP and Depression, Anxiety, Stress (DASS). Ethical approval and trial registration obtained prospectively. As all the patients were previously living with Spinal cord injury (SCI), therefore, all the patients admitted/ attend SCI rehab centers were considered as SCI positive samples.ResultsA total of 207 people with SCI responded, 87%were male, and 13% were female with mean age34.18±12.9 years. 33.8% was tetraplegic and 66.2% was paraplegic and 63.8% of them were diagnosed ASIA-A, with motor score 45.38±19.5, sensory score 97.2±52, SpO2 95.07±3.3, and Vo2max 35.7±3.7mL/kg/min. 178 people had at least one health issue. Overall knowledge score was 8.59±2.3 out of 12, depression 11.18±8, anxiety 7.72±5.1, and stress was 9.32±6.7 from a total of 21 scores each. There was a correlation between Knowledge and DASS with age (P<.05); and Knowledge with gender (P<.05), and education (P<.01). Binary logistic regression found a higher association of Knowledge and DASS with gender (OR 6.6, 6.6, .95, 6.6; P<.01); and young age (OR.418, P<.01), illiterate (OR3.81, P<.01), and rural people (OR.48, P<.05) with knowledge. A linear relation was noted between depression and anxiety scores (r.45, P<.01) and stress scores (r.58, P<.01). A positive attitude was reported for the majority of subjects. SCI Persons reported they and the caregiver followed health advisory in consulting health professionals (65.7%), isolation (63.8%), droplet precaution (87.4%), and hygiene (90.3%).ConclusionsDuring in-patient rehabilitation in Bangladesh, the majority of SCI reported that they had communicated with health professionals and practiced behaviors that would reduce transmission and risk of COVID-19.


Sign in / Sign up

Export Citation Format

Share Document