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"This text provides a quick, easy-to-understand, comprehensive, evidence-based reference for health care practitioners who formulate life care plans for persons with SCI. Features that will facilitate use by practitioners includes a variety of reference materials for health care professionals who provide life care planning/case management for SCI. Life care planning/case management practitioners would best be served by utilizing this text as a source of information and a guide from which to incorporate their professional knowledge, judgment, and ethical responsibilities when working with individuals with SCI to meet the challenge of addressing their unique long-term care needs. It is our hope this text will provide readers with tools and insights for competently addressing the long-term consequences of SCI. This text arose out of a perceived need to have a single reference that would both contain information and serve as a reminder of areas central to the life care planning process for persons with SCI. It offers practitioners a single, easy-to-use resource that summarizes - in a clear, understandable way with easily accessible references - a body of studies and research on SCI that have important implications for life care planning and case management. This text is an introduction to the basic aspects related to understanding SCI, including epidemiology, functional classification, and complications related to aging a with disability. In addition, it covers functional outcomes, potential associated costs, long-term management and care considerations, model LCP guidelines, and legislative, organizational, and agency resources. This need for a continuum of care presents great challenges to health care professionals as well as to individuals with SCI and their families. Life care planning, which entered into the rehabilitation scene in the late 1970s and early 1980s, has proven to be one way of meeting this challenge by providing an organized framework of services, recommendations, and requirements for long-term care management. By using a consistent methodology in assessing the individual needs of the person with SCI, the life care plan (LCP) helps the health care professionals as well as the person with SCI acquire a comprehensive understanding of the immediate and long-term care requirements necessary to maximize productivity and independence. Although the text was written primarily for life care planning and case management practitioners, it can also be useful to other professionals who may be involved with the long-term care and management needs of people with SCI. Included in this group are primary care and speciality care physicians, nurses, rehabilitation counselors, therapists, insurers/HMOs, attorneys, governmental agencies, disability organizations, and educators, as well as people with SCI and their families. "
"A comprehensive resource for coping with medical, emotional, and practical challenges."--Cover.
The definitive guide to putting spinal cord injury research into practice Essentials of Spinal Cord Injury is written for the spinal cord injury (SCI) team and reflects the multidisciplinary nature of treating patients with SCI. It integrates emerging medical and surgical approaches to SCI with neuroanatomy, neurophysiology, neuroimaging, neuroplasticity, and cellular transplantation. This comprehensive yet concise reference will enable neurosurgeons, orthopedic surgeons, neurologists, and allied health professionals caring for SCI patients to translate research results into patient care. It is also an excellent resource for those preparing for the board exam in SCI medicine. Key Features: Material is cross-referenced to highlight relationships between the different areas of SCI Chapters are concise, focused, and include key points, pearls, and pitfalls An Overview of the Literature table is provided in most chapters, giving readers a meaningful distillation of each publication referenced Each editor is a world-renowned expert in one of these core disciplines involved in the management of SCI patients: neurosurgery, orthopedic surgery, spinal cord science, and rehabilitative medicine This is a must-have guide that all neurosurgeons, orthopedic surgeons, neurologists, and allied health professionals involved in the care of spinal cord injury patients should have on their bookshelf.
Combining 25 years of clinical, research and teaching experience, Dr Lisa Harvey provides an innovative 5-step approach to the physiotherapy management of people with spinal cord injury. Based on the International Classification of Functioning, this approach emphasises the importance of setting goals which are purposeful and meaningful to the patient. These goals are related to performance of motor tasks analysed in terms of 6 key impairments. The assessment and treatment performance of each of these impairments for people with spinal cord injury is described in the following chapters: training motor tasks strength training contracture management pain management respiratory management cardiovascular fitness training Dr Harvey develops readers' problem-solving skills equipping them to manage all types of spinal cord injuries. Central to these skills is an understanding of how people with different patterns of paralysis perform motor tasks and the importance of differentmuscles for motor tasks such as: transfers and bed mobility of people wheelchair mobility hand function for people with tetraplegia standing and walking with lower limb paralysis This book is for students and junior physiotherapists with little or no experience in the area of spinal cord injury but with a general understanding of the principles of physiotherapy. It is also a useful tool for experienced clinicians, including those keen to explore the evidence base that supports different physiotherapy interventions.
From a hospital admittance to discharge to outpatient rehabilitation, Spinal Cord Injuries addresses the wide spectrum of rehabilitation interventions and administrative and clinical issues specific to patients with spinal cord injuries. Comprehensive coverage includes costs, life expectancies, acute care, respiratory care, documentation, goal setting, clinical treatment, complications, and activities of daily living associated with spinal cord patients. In addition to physical therapy interventions and family education components, this resource includes content on incidence, etiology, diagnosis, and clinical features of spinal cord injury. Case Studies with clinical application thinking exercises help you apply knowledge from the book to real life situations. Thoroughly referenced, evidence-based content provides the best evidence for treatment based on the most current research. Tables and boxes throughout each chapter organize and summarize important information for quick reference. Clinical Note boxes provide at-a-glance access to helpful tips. Over 500 clinical photos, line drawings, radiographs, and more bring important concepts to life. Highly respected experts in spinal cord injury rehabilitation, editors Sue Ann Sisto, Erica Druin, and Martha Sliwinski, provide authoritative guidance on the foundations and principles of practice for spinal cord injury. Companion DVD includes video clips of the techniques described throughout the book that demonstrate how to apply key concepts to practice.
A spinal cord injury (SCI) profoundly changes a person life and can affect nearly all of the body systems. Practitioners managing persons with SCI must treat the medical complications that arise, and be equipped to help their patients return to a productive integrated life within society. Spinal Cord Injury: Rehabilitation Medicine Quick Reference provides the necessary knowledge to help facilitate this process. Addressing over one hundred varied topics related to spinal cord injury, ranging from Treatment of Vocal Fold Paralysis or Post-Traumatic Stress Disorders to Intrathecal Pump Management and Paraplegia, this text is a handy reference for the busy practitioner. Presented in a consistent two-page format for maximum clinical utility, the book is organized into three sections. The first covers the medical and psychological conditions associated with spinal cord injury; the second discusses common interventions; while the last outlines expected functional outcomes. Every entry is standardized for quick look-up in the office or clinic, and features description, etiology, risk factors, clinical features, natural history, diagnosis, red flags, treatment, prognosis, helpful hints, and suggested readings.All Rehabilitation Medicine Quick Referencetitles offer: Consistent Approach and Organization: at-a-glance outline format allows readers to find the facts quickly Concise Coverage: of must-know information broken down into easy-to-locate topics Fast Answers to Clinical Questions: diagnostic and management criteria for problems commonly encountered in daily practice Hands-on Practical Guidance: for all types of interventions and therapies Multi-Specialty Perspective: ensures that issues of relevance to all rehabilitation team members are addressed
This is a comprehensive resource guide for all the members of the inte rdisciplinary team, patients, and caregivers. The book emphasizes read y-to-use patient education materials, but also features practitioner-r eference tools, primarily patient counseling guides.
Combining clinical experience with patients’ own stories, the authors cover the causes of and prognosis for SCI through case studies, review common courses of rehabilitation, and answer the “what now?” questions—from daily routines to larger issues concerning sex, education and employment, childbearing, and parenting with SCI.
"From the first to the last page, this book is so full of information that as a person working in the world of spinal cord injury, I found myself in an unfamiliar situation. Never had I read a book related to my profession that I didnít have trouble putting down. Iím not saying that such books are boring by any means; however, they are not the captivating fictional reads that keep people up late on work nights thinking 'just one more chapter.' Essentials of Spinal Cord Medicine was that type of book for me!... Overall, I thought this book was nothing short of fantastic... it was so full of information that makes me feel more confident as a technologist, and more compassionate as a human. I would highly recommend this for any practitioner working in the field where they may encounter a person with spinal cord injury." -- Donna Jacobs, R. EEG T., CNIM, The Neurodiagnostic Journal This compact text is a practical, concise guide for clinicians involved in the care of patients with spinal cord injuries and disorders. It covers a comprehensive and diverse list of topics encompassing the principles and practice of spinal cord injury care, including basic science fundamentals, traumatic spinal cord injury, non-traumatic myelopathies, physical function and rehabilitation, medical consequences and complications of spinal cord injury, psychosocial and quality of life issues, and systems-based practice. Chapters are consistently formatted for ease of use and are organized under the broad headings of general principles, clinical considerations, and knowledge gaps and emerging concepts, and conclude with a curated list of suggested readings. Within these categories, specifics on underlying pathophysiology and etiology, assessment (examination, testing, differential diagnosis, prognosis, and risk factors) and management (non-pharmacological, medications, surgical procedures, follow-up and monitoring, primary and secondary prevention, and complications), and recent clinical advances and promising research are easily accessed. The book also addresses such quality of life issues as psychological adaptation, sexuality and fertility, vocational training, driving, and exercise, and includes information about systems of care and patient safety as well as ethical considerations. The guide is peppered with useful tables that highlight and reinforce key material. Additionally, ìPractice Pearlsî in selected chapters enhance the guide as a handy go-to reference for clinicians and trainees in multiple disciplines who care for people with spinal cord injuries and disorders. Key Features: A concise, practical manual designed for rapid access to key information on a broad range of topics integral to the practice of spinal cord medicine Covers both traumatic spinal cord injury and non-traumatic disorders and their evaluation, management, medical complications, functional rehabilitation, and quality of life concerns Packed with useful tables to highlight and reinforce key material Formatted consistently with short, reader-friendly paragraphs and clarifying sub-titles
The spinal cord is comprised of four types of neurons: motor neurons, pre-ganglionic neurons, ascending projection neurons, and spinal interneurons. Interneurons are neurons that process information within local circuits, and have an incredible ability for neuroplasticity, whether due to persistent activity, neural injury, or in response to disease. Although, by definition, their axons are restricted to the same structure as the soma (in this case the spinal cord), spinal interneurons are capable of sprouting and rewiring entire neural circuits, and contribute to some restoration of disrupted neural communication after injury to the spinal cord (i.e., “bypassing the lesion site). Spinal Interneurons provides a focused overview of how scientists classify interneurons in general, the techniques used to identify subsets of interneurons, their roles in specific neural circuits, and the scientific evidence for their neuroplasticity. Understanding the capacity for neuroplasticity and identity of specific spinal interneurons that are optimal for recovery, may help determine cellular candidates for developing therapies. Spinal Interneurons provides neuroscientists, clinicians, and trainees a reference book exclusively concentrating on spinal interneurons, the techniques and experiments employed to identify and study these cells as part of normal and compromised neural circuits, and highlights the therapeutic potential of these cells by presenting the relevant pre-clinical and clinical work to date. People in industry will also benefit from this book, which compiles the latest in therapeutic strategies for targeting spinal interneurons, what considerations there are for the development and use of treatments, and how such treatments can not only be translated to the clinic, but how existing treatments should be appropriately reverse-translated to the bench. Comprehensive overview of techniques used to identify, characterize, and classify spinal interneurons and their role in neural circuits Description of the role that spinal interneurons play in mediating plasticity after compromise to spinal neural networks In-depth discussion of therapeutic potential of spinal interneurons for spinal cord injury and/or disease