Case Study - Spinal Cord Injury in Disasters and Conflicts: Difference between revisions
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== Patient Characteristics == | == Patient Characteristics == | ||
A 27-year-old male sustained a spinal c | |||
[[Category:Rehabilitation in Disaster and Conflict Situations Content Development Project]] | [[Category:Rehabilitation in Disaster and Conflict Situations Content Development Project]] | ||
[[Category:Early Rehabilitation in disasters and Conflicts - Case Studies]] | [[Category:Early Rehabilitation in disasters and Conflicts - Case Studies]] | ||
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[[Category:Projects]] | [[Category:Projects]] | ||
[[Category:Rehabilitation]] | [[Category:Rehabilitation]] | ||
ord injury caused during the 2015 Nepal earthquake. He was admitted to the Spinal Injury Rehabilitation Centre three weeks later, after being referred from another hospital with a diagnosis of T12 – L1 fracture that had been surgically managed. | |||
He was discharged five months post-injury. | |||
On admission: Bedridden, Foleys catheter, irregular bowel habit and totally dependent with activities of daily living. All vital signs were stable. | |||
Medical management: Pain management, wound management (multiple soft-tissue injury). | |||
Nursing management: bladder, bowel management, education, intermittent catheterisation, personal care, bowel routine, prevention of complications, pressure injury and urinary tract infection. | |||
Physiotherapy management: included passive ROM exercises of bilateral lower limbs, active | |||
ROM exercises of bilateral upper limbs, strengthening of upper back and upper limbs, mobility (room and toilet), independent in bed mobility and pressure relief techniques, transfers from bed to wheelchair independently. Wheelchair skills: basic and advanced, balance training ongoing in static and dynamic settings, education on DVT and its prevention, education to caregiver and patient on ROM exercises and bedside positioning. | |||
Occupational therapy management: Independent in most activities of daily living, including feeding, upper and lower body dressing (in chair), upper and lower body bathing and grooming, toilet transfer and use of toilet, all level transfer, basic and advanced wheelchair skills. Educated about and accomplished home modification, initiated a return to work and leisure activities (artist) and has regained his previously role in his family and community. | |||
Psychological: Realisation counselling on expected functional outcomes, deep relaxation therapy, individual/group session on safe reintegration to community, group education on sexuality and fertility after an SCI, education on disability rights, encouraged to participate actively all rehabilitation activities, including music therapy and yoga. | |||
Wheelchair service department provided a Motivation three-wheeler wheelchair. | |||
Functional outcome measure: AIS on admission: T12 AIS- A; AIS discharge: T12 AIS –A SCIM at admission: 10 SCIM at discharge: 69 | |||
Community reintegration: Has been working as a peer counsellor at SIRC since 2016. Active role model to newly injured people with an SCI. An excellent artist! | |||
== Examination Findings == | |||
== References == | |||
<references /> | |||
Revision as of 21:59, 3 March 2022
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Top Contributors - Naomi O'Reilly, Kim Jackson, Rucha Gadgil and Olajumoke Ogunleye
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Patient Characteristics[edit | edit source]
A 27-year-old male sustained a spinal c ord injury caused during the 2015 Nepal earthquake. He was admitted to the Spinal Injury Rehabilitation Centre three weeks later, after being referred from another hospital with a diagnosis of T12 – L1 fracture that had been surgically managed.
He was discharged five months post-injury.
On admission: Bedridden, Foleys catheter, irregular bowel habit and totally dependent with activities of daily living. All vital signs were stable.
Medical management: Pain management, wound management (multiple soft-tissue injury).
Nursing management: bladder, bowel management, education, intermittent catheterisation, personal care, bowel routine, prevention of complications, pressure injury and urinary tract infection.
Physiotherapy management: included passive ROM exercises of bilateral lower limbs, active
ROM exercises of bilateral upper limbs, strengthening of upper back and upper limbs, mobility (room and toilet), independent in bed mobility and pressure relief techniques, transfers from bed to wheelchair independently. Wheelchair skills: basic and advanced, balance training ongoing in static and dynamic settings, education on DVT and its prevention, education to caregiver and patient on ROM exercises and bedside positioning.
Occupational therapy management: Independent in most activities of daily living, including feeding, upper and lower body dressing (in chair), upper and lower body bathing and grooming, toilet transfer and use of toilet, all level transfer, basic and advanced wheelchair skills. Educated about and accomplished home modification, initiated a return to work and leisure activities (artist) and has regained his previously role in his family and community.
Psychological: Realisation counselling on expected functional outcomes, deep relaxation therapy, individual/group session on safe reintegration to community, group education on sexuality and fertility after an SCI, education on disability rights, encouraged to participate actively all rehabilitation activities, including music therapy and yoga.
Wheelchair service department provided a Motivation three-wheeler wheelchair.
Functional outcome measure: AIS on admission: T12 AIS- A; AIS discharge: T12 AIS –A SCIM at admission: 10 SCIM at discharge: 69
Community reintegration: Has been working as a peer counsellor at SIRC since 2016. Active role model to newly injured people with an SCI. An excellent artist!
Examination Findings[edit | edit source]
References [edit | edit source]
