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Case Studies
The following case studies of patients with spinal cord injuries show the manifold strengths of the Rehab Cycle in clincial practice. The individuals portrayed in these cases differ in regard to the nature and cause of their injuries and the height of the lesion.
1Goal Setting
2Independence
3Hope
4Health Behavior
5SCI in the Elderly
6Recovery after traumatic SCI
7Vocations
8Community Reintegration
9Sports in Rehabilitation
10Walking Recovery
11Care in Developing Countries
12SCI and Environmental Accessibility
13SCI in Adolescence and Peer Relationships
14Bowel and bladder management
15Psychological issues and SCI
16When more time is less
17Motivation and rehabilitation
 
Case Study 4:
Challenges of Optimizing Health Maintenance
Literature
1 Stucki G et al. Developing Swiss Paraplegic Research: Building a research institution from the comprehensive perspective. Disability and Rehabilitation. 2007; Jul 14: 1-16 (E-pub ahead of print)

2 Chiodo et al. Spinal Cord Medicine. 5. Long-term medical issues and health maintenance. Arch Phys Med Rehabil 2007; 88 (Suppl. 1): S76-83

3 Paker N, Yilmaz H et al. Reasons for hospitalization

4 Jackson AB. Secondary conditions of spinal cord injury. Spinal Cord Injury Information Network. Website: http://www.spinalcord.uab.edu/show.asp?durki=32106&site=1021&return=21611; Accessed 11.9.2007

5 Center for Research on Women with Disabilities. Health maintenance behaviors. National study of women with physical disabilities. Jan 1999

6 Chiodo et al. Spinal Cord Medicine. 5. Long-term medical issues and health maintenance. Arch Phys Med Rehabil 2007; 88 (Suppl. 1): S76-83

7 World Health Organization. International Classification of Functioning, Disability and Health. Geneva, 2001; d570: 152

8 Ibid.

9 Krause JS, Broderick L. Patterns of recurrent pressure ulcers after SCI: Identification of risk and protective factors 5 or more years after onset. Arch Phys Med Rehabil 2004; 85: 1257-1264

10 Raghaven P, Raza WA, Ahmed YS, Chamberlain MA. Prevalence of pressure sores in a community sample of spinal injury patients. Clin Rehab 2003; 17: 879-884
 
11 Chiodo et al. Spinal Cord Injury Medicine. 5. Long-term medical issues and health maintenance. Arch Phys Med Rehabil 2007; 88 (Suppl. 1): S76-83

12 McKinley WO, Jackson AB, Cardenas DD, DeVivo MJ. Long-term medical complications after traumatic SCI: A regional model system analysis. Arch Phys Med Rehabil 1999; 80: 1402-1410

13 Regan M, Teasell R, Keast D, Mortenson W, Aubut J. Chapter 20: Pressure ulcers following spinal cord injury. Spinal Cord Injury Rehabilitation Evidence 2006. Website: http://www.icord.org/scire/chapters.php

14 Chen Y et al. Pressure ulcer prevalence in people with SCI: Age-period-duration effects. Arch Phys Med Rehabil 2005; 86: 1208-1213

15 Niezgoda JA, Mendez-Eastman S. The Effective Management of Pressure Ulcers. Advances in Skin & Wound Care: The Journal for Prevention and Healing 2006 (19)1: Supplement 3-15.

16 For detailed information, refer to the National Pressure Ulcer Advisory Panel. Website: http://www.npuap.org

17 National Pressure Ulcer Advisory Panel (NPUAP): NPUAP staging report 2003. Website:        http://www.npuap.org/positn6.html

18 Thomas DR. Prevention and treatment of pressure ulcers: What works, what doesn’t. Cleveland Clinic Journal of Medicine Aug 2001; 68(8): 704-722

19 New PW, Rawicki HB, Baily MJ. Nontraumatic spinal cord injury rehabilitation: pressure ulcer patterns, prediction and impact. Arch Phys Med Rehabil Jan 2004; (85): 87-93

20 See: http://coa.kumc.edu/GEC/modules/braden_scale_for_printing.htm

21 Consortium for Spinal Cord Medicine Clinical Practice Guidelines. Pressure ulcer prevention and treatment following spinal cord injury: A clinical practice guideline for health-care professionals. L Spinal Cord Med 2001; 24 (Suppl 1): S40-101

22 Correa GI et al. Predictive factors for pressure ulcers in the ambulatory stage of SCI patients. Spinal Cord 2006; 44: 734-739

23 Ibid.

24 Consortium for Spinal Cord Medicine Clinical Practical Guidelines, Pressure ulcer prevention and treatment following spinal cord injury: A clinical practice guideline for health-care professionals. L Spinal Cord Med 2001; 24 (Suppl 1): S40-101

25 Sorensen JL, Jorgensen B, Gottrup F. Surgical treatment of pressure ulcers. American J of Surg 2004; 188: 42-51

26 Pruitt SD, Wahlgren DR, Epping-Jordan JE, Rossi AL. Health behavior in persons with spinal cord injury: Development and initial validation of an outcome measure. Spinal Cord 1998; 36: 724-731

27 Ibid.
 
28 See also Case Study 3 for more on resource-oriented approaches and salutogenesis.
 
29 Krause JS, Broderick L. Patterns of recurrent pressure ulcers after SCI: Identification of risk and protective factors 5 or more years after onset. Arch Phys Med Rehabil 2004; 85: 1257-1264

30 Ibid.

31 Ibid.

32 Regan M, Teasell R, Keast D, Mortenson W, Aubut J. Chapter 20: pressure ulcers following spinal cord injury. Spinal Cord Injury Rehabilitation Evidence 2006. Website: http://www.icord.org/scire/chapters.php

33 Jones ML, Mathewson CS, Adkins VL and Ayllon T. Use of behavioral contingencies to promote prevention of recurrent pressure ulcers. Arch Phys Med Rehabil 2003; 84 (6): 796-802.

34 Mayo Clinic Website: http://www.mayoclinic.com/health/aortic-aneurysm/DS00017/DSECTION=7; Accessed 12.7.2007

35 Krause JS, Broderick L. Patterns of recurrent pressure ulcers after SCI: Identification of risk and protective factors 5 or more years after onset. Arch Phys Med Rehabil 2004; 85: 1257-1264

36 Stucki G et al. Developing Swiss Paraplegic Research: Building a research institution from the comprehensive perspective. Disability and Rehabilitation (to be published, 2007)

37 Krause JS, Broderick L. Patterns of recurrent pressure ulcers after SCI: Identification of risk and protective factors 5 or more years after onset. Arch Phys Med Rehabil 2004; 85: 1257-1264

38 Ibid.
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