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G - Independence in Breathing

Spotlight Best Practice Organization Spinal Cord Injury Rehabilitation Program – Hamilton Health Sciences Regional Rehabilitation Centre – Hamilton, Ontario This SCI rehabilitation site’s clinical expertise and extent of respiratory care deserves mention. Their interprofessional team approach to respiratory care includes dedicated respiratory therapists, a respirologist, and a pulmonary function technician. Respiratory therapists are on site during business hours, and respiratory therapists from acute care are available on call 24/7. Individuals with SCI at the level of L1 or above are routinely screened for respiratory impairments, including sleep-disordered breathing. Both inpatients and outpatients undergo full respirology assessments, including evaluation for invasive and non-invasive ventilation, lung volume recruitment and secretion clearance. After discharge, follow-up care is provided at the respirology outpatient clinic, which also accepts referrals of other community-dwelling individuals with SCI, outside of their traditional catchment area. Collaboration with Canadian Paraplegic Association (CPA) Ontario’s onsite SCI Navigators facilitates linkage of individuals living in the community to respirology services. This site has a considerable range of respiratory equipment, including auto-titrate CPAP devices, bi-level and volume ventilator devices, mechanical insufflator-exsufflators, overnight oximetry equipment and software, and a pulmonary function laboratory. Respiratory therapists facilitate access to Ontario’s Assistive Devices Ventilation Program, and have expertise in education regarding long-term ventilation. Instruction in respiratory health is regularly provided in education classes, and print and online materials are available to all individuals with SCI. Uniquely, the Regional Rehabilitation Centre is physically joined to, and closely integrated with, the acute care spine site. This proximity allows acute care services to provide and/or support respiratory care (e.g., Rapid Assessment of Critical Events Team, Diagnostics, Infectious Diseases, Otolaryngology, Internal Medicine, Cardiology) and facilitates comprehensive respiratory management. INDEPENDENCE IN BREATHING | BODY STRUCTURE AND FNUCTION 81


G - Independence in Breathing
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