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Canadian SCI Rehabilitation Introduction

RESTLE SS Restless is a 40-year old woman with T10 complete paraplegia (AIS A) for more than 10 years. She has had ongoing difficulties with lower extremity spasticity for which she takes oral medications, and has Botox injections in her leg muscles, on a quarterly basis. She is afraid that the force of her leg spasms will throw her out of her chair. She recently injured her shoulder and has begun to develop a pressure sore on her ischia, due to deteriorating transfers. She is afraid of losing her community independence. Her customized rehab goals would include: Optimizing Spasticity Skin Integrity Emotional Wellbeing Reaching Grasping and Manipulation Community Mobility BREATHLE SS Breathless is a 53-year old male who developed C3 incomplete tetraplegia (AIS C) as a result of a diving accident during a trip to the Caribbean. He is eager to begin breathing on his own, feed himself and brush his teeth. He is anxious to know how he will move about his home and community. He is a strong believer in naturopathic medicine, and is reluctant to take prescription medications. His customized rehab goals include: in Clinical Practice Wheeled Mobility Informed Self Management Reaching Grasping and Manipulation Independence in Breathing Independent iADL APPLICATION OF THE REHABILITATION FRAMEWORK 11


Canadian SCI Rehabilitation Introduction
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