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Canadian SCI Rehabilitation Introduction

Québec City | Site Profiles Programme des myélopathies, Institut de réadaptation en déficience physique de Québec (IRDPQ) IRDPQ and its partner, the Centre Hospitalier Universitaire de Québec— Hôpital de l’Enfant-Jésus (CHU-HEJ), constitute the Centre of Expertise for SCI patients in eastern Québec. It provides services for SCI patients in acute care and intensive rehabilitation phases in seven regions of the province. IRDPQ’s rehabilitation program has an inpatient unit of 26 beds and receives approximately 75 new SCI admissions annually. Individuals benefit from a urology clinic, pool, gym and adapted fitness room, as well as specialized services such as technical aids and assistive devices, environmental controls and assisted communications, driving expertise and rehabilitation, social integration, and work and occupational rehabilitation. The program offers structured education sessions to both individuals and families on more than 12 different themes central to SCI understanding and management, including secondary complications, pressure sores, nutrition, bladder management and sexuality. The SCI rehabilitation team comprises three general practitioners, two physiatrists, more than 20 nurses and nurses’ aides, three clinical coordinators, seven PTs and rehabilitation technicians, seven OTs, four social workers, a psychologist, sex therapists, two specialized education technicians, a leisure technician and a physical educator. Consulting specialists include nutritionists, urologists, psychiatrists, neuropsychologists, vocational counsellors and speech-language therapists. A peer counsellor from the provincial association Moelle épinière et motricité Québec has an onsite office, and works closely with the rehabilitation team on all aspects of service delivery and development. The program collaborates with researchers at the Université Laval’s affiliated research centre, CIRRIS, on a variety of research programs pertaining to social integration, gait/walking, wheeled mobility, and the evaluation of SCI services and outcomes. IRDPQ’s program operates within a well-integrated and fluid continuum of services and partnerships that run from acute care to social integration into the community. There is a structured, long-term community follow-up program that provides systematized screening and interdisciplinary follow-up visits to more than 1,400 individuals. Cottonnelle (a nursing approach and methodology) rehabilitates, educates and supports individuals on all aspects of bowel management and complications. QUÉBEC CITY | SITE PROFILES 33


Canadian SCI Rehabilitation Introduction
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