The Spinal Cord Injury Program addresses the physical, psychological, and environmental needs of individuals with spinal cord injuries. Spinal cord rehabilitation involves optimizing one’s physical and emotional health, adapting their environment to improve their engagement with their chosen activities, and most importantly, allowing the individual’s values and meaningful occupations to be the foundation for therapeutic interventions. Our multi-disciplinary team of healthcare providers, which includes physiotherapists, occupational therapists, psychologists, Neurosurgeons, RWS, PSW, Nurses, and more, address the unique medical, physical, cognitive, psychosocial, behavioral, vocational, educational, and recreational needs of people with spinal cord injuries.
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WHO CAN ENROLL
- Spinal Cord Injury – complete or partial
- Presently not requiring ventilation
- Ability to actively participate in therapy for 30 minutes
EXCLUSION CRITERIA
This care program has some exclusion criteria, which are significant red flags that may prevent the individual from being eligible to participate in this program. Please consult a healthcare practitioner or contact us to confirm eligibility.
WHAT CAN I EXPECT ON MY FIRST VISIT
A healthcare provider will assess treatment planning to initialize the Program of Care. The assessment includes the following: taking a complete medical history, subjective evaluation of the primary complaints related to the injury, a thorough physical examination including range of motion evaluation, orthopedic testing, muscle testing, and neurological testing. The healthcare provider will also administer outcome measures to obtain baseline measures of pain and function. These may include but are not limited to the Numeric Pain Rating Scale (NPRS), the Oswestry Disability Index, the Neck Disability Index (NDI), and the Lower Extremity Functional Scale (LEFS), or the Upper Extremity Functional Scale (UEFS).
The healthcare provider will also assess for possible Yellow flags, which can indicate psychological risk factors that may impact their recovery due to behavior, expectations, and recovery from injury. Finally, a discussion on achievable goals from the treatment program will be discussed as well as the responsibilities of the person served and health care provider throughout the program.
WHEN WILL I BE DISCHARGED
The duration of the Spinal Cord Injury Program of Care is determined after the initial assessment and depends on the needs of each person served, including the severity of the injury, and may vary based on factors that may delay recovery.
To be discharged from the Spinal Cord Injury Program, one or more of the following criteria must be met:
- The person served has achieved the goals established with the rehabilitation team.
- The services of the Health Care Providers are no longer necessary or appropriate.
- The person’s progress has reached a plateau, and they no longer benefit from the program’s services.
- When the person served cannot tolerate the demands of the program and appropriate referrals have been made.
- The person served is deemed medically unstable (including psychiatric illness) and requires acute medical care resulting in an inability to return to therapies within 30 days.
- The rehabilitation program is “put on hold” due to prosthetic fittings, resolution of medical problems, pending surgical intervention, or the arrival of specialized equipment.
- The Health Care Provider recommends an alternate and more appropriate program or level of care for the persons’ served.
- The person served requests discharge (even against the advice of his doctor or therapist), assuming legal competence.
- If the person served causes safety concerns for staff or others or exhibits inappropriateness in verbal or non-verbal interactions, appropriate referrals would be completed.
- When the person served is non-compliant with treatment or demonstrates non-compliance with attendance/ no-show policy.