The Management of Persons with Spinal Cord Injuries.The Management of Persons With Spinal Cord injuries By Ozer MN. New York New York, state, United States New York, Middle Atlantic state of the United States. It is bordered by Vermont, Massachusetts, Connecticut, and the Atlantic Ocean (E), New Jersey and Pennsylvania (S), Lakes Erie and Ontario and the Canadian province of , NY 10010, Demos Publications, 1988, paper, 120 pp, illus, $19.50 The physician who authored this book is an associate professor of neurology and Assistant Chief of the Spinal Cord Injury (SCI (Scalable Coherent Interface) An IEEE standard for a high-speed bus that uses wire or fiber-optic cable. It can transfer data up to 1GBytes/sec. (hardware) SCI - 1. Scalable Coherent Interface. 2. UART. ) Service at the McGuire Veterans Administration Medical Center in Virginia. In his preface he relates that the present work is intended to offer a background set of principles and to review state-of-the-art techniques of diagnosis and treatment" in SCI care. The management of persons with SCI is outlined clearly in the first four chapters. Chapter 1, "Principles of SCI," reviews anatomy of the spinal cord and briefly mentions problems and goals of care phases of SCI. Chapter 2, Acute Care," covers neurologic and orthopedic aspects of SCI and treatment approaches to minimize further injury and complications. Chapter 3, Rehabilitation," classifies impairments of sensation, motor function, micturition micturition /mic·tu·ri·tion/ (mik?tu-ri´shun) urination. mic·tu·ri·tion n. 1. See urination. 2. The desire to urinate. 3. The frequency of urination. , defecation defecation or bowel movement Elimination of feces from the digestive tract. Peristalsis moves feces through the colon to the rectum, where they stimulate the urge to defecate. , sexual function, autonomic function, skin, and breathing. The management of these impairments, with the goal of minimizing disability, is outlined. Problems that might be faced in continuing care, such as posttraumatic posttraumatic /posttrau·mat·ic/ (post?traw-mat´ik) occurring as a result of or after injury. post·trau·mat·ic adj. Following or resulting from injury or trauma. syringomyelia syringomyelia Disease characterized by the entrance of cerebrospinal fluid into the spinal cord, where it forms a cavity (syrinx). The syrinx can expand and elongate over time, destroying the centre of the spinal cord and causing symptoms that vary with the syrinx's size and , spasticity spasticity /spas·tic·i·ty/ (spas-tis´i-te) the state of being spastic; see spastic (2). spas·tic·i·ty n. 1. A spastic state or condition. 2. Spastic paralysis. , and pain, are focused on in Chapter 4. The fifth and last chapter of this book, Participatory Planning," emphasizes involving the patient in goal setting and presents approaches for the planning process. The author's intended audience-physicians working with patients with SCI (particularly residents in neurology and rehabilitation medicine), physical therapists, occupational therapists, nurses, and others seeking a basic introduction to SCI-certainly will find this work useful. Other texts, including those listed in the references at the end of each chapter, would be better resources for more detailed information on the management of persons who have SCI. Physical therapy practitioners and other health care professionals would find the chapter on participatory planning particularly interesting and valuable. |
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