M2L3_Adult Overview_elderly woman in wheelchair

This lesson will explore the following topics:

This lesson will address the post-acute rehabilitation process of individuals with spinal cord injury. The lesson will discuss the process of aging with a spinal cord injury. An emphasis is placed on the importance of considering the aging process when generating a life care plan.

  • Understand the fundamentals of life care planning for the person with paraplegia
  • Understand the fundamentals of life care planning for the person with tetraplegia
  • Understand the psychological aspects of spinal cord injury
  • Understand the process of aging with spinal cord injury and the concept of declination charts

Learning Activities

1. Listen to the audio lecture “Post Acute Rehab, Aging with SCI”. Click here for PDF notes of the lecture.

2. Read Chapter 18: “Life Care Planning for Spinal Cord Injury” (pgs. 634- 660) in Life Care Planning and Case Management Handbook (3rd edition)

This portion of Chapter 18 addresses several aspects that need to be taken into account when writing a life care plan for an individual with a spinal cord injury. Future needs are discussed, including levels of assistance that may be needed by an individual with a SCI.

The impact that aging has on an individual with a SCI is explained. As an individual with a SCI ages, he/she is likely to experience some of the common changes associated with aging at a much earlier age than the rest of the population. Life expectancy, risk factors, and other general considerations are addressed. A case example is presented at the end of the chapter.

3. Read “Initial Management and Early Treatment” Click here for Reading

4. Read “Initial Rehabilitation Program” – Click here for Reading.

Also consult the following related documents related to Functional Spinal Cord Levels:

5. Read “Functional Abilities by Level of Lesion”Click here for Reading

6. Read “Future Medical and Non-Medical Expenses”Click here for Reading. Also consult the following related documents:

  • Table 7 – Future Medical and Non-medical Expenses- Mean Days Hospitalized by Neurological Impairment and Follow-up Year
  • Table 8 – Future Medical and Non-medical Expenses- Plastic Surgery-Median Hospital Days Charges for Hospitalized Cases Only
  • Table 9 – Non-Hospital Medical Charges By Neurological Categories- Initial Medical-Rehabilitation Period and Follow-up Years

7. Read “Future Support Needs and Equipment Needs”Click here for Reading

8. Read “Aging with Spinal Cord Injury”Click here for Reading

9. Read “The Rehabilitation Plan”Click here for Reading

10. Read “Medical Conditions Related to Spinal Cord Injury”Click here for Reading

11. Read “Impact on Placement and Range of Job Alternatives”Click here for Reading. Also consult the following related document:

  • Chart 1 – Vocational Handicaps Associated With Spinal Cord Injuries

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