Here are some specifics:

1. There is no insurance

2. The patient is young, late 20's, mid 30's

3. She lives with her husband, sister and her husband

4. She has a 4 y/o daughter

5. There is no primary care doctor; She typically uses the ER

6. We have just starting weaning her off her TLSO

7. She has a donated power w/c (reclining captain's back)

8. She has no pressure ulcers

9.  She  is able to sit without assistance and without her TLSO. But she
has LOB with UE movement. But this will shortly correct with practice

10.  She  is undergoing a sacral nerve stimulator trial to hopefully d/c
cathing and suppository/digital stimulation. It seems to be working OK

11. She has good UE strength

12.  Initial goal is indpendent with transfers. Currently uses a sliding
board  with  min  - max assist depending on incline. I envision that she
will be able to d/c sliding board and do her transfers w/o assistance.

13.  I also think a long term goal is for her to get a ultralight-weight
w/c.

14. She has a weight issue but she is struggling to find enough activity
to off-set her caloric intake.

15.  They have no computer so on-line resources are not possible at this
time.

OK, hit me with some transfer ideas!!! And any other suggestions.

----- Original Message -----
From: Ron Carson <[EMAIL PROTECTED]>
Sent: Friday, May 25, 2007
To:   [email protected] <[email protected]>
Subj: [OTlist] OTnow Colloboration With Spinal Cord Injury

RC> Hello All:

RC> I  recently  agreed  to  treat a patient who suffered a T9-T10 SC injury
RC> late  last  year. She has just been d/c to her home after several months
RC> of rehab. While I have worked with SC injury patients, I do not consider
RC> it  a speciality. There are SO many issues to manage and address that it
RC> can  be  a  bit  overwhelming.  Given  that I work alone, I don't have a
RC> 'team'  to bounce off ideas, so I'm hoping that OTnow members will be my
RC> surrogate team? <smile>

RC> I would like to give and receive advice on topics relating to this case.
RC> Do you think this will work? Will people participate??

RC> Thanks,

RC> Ron




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