Spinal Cord Dysfunction

1. PURPOSES

 1.1 To agree a co-ordinate and common approach across the country to the delivery of services for patients
   with spinal cord dysfunction.
 1.2 To ensure improvement of health outcome for patients with SCD by effective, appropriate, high quality
   and cost effective services.
 1.3 To regain patient independency as possible as it could be reached
 1.4 To ensure continuity of care

2. POLICY

 2.1 Designed for Patients with spinal cord dysfunction acquired or congenital.
 2.2 IHHC patients with Spinal Cord Dysfunction shall be assesses for complications or injuries.

3. DEFINITION

 3.1 Spinal cord dysfunction could be caused by trauma, cancer, inflammatory conditions such as Multiple
   Sclerosis (MS) or non-traumatic conditions as tumors or even congenital anomalies originate in the
   spinal cord.
 3.2 The program serve all kind of spinal cord dysfunction and establishing admission and
   discharge/transition criteria according to;
   3.2.1 The etiology of the spinal cord dysfunction
   3.2.2 Level of the spinal cord injury
   3.2.3 Completeness of the spinal cord dysfunction
   3.2.4 Co- morbidities

4. PROCEDURE

 4.1 Arrange or assist with services provided in the following areas;
   4.1.1 Assistive technology
   4.1.2 Orthotics
   4.1.3 Care management plan in;
      4.1.3.1 Bowel management
       Bladder management
       Pain management
       Skin care
       Spasticity management
   4.1.4 Wheeled mobility (Referred to physiotherapy protocol for spinal cord injury);
      4.1.4.1 Ordering
      4.1.4.2 ADL modification
      4.1.4.3 Training in community settings
      4.1.4.4 Transfers
 4.2 Arrange for diagnostic services to meet the need of person served by referring the patient to specialized
   diagnostic center/ Hospital.
 4.3 Demonstrate awareness or knowledge in SCD management
   4.3.1 Can be obtained through, continuous Nursing education regarding spinal cord dysfunction
 4.4 Provide an organized education about Spinal Cord Dysfunction that;
   4.4.1 Targets person served and their families / supportive system.
   4.4.2 Specific education regarding, but not limited to;
      4.4.2.1 Access to benefits and other systems, such as education, vocational rehabilitation, social
      security, and workers’ compensation.
      4.4.2.2 Bladder management
 4.4.2.3 Bowel management
      4.4.2.4 Depression
      4.4.2.5 Psychosocial issues; which include adjustment to disability, role changes, mental health
      needs, cultural adjustment, delineation of roles and social perceptions
      4.4.2.6 Edema management
      4.4.2.7 Use of leisure time
      4.4.2.8 Weight management

5. RESPONSIBILITY

 5.1 IHHC ensures implementation and compliance of the policy to ensure better life quality for the patients,
   and continue on family education to better understanding for the patient’s condition

6. APPENDICES

 6.1 Transfers Technics (IHHC/PT/P2501/13)
 6.2 Spinal cord protocol (IHHC/PT/P2501/16)

7. REFERENCES

 7.1 Commission on Accreditation of Rehabilitation Facilities (CARF) 2016 Standards sections; 2D.12 - 2D.19.
 7.2 Medscape online medical education, Spinal Cord injuries.