Term
| What is the life expectancy for SCI pts? |
|
Definition
Near normal (85%)
40% of ppl right now with SCI are over 45 |
|
|
Term
| In the 1940's, what was the leading cause of death in SCI pts? |
|
Definition
|
|
Term
| A 50 y/o SC pt functions as a __ year old. If you get an illness if affects you greater and you are less likely to bounce back. |
|
Definition
|
|
Term
| What usually happens 15-20 years post SCI? |
|
Definition
| There are significant complications. You have more problems than normal people. You are more likely to get colds, you have a lower stress tolerance, and life changes occur more quickly. |
|
|
Term
| Name 3 signs of premature aging. |
|
Definition
Decreased phys. reserve
Increased pressure sores
Increased musculoskeletal issues |
|
|
Term
| Name 5 causes for age-related changes |
|
Definition
-Multiple secondary changes
-Age at onset
-Era of onset (technology)
-Duration of SCI
-Coping ability / stress |
|
|
Term
| Name 6 main medical problems |
|
Definition
Cardiovascular dz
Skin Integrity
Osteoporosis
Pulmonary dz
Depression
Diabetes |
|
|
Term
| What is the current leading cause of death and what is slowly becoming the lead? |
|
Definition
Pulmonary complications now
Heart dz is coming |
|
|
Term
| What does cardiovascular dz and risk factors look like in SCI pts? |
|
Definition
-Heart is enlarged and has to work harder
-Sedentary lifestyle
-Typically don't see signs of angina
-Increased incidence of diabetes and HTN |
|
|
Term
| Pressure maps need to be done regularly because skin gets __ with age. |
|
Definition
|
|
Term
| How can C6 level exercise? |
|
Definition
|
|
Term
| Do tetras or paras have the most bone density loss? |
|
Definition
|
|
Term
| The majority of bone density loss is at the __. Most will lose 30-40% after 1st year and will be at fracture level. |
|
Definition
|
|
Term
| What is pain most usually related to? |
|
Definition
|
|
Term
| Name the main 3 types of pain seen in SCI |
|
Definition
Musculoskeletal pain
Visceral pain
Neuropathic pain |
|
|
Term
| Name 4 causes of overuse in the shoulder. |
|
Definition
1. Rotator cuff compression/fatigue due to repetitive or static shoulder elevation (possibly due to hooking with UE on push handle)
2. Posture
3. Chronological age
4. Compression/ischemia within joint due to weight bearing of UEs |
|
|
Term
| __ occurs in 60-65% of paraplegia if ambulatory or due to wheelchair propulsion. |
|
Definition
|
|
Term
| Name 3 causes of elbow pain. |
|
Definition
Ulnar nerve entrapment
Epicondylitis
Bursitis (due to resting posture with arm on armrest) |
|
|
Term
| Treatment for this type of pain is difficult. May try TENS, FES, relieving stress, medications such as antidepressants, anticonvulsants are most common. All are trial and error for each pt. Sx is last resort |
|
Definition
|
|
Term
| Name 1 medication that can cause fatigue? |
|
Definition
|
|
Term
| May be very debilitating and may keep pt from working |
|
Definition
|
|
Term
| Name 3 types of fatigue that is common |
|
Definition
|
|
Term
| This type of fatigue may come from sleep disruption or medications. |
|
Definition
|
|
Term
| This type of fatigue is a MS issue and performance related |
|
Definition
|
|
Term
| This is the most common type of fatigue and is described as a general lack of energy. |
|
Definition
|
|
Term
| Name 3 primary factors contributing to fatigue. |
|
Definition
1. High level of physical demands to perform ADLs
2. Cardiovascular demands
3. Medication side effects |
|
|
Term
| How can fatigue be treated? |
|
Definition
-Help pt make a priority list
-Pace techniques and minimize transfers |
|
|
Term
| Occurs post-SCI (15-20 yrs) and includes fatigue, pain and weakness thats not related to a certain medical reason, just due to SC longevity. |
|
Definition
| Functional Impairment Syndrome |
|
|
Term
| This is poorly recognized and poorly reported. Prevalence is between 20-50%. High correlation between community involvement and this. |
|
Definition
|
|
Term
| Depression is unrelated to what 3 things. |
|
Definition
1. Impairment severity
2. Degree of ADL disability
3. Duration of disability |
|
|
