The Person with a Spinal Cord Injury : An Evolving Prototype for Life Care Planning - 31/07/13

Doi : 10.1016/j.pmr.2013.03.006

Steven A. Stiens, MD, MS ^a,^b,^c,^d,^⁎ , Heidi L. Fawber, MEd, LPC, CRC, CCM, CLCP ^e,^f, Steven A. Yuhas, MEd, CRC, CLCP, CCM, NCC, CBIS ^f,^g
^a Department Rehabilitation Medicine, University of Washington, PO Box 356490, Health Sciences Building, 1959 North East Pacific, Seattle, WA 98195, USA
^b Spinal Cord Medicine, 2001-2012, University of Washington, PO Box 356490, Health Sciences Building, 1959 North East Pacific, Seattle, WA 98195, USA
^c Spinal Cord Injury Unit, VA Puget Sound Health Care System, University Hospital, PO Box 356490, Health Sciences Building, 1959 North East Pacific, Seattle, WA 98195, USA
^d Model Systems in Spinal Cord Injury, University of Washington, PO Box 356490, Health Sciences Building, University of Washington, 1959 North East Pacific, Seattle, WA 98195, USA
^e Rehabilitation Consultant, PO Box 299, Mars, PA 16046, USA
^f International Academy of Life Care Planners Section, International Association of Rehabilitation Professionals, Glenview, IL 60025, USA
^g The Directions Group, Inc, 999 Lake Hunter Circle, Suite A, Mount Pleasant, SC 29464, USA

^∗Corresponding author. VA Puget Sound Health Care System, University Hospital, PO Box 356490, Health Sciences Building, 1959 North East Pacific, Seattle, WA 98195.

Résumé

The sequela of spinal cord injury (SCI) can provide a prototype for life care planning because the segmental design of the vertebrate body allows assessments to be quantitative, repeatable, and predictive of the injured person's impairments, self-care capabilities, and required assistance. Life care planning for patients with SCI uses a standard method that is comparable between planner, yet individualizes assessment and seeks resources that meet unique patient-centered needs in their communities of choice. Clinical care and rehabilitation needs organized with an SCI problem list promotes collaboration by the interdisciplinary team, caregivers, and family in efficient achievement of patient-centered goals and completion of daily care plans.

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Keywords : Spinal cord injury, Life care plan, Problem list, Patient-centered care, Cost of care, Outcome, Prevention