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Spinal Cord Injury
The Spinal Cord Injury (SCI) Program at Rancho Los Amigos
National Rehabilitation Center is recognized for innovative and
advanced contributions in managing patients with spinal cord
injuries.
The comprehensive interdisciplinary team is led by a physician specializing
in rehabilitation and is comprised of a registered
nurse, case manager, occupational and physical therapist, speech pathologist,
social worker, psychologist, recreation therapist, and dietician. Specialists in
cardiology, endocrinology, gastroenterology, infectious disease, neurology,
orthopedic surgery, pediatrics, plastic surgery and pulmonary medicine actively
participate in patient care, to meet the many specialty needs of spinal injury
patients.
Patient rooms are equipped with environmental control units which
allow independent use and control of the lights, television, telephone, bed
control and nurse call device.
The following programs are offered to address the specialty needs
of patients:
- Program for patients with high tetraplegia and patients requiring
mechanical ventilation
- Pediatrics program
- Dual diagnosis program for patients with both traumatic brain
injury and spinal cord injury
- Urological care
- Sexual dysfunction
- Pressure sore program for patients requiring surgical closure of
decubiti
- Hand and spine surgery
- "Starting Out" lecture series for patient and family education
The philosophy of Rancho Los Amigos recognizes the necessity of
family participation in the rehabilitation process. Family involvement in
therapy sessions, family conferences, home visits, and reading materials are all
crucial to the patient’s rehabilitation program. Programs are individualized and
tailored to address the specific goals and needs of each patient.
After completing the inpatient rehabilitation program, patients
receive medical follow-up and ongoing outpatient therapy services in our
Outpatient Comarr Spinal Injury Clinic. Spinal Cord Injury outpatient
clinic services are summarized in the following table:
| Comarr Clinic |
Description of Services |
| SCI Comprehensive Care |
- Provide coordinated primary care for SCI patient
- Coordinate referrals to various subspecialty clinics
- Provide urgent / emergent medical care
- Oversee the patient's rehabilitation / therapy / equipment needs
- Follow-up for patients discharged from inpatient SCI program
through a lifetime
- Annual history and physical examination of SCI patients
|
| Rehabilitation Medicine |
- Consultation for musculoskeletal issues
- Management of spasticity, orthotics
- Functional evaluation for SCI patients
|
| Internal Medicine |
- Follow up SCI patients for all medical concerns including
internal medicine / cardiology consultation to the SCI comprehensive
care clinic
|
| Orthopedic Surgery |
- Evaluate patients for unstable spine, possible hardware
removal and other surgical spine issues
|
| Urology |
- Evaluate and treat neurogenic bladder
- Urological surgery
- Perform urodynamic tests, cystogram
- Annual urological evaluation for SCI
- Sexuality/fertility
|
| Pressure Ulcer Management |
- Surgical and medical management of pressure ulcers/wounds
|
| Spasticity Procedure Clinic |
- Motor blocks, Botox injections for spasticity
|
| Gynecology |
- Annual PAP smears, gynecological consultation
- Sexuality/fertility
|
Page last updated January 1, 2011
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