The need for a multidisciplinary outreach service for people with spinal cord injury living in the community

Cox, Ruth; Amsters, Delena; Pershouse, Kiley

doi:10.1191/0269215501cr453oa

Cited by 102 publications

(89 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…39,40 Because individuals tend to negate the possibility that 'silent' complications may be developing, they may be unwilling to take the time and expense to come back for regular evaluations. 41 A follow-up system involving reminder cards or phone calls from family physicians, outreach services, and/or peer support groups might encourage persons with SCI to have annual physical examinations.…”

Section: Discussionmentioning

confidence: 99%

Utilization of health services following spinal cord injury: a 6-year follow-up study

et al. 2004

View full text Add to dashboard Cite

Study design: Cohort study with 6-years follow-up. Objective: To describe the utilization of health services by persons with spinal cord injury (SCI) and compare it with that of the general population. Setting: Alberta, Canada. Methods: All persons who sustained an SCI in Alberta between April 1992 and March 1994 were followed from date of injury to 6 years postinjury. Cases were matched (1:5) with controls randomly selected from the general population and matched for age, gender, and region of residence. Administrative data from centralized health care databases were compiled to provide a complete picture of health care use, including hospitalizations, physician contacts, long-term care admissions, home care services, and the occurrence of secondary complications. Results: In all, 233 individuals with SCI and 1165 matched controls were followed for 6 years. Compared with the control group, persons with SCI were rehospitalized 2.6 times more often, spent 3.3 more days in hospital, were 2.7 times more likely to have a physician contact, and required 30 times more hours of home care services. Of those with SCI, 47.6% were treated for a urinary tract infection, 33.8% for pneumonia, 27.5% for depression, and 19.7% for decubitus ulcer. Conclusion: SCI places a heavy burden on the health care system. Persons with SCI have greater rates of contact with the health system compared with the general population. Secondary complications continue to affect persons with SCI long after the acute trauma.

show abstract

Section: Discussionmentioning

confidence: 99%

Utilization of health services following spinal cord injury: a 6-year follow-up study

et al. 2004

View full text Add to dashboard Cite

show abstract

“…16 In a study examining the unmet needs of people with SCI living in the community, a high or very high need relating to employment was reported by 22% of the sample. 17 Results from such studies vary due to many factors, for example, the characteristics of the sample and the definition of employment used. However, re-employment rates have been reported as ranging from 14 to 44%.…”

Section: Introductionmentioning

confidence: 99%

“…Thus, there is a need for professional advice on these issues. 21 Mobility needs in the community can be high 4,17 and can have a wide-ranging effect on a person's ability to live in the community. According to previous research, impaired mobility is related to unemployment, 22 increased secondary conditions 23 and loneliness and low self-esteem.…”

Section: Introductionmentioning

confidence: 99%

“…Contrasting studies indicate that, on the one hand, relatively large proportions of their community-based samples have no significant medical or psychosocial problems, 27 while others report a diversity of need found in fairly high percentages of people studied, and suggest the need for multidisciplinary outreach teams. 17 Accurate measurement to assess individual need in the community is critical.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Quality of life, social participation, appraisals and coping post spinal cord injury: a review of four community samples

2005

View full text Add to dashboard Cite

Study design: Cross-sectional or psychotherapy, questionnaire. Objectives: To examine the community needs of people with spinal cord injury (SCI) across four European countries and to identify areas of unmet needs. It is intended that this information will be of use to rehabilitation professionals in fostering greater social participation among SCI individuals. Setting: United Kingdom, Germany, Austria and Switzerland. Methods: Self-report questionnaires were sent to 1000 people with SCI resident in the community in the UK, Germany, Austria and Switzerland. Questionnaires measured current needs, community integration, mood, appraisals, coping strategies, functional independence and perceived manageability. Results: Occupation, sexual activity and pain relief were areas indicative of highest community needs in all four countries. Most participants were psychologically well adjusted and socially integrated into the community. Well-addressed needs were skin management, wheelchair needs and accommodation. Some differences that occurred in certain areas across the four countries were found. Conclusion: This study has highlighted that the main areas of unmet needs for a European community sample of people with SCI includes levels of occupation, sexual activity and pain relief. The findings will be of interest to those involved in rehabilitation of newly as well as longterm injured people and demonstrate the need to consistently readdress such issues as part of a person's long-term rehabilitation in order to achieve and maximise effective social participation.Spinal Cord (2006) 44, 95-105.

show abstract

“…22 For many persons with SCI, barriers in the community are particularly related to mobility equipment and transportation. [23][24][25] For those who are employed, transportation possibilities are of utmost importance. 26 In some countries most persons with SCI have a variety of mobility aids and transportation facilities available to them to live independently and attain high life satisfaction.…”

Section: Introductionmentioning

confidence: 99%

Developing core sets for persons with spinal cord injuries based on the International Classification of Functioning, Disability and Health as a way to specify functioning

et al. 2006

View full text Add to dashboard Cite

The need for a multidisciplinary outreach service for people with spinal cord injury living in the community

Abstract: Trial and evaluation of the telephone as a primary medium for service delivery, and education of local service providers is recommended.

Cited by 102 publications

References 22 publications

Utilization of health services following spinal cord injury: a 6-year follow-up study

Utilization of health services following spinal cord injury: a 6-year follow-up study

Quality of life, social participation, appraisals and coping post spinal cord injury: a review of four community samples

Developing core sets for persons with spinal cord injuries based on the International Classification of Functioning, Disability and Health as a way to specify functioning

Contact Info

Product

Resources

About