Well trained and experienced physicians are engaged in prevention , diagnosis and treatment of complications like Pneumonia, deep vein thrombosis (DVT), repeated UTIs and pressure ulceration. Medical support services including medications, medical consumables, laboratory examinations and X-ray examinations are also provided.
It is providing including round the clock positioning, bed mobility,bowl and bladder management, bedding, dispensing medicine and state of the art wound care. Nursing staff educates clients and their family members about the medical side of spinal cord injury and helps the doctor coordinate medical care.
It includes wound repair (Grafting, Flap, approximation etc.), vasicolethotomy (Removal of Bladder stones) and surgical release of contractures etc. are provided at the center.
Physical therapy is the backbone of the physical rehabilitation at Paraplegic Center.The goal of physical therapy is to prevent secondary complications, maximization of functional independence and early mobility in persons with spinal cord injuries (SCIs). Physical Therapists assess, determine neurological level , set rehabilitation goals and focuses on motor skills, balance training and ambulation. In addition to the inpatient services, the rehab professionals thoroughly assess, prescribe treatments/rehab protocols and refer out patients with various disabilities, musculoskeletal, neuromuscular impairments/dysfunctions and neurological diseases, on daily basis other than spinal cord injuries, 100% free of cost.
Physical therapy services at Paraplegic Center can be divided into three phases:
Physical therapy is predominantly focus on preventing and treating respiratory, musculoskeletal and other secondary complications related to prolonged bed rest.In this phase Physical therapy services include chest/ respiratory therapy (Breathing exercises,percussion, vibration,postural drainage and spirometry etc.), range of motion exercises, stretching and strengthening exercises and gradual verticalization using tilting table, adjunct therapies for pain management is also frequently used which include manual therapy, hot/cold packs and electrical stimulation.
Physiotherapy during this phase commences as soon as the patient is medically stable and having no pressure sores. The overall aim this phase is to maximize functional independence and to enable the person with SCIs to return a productive life.Physical therapy during this phase mainly focuses on goals related to motor tasks which include bed mobility training (mat activities e.g. rolling prone on hands, supine on elbows,sitting in bed, vertical lift),standing in standing frame ,transfers training (e.g. transfers from wheelchair to bed floor,toilet seat, car & back etc.), gait training ,balance and coordination training.
The focus of this phase is on prescription of assistive and supportive devices where physical therapists assess, prescribe various types of assistive devices including customized wheelchair and provide skilled trainings like wheelchair manoeuvrability on smooth and rough surfaces, negotiating doors, ramps, curbs and wheelie etc., training in orthotic devices (i.e. fist fitting, donning and doffing , function use and final check outs etc.) and walking frames,crutches, canes standing frames and use of toilet chairs etc. Clients and their care givers are also educated about maintenance and repair of assistive devices.
Occupational therapy services are provided including hands splinting, activities of daily living training (dressing,combing,washing,bathing etc.),fine motor activities of hand and modification of wheelchairs. Occupational therapist also prepare and fabricate upper limb adoptive/supportive equipment (eating aids, writing aids, typing aids, cell phone holders) for people with spinal cord injuries.
Psychotherapy and Psychosocial Support
Spinal cord injury (SCI) is a massive assault to the Psyche as well as the body. Within moments , a person who had been active and independent becomes immobilized, loses control of bowel, bladder, sexual and other bodily functions, and is dependent on others to meet the most basic needs. Te instantaneous effects of the injury result in total disruption of the victim's life, and the beginning of life-long psychological adjustment process.Optimal emotional adjustment is imperative to the recovery and rehabilitation process, due to the tremendous psychological energy and motivation required for a SCI patient to learn self-care , independence ans psychosocial coping skills. The Psycological implications of spinal cord injury are profound and psychotherapy enables people with spinal cord injuries to face life with all and its harsh realities. At Paraplegic Center, psychotherapy focuses on psycho-social adjustment and coping skills
Psychotherapy services include
- Individual Counselling
- Group Counselling
- Activity based psychotherapy & discussions wit old patients
- Activities for bed bound patients
- Psycho education for attendance
- Prognosis sharing
- Preparing clients for physical rehabilitation
- Motivates for vocational training
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