Reason for Services
What level of SCI does Harris have?
Complete C6 spinal cord injury.
What degree is Harris completing?
Bachelor’s degree in computer science.
Who is Harris’s main caregiver at this stage?
His fiancée, Marsha.
What upper extremity movements does Harris have now?
Shoulder elevation, elbow flexion, and wrist extension.
What is one of Harris’s primary self-care goals?
Feed himself independently.
What is the secondary orthopedic injury Harris has?
Fractured right radius and ulna (non-weight bearing on RUE).
What was Harris’s part-time job?
Bookkeeper for his brother’s plumbing business.
What building challenge may limit Harris’s home independence?
Small apartment size and lack of accessible features.
How does wrist extension improve Harris’s daily function?
Enables use of tenodesis grasp for adaptive feeding and grooming.
What grooming-related goal does Harris have?
Complete grooming tasks independently.
Why was Harris transferred to inpatient rehab?
To gain functional independence in feeding, bathing, grooming, dressing, and mobility.
What type of leisure activities did Harris previously enjoy?
Golfing, traveling, and entertaining friends.
Name one support his mother provides.
Bringing meals and offering daily emotional support.
What ADL task can Harris perform with moderate assistance?
Transfers using a transfer board.
What mobility goal does Harris hope to achieve?
Drive again using adapted controls.
What important movement does Harris now have that impacts self-care?
Wrist extension.
How can Harris’s computer skills influence future adaptations?
Use of adapted computer setups to continue working.
How might Harris’s injury impact plans with Marsha?
Physical demands of caregiving and long-term accessibility planning.
What is Harris’s current pressure relief ability?
Independent bed mobility for pressure relief.
How can OT support Harris’s bathing goal?
Training with adapted equipment and seated bathing techniques.
Why is early pressure relief training a major focus in rehab for Harris?
To prevent pressure sores due to impaired sensation below C6.
Why is Harris’s lifestyle important in rehab goal setting?
Focus on meaningful participation to increase motivation and success.
What emotional factors support Harris’s rehabilitation success?
Strong family support, positive relationship with Marsha, future plans for marriage.
Why is body positioning education critical at the C6 level?
To maintain skin integrity and promote partial independence.
Why is Harris’s drive for independent living important for rehab?
It fosters intrinsic motivation critical for long-term functional gains.