Reason for Services
What spinal cord injury level does Harris have?
Complete C7 spinal cord injury.
What field is Harris studying?
Computer science.
Who is supporting Harris daily in rehab?
Marsha, his fiancée.
What new motor functions are present at C7?
Elbow extension and partial finger flexion
What major transfer goal does Harris have?
Transfer independently using a sliding board.
What key movement improvements are expected at C7?
Elbow extension, wrist extension, some finger flexion.
What type of work does Harris perform for his brother’s business?
Bookkeeping.
What aspect of Harris’s living environment may need modification post-rehab?
Bathroom adaptations, entrance ramp installation.
How does elbow extension improve functional independence?
Greater control for transfers and pressure relief.
What personal care goals are critical for Harris?
Independently dressing, grooming, bathing, toileting.
What is Harris’s secondary injury limiting LUE weight bearing?
Fractured left proximal radius and ulna.
How can Harris’s professional skills be adapted post-injury?
Using modified keyboards, mouse alternatives, and accessible computer tech.
How does Harris’s social support system promote recovery?
Daily emotional support, shared caregiving, and motivation for independence.
What assistive techniques may be reduced with C7 motor gains?
Reduced need for mechanical lift, improved manual wheelchair skills.
What community reintegration goal motivates Harris?
Driving with hand controls.
What new functional abilities are possible for C7 compared to C6?
Greater independence with transfers, toileting, and some ADLs.
Why is Harris’s pre-injury physical activity important for rehab planning?
Maintaining engagement through adapted leisure activities.
What future life event motivates Harris?
Marrying Marsha.
What is Harris's toileting status goal at C7?
Performing toileting tasks with minimal or moderate assistance.
How can Harris’s functional hand movements at C7 help achieve independence?
Ability to grasp and release objects using natural wrist extension and emerging finger flexion.
Why does Harris still require inpatient rehab despite functional gains?
To retrain in adapted ADLs and maximize independence with new motor functions.
How can Harris’s prior travel experiences influence future leisure goals?
Motivation to reintegrate into active lifestyle and community outings.
Why might Harris need community-based resources after discharge?
For home accessibility modifications and vocational reintegration support.
How can Harris maximize tenodesis grasp at C7?
Therapeutic training to strengthen wrist extension and passive finger grip.
Why is goal setting critical for Harris’s successful return to independent living?
It promotes self-direction, maximizes functional recovery, and ensures therapy stays aligned with his meaningful occupations.