SCI/Commununity Mobility
Damage to spinal cord and/or surrounding tissue
What is a SCI?
Increased access to medical treatment and facilities, increased community resources, and large infrastructure of ADA compliant spaces.
What are benefits of an urban environment?
Treatment or info provided is not interesting, relevant, or client centered.
What is medical provider support not helping participation?
Limit access to medical services and resources such as specialists which impacts functional outcomes.
What is a financial barrier?
Safety, coping strategies, and modifications.
What is training requirements with car adaption?
Autonomic dysreflexia, breathing complications, and orthostatic hypotension.
What are precautions or considerations to remember when working with individuals with a SCI?
Lack of foot paths or paved areas.
What are barriers to outdoor spaces for individuals with a SCI?
Negative perceptions, lower expectations, general feeling of being "different", or range from indifference, condescension to abuse.
What are social stigmas with SCI?
This determines the number of sessions covered and the cost of sessions out-of-pocket
What is a client's insurance?
The ability to access the stations, cars or buses, follow the schedule, and identify ADA compliant resources of the system.
What are concerns with accessing public transportation?
Increase QoL by accessing desired community resources, participating in social activities, fostering sense of belonging in their community and increasing self-efficacy.
What is the benefit of participation in meaningful occupations and community participation?
Inability to find correct size of a parking spot and ability to receive a parking placard if needed.
What are access to parking barriers to community mobility?
Better quality of life when able to participate in desired leisure and social activities.
What are mental health outcomes of community mobility?
Financial lifetime impact which affects nutrition, access to quality healthcare, and can result in chronic illnesses and lower socioeconomic status.
What is the ongoing management of SCI?
Increased access to community and increases autonomy, quality of life, and participation
What is adaptive driving?
Difficulties navigating physical and social-emotional emotions, complications due to primary impairments and secondary health conditions.
What are challenges to community mobility for individuals with a SCI?
Allows people easier access into buildings, especially when utilizing a wheelchair.
What are ADA Ramps?
Decreases ability to access the community and can limit carry over of skills from therapy to community.
What is the outcome of the lack of health literacy?
This must be taken into account when determining which adaptive equipment a client can afford.
What is a client's socioeconomic status/financial status
Increases mobility and participation, is under utilized, and requires training.
What is public transportation?
Occurs when the spinal cord is damaged, but not fully severed, leaving some sensory and motor functions intact
What is an incomplete spinal cord injury (SCI)?
Narrow doorway and walkways, intricate floor layout, small bathroom stalls, and no restroom grab bars.
What are barriers to building or infrastructure mobility for an individual with SCI?
This type of support includes family, friends, and other community resources.
What are social supports?
Provides transportation to specific and individualized locations for people with mobility challenges at a high cost.
What is specialized transportation?
Walkers, canes, car lifts, adaptive driving components, specialized wheelchairs, adaptive grooming and feeding devices.
What are assistive devices/equipment to improve mobility?