Swarczinski C, Graham P
Southeastern Michigan Spinal Cord Injury System, Rehabilitation Institute, Detroit 48201.
J Neurosci Nurs. 1990 Apr;22(2):89-91. doi: 10.1097/01376517-199004000-00006.
Spinal cord injuries are devastating. The injured person faces many unknowns including surgical procedures, hospitalization and rehabilitation. Frequently, the transition from acute care to rehabilitation is frightening. In the intensive care unit (ICU), the patient receives one-to-one nursing care and develops trust, but then may feel abandoned when faced with rehabilitation. In order to facilitate readiness for rehabilitation, coordinators of the Southeastern Michigan Spinal Cord Injury System proposed a checklist of activities designed to meet individual patient and family needs. Coordinators assess the patient within 24 hours of admission to the spinal ICU. The physiatrist is notified of the admission and recommends initial therapies as appropriate. The patient is followed through the acute phase and preparations are made for rehabilitation. A checklist format has been developed to coordinate the transfer. This article describes the checklist and its use at our institution.
脊髓损伤是极具破坏性的。受伤者面临许多未知情况，包括外科手术、住院治疗和康复。通常，从急性护理过渡到康复阶段是令人恐惧的。在重症监护病房（ICU），患者接受一对一的护理并建立信任，但在面对康复时可能会感到被抛弃。为了促进患者做好康复准备，密歇根东南部脊髓损伤系统的协调员提出了一份活动清单，旨在满足患者及其家庭的个性化需求。协调员在患者入住脊髓ICU后的24小时内对其进行评估。会通知物理治疗师患者入院情况，并酌情推荐初始治疗方案。在急性期对患者进行跟踪，并为康复做好准备。已制定了一份清单格式来协调转诊事宜。本文介绍了该清单及其在我们机构的使用情况。
