Gupta Nalina
School of Physiotherapy, RK University, Rajkot, Gujarat, India, College of Physiotherapy, Sumandeep Vidyapeeth Deemed-to-be-University, Vadodara, Gujarat India.
Spinal Cord Ser Cases. 2019 Feb 22;5:22. doi: 10.1038/s41394-019-0163-2. eCollection 2019.
Health needs of individuals with spinal cord injury (SCI) are unmet in developing countries. Quality of life of these individuals is not on par with global standards. The decline in quality of life can be attributed to lack of a specialised rehabilitation centres, lack of expertise in local hospitals and lack of access to dedicated SCI wards/centres in India. The present case report depicts many such challenges in India.
As part of an online focus group, A 21-year-old male was identified who sustained SCI in motor vehicle. His care was inappropriate at the accident site. He was not taught basic skills such as bed mobility, transfers, and wheel-chair mobility and was not educated about long-term complications before discharged to home. Lack of training made him functionally dependent on others for his basic needs. There were few job opportunities for him in his state. He strongly emphasises the need to create an awareness regarding SCI among the general public in India.
This case report depicts many challenges faced by a person with paraplegia in India. These include mishandling at the accident site, lack of adequate care post injury and lack of follow-up post discharge. In addition, lack of knowledge of SCI among the general public and lack of education regarding SCI for the patient and his care givers post injury are reported.
在发展中国家，脊髓损伤（SCI）患者的健康需求未得到满足。这些患者的生活质量未达到全球标准。生活质量下降可归因于缺乏专业康复中心、当地医院缺乏专业知识以及在印度无法进入专门的脊髓损伤病房/中心。本病例报告描述了印度的许多此类挑战。
作为在线焦点小组的一部分，确定了一名21岁男性，他在机动车事故中脊髓损伤。他在事故现场得到的护理不当。在出院回家之前，他没有学到诸如床上移动、转移和轮椅移动等基本技能，也没有接受关于长期并发症的教育。缺乏培训使他在基本需求方面在功能上依赖他人。在他所在的邦，他几乎没有工作机会。他强烈强调有必要在印度公众中提高对脊髓损伤的认识。
本病例报告描述了一名截瘫患者在印度面临的许多挑战。这些包括在事故现场处理不当、受伤后缺乏充分护理以及出院后缺乏随访。此外，报告了公众对脊髓损伤缺乏了解，以及患者及其护理人员在受伤后缺乏关于脊髓损伤的教育。
