As they learn to become less dependent on others, their attitude toward the future will improve.
If it is anticipated that the patient will be confined to a wheelchair or will use crutches, transfer techniques for moving from bed to chair and from chair to other surfaces are taught.
Since these patients have no feeling below the point of damage to the spinal cord, they will not be aware of discomfort or other signs of pressure., including passive and active exercises, is initiated to maintain any remaining muscle function and to restore as much muscle activity in the affected parts as possible.
If the patient is to use crutches or wheelchair he must strengthen his arm and shoulder muscles in preparation for transfer techniques.
Ideally, the patient learns to achieve bladder control through an intensive bladder program designed to fit individual needs.
A wide variety of liquids can be most effective in avoiding the formation of stones.In some cases the health care provider may request a special orthopedic frame or specialized bed.These devices facilitate daily care but the patient still must be turned frequently (as allowed by the physician) and receive special skin care to avoid the development of pressure ulcers.As in bladder training, the program for is designed according to the individual needs of the patient and ability to work with those who are developing the program.It is essential that an assessment be made of the patient's status in regard to nerve damage and potential for rehabilitation.