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Caring for the Paralyzed
By Jennifer Bradley, Staff Writer
The Reeve Foundation explains that being
uninsured or underinsured does not mean there are no
ways to get health coverage. Hospitals which accept
federal funds on any level must provide specified
amounts of free or reduced-fee care to patients. The
hospital’s financial department can provide
qualification information to caregivers.
BODY CARE
Loved ones living with paralysis may
experience a host of secondary conditions to varying
degrees, depending on the location of the paralysis and
its severity.
Some of these include blood clots,
pneumonia, low blood pressure, pressure sores,
spasticity, pain, bladder or bowel infections, and
autonomic dysreflexia (AD), an emergency that must be
treated immediately.
For general body health, a good rule of
thumb for caregivers to know is to change a loved one’s
position every two hours. Pressure sores, if not found
and left untreated, can lead to a serious complications.
They develop when an area of the skin is under a
prolonged period of pressure. It can be helped if the
pressure is relieved regularly (thus, the changing
position guideline).
Choosing a rehabilitation facility is a
very important decision and one that significantly will
impact the progress of a loved one with paralysis. A
caregiver should look for accreditation by the
Rehabilitation Accreditation Commission (CARF) for
spinal cord injury, which indicates that the facility
meets a minimum standard level of care. Always ask if
the facility has previous experience with the specific
diagnosis and level of paralysis a loved one is facing.
The importance of regular exercise for
someone with paralysis cannot be understated. Scientific
studies predict that most recovery will come within six
months of injury, and is complete within two years.
Christopher Reeve proved that these medical expectations
could be beaten, and did, having significant improvement
five to seven years after his accident. Many believe
that this was because of the exercise routine he began
the year he became paralyzed. Though his regimen was
targeted toward his needs, and each loved one that is
paralyzed will not have the same outcomes, professionals
all agree that exercise is a good thing for all those
suffering with any form of paralysis.
EMOTIONAL CARE
Depression is very common in a newly
paralyzed person, and there are warning signs a
caregiver can watch for that will red flag this as an
issue. They may include: oversleeping, change in weight,
loss of interest and negative thoughts. Changes in mood
can be gradual, so it may be harder for a caregiver to
see a noticeable difference. Many times, other people
will notice it first. A caregiver must be open to the
observations of those who care for a loved one, but may
not be a primary caregiver.
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