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    Spinal Cord Injury Assessment Chart

    Uploaded by

    rajalaxmi gopalakrishnan
    This document contains a spinal cord injury assessment chart to record information about a patient's name, age, sex, occupation, chief complaints, history, physical examination findings, complications, bladder and bowel function, functional scale scores, ASIA scale score, and clinical impression in 3 sentences or less. The assessment chart collects medical, family, and personal history and evaluates the patient's build, limb attitude, trophic changes, external appliances, tenderness, respiration, skin, sensory function, motor function, functional abilities, complications, and neurological classification.

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    © All Rights Reserved
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    Spinal Cord Injury Assessment Chart

    Uploaded by

    rajalaxmi gopalakrishnan
    19 views2 pages
    This document contains a spinal cord injury assessment chart to record information about a patient's name, age, sex, occupation, chief complaints, history, physical examination findings, complications, bladder and bowel function, functional scale scores, ASIA scale score, and clinical impression in 3 sentences or less. The assessment chart collects medical, family, and personal history and evaluates the patient's build, limb attitude, trophic changes, external appliances, tenderness, respiration, skin, sensory function, motor function, functional abilities, complications, and neurological classification.

    Original Description:

    Assessment of spinal cord injuries

    Original Title

    Assessment - SCI

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    This document contains a spinal cord injury assessment chart to record information about a patient's name, age, sex, occupation, chief complaints, history, physical examination findings, complications, bladder and bowel function, functional scale scores, ASIA scale score, and clinical impression in 3 sentences or less. The assessment chart collects medical, family, and personal history and evaluates the patient's build, limb attitude, trophic changes, external appliances, tenderness, respiration, skin, sensory function, motor function, functional abilities, complications, and neurological classification.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    19 views2 pages

    Spinal Cord Injury Assessment Chart

    Uploaded by

    rajalaxmi gopalakrishnan
    This document contains a spinal cord injury assessment chart to record information about a patient's name, age, sex, occupation, chief complaints, history, physical examination findings, complications, bladder and bowel function, functional scale scores, ASIA scale score, and clinical impression in 3 sentences or less. The assessment chart collects medical, family, and personal history and evaluates the patient's build, limb attitude, trophic changes, external appliances, tenderness, respiration, skin, sensory function, motor function, functional abilities, complications, and neurological classification.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    SPINAL CORD INJURY ASSESSMENT CHART

    NAME:

    AGE:

    SEX:

    OCCUPATION:

    CHIEF COMPLAINTS:

    HISTORY:
    Present:
    Past:
    Medical:
    Family:
    Personal:

    O/O:

    1. Built:
    2. Attitude of limb:
    3. Trophic changes
    4. External Appliances

    O/P:

    Any tenderness

    O/E:

    1. Res. Ass: Mode of Ventilation:

    Type of respiration:

    RR:

    Cough : Functional
    Weak functional
    Non functional

    2. Skin Assessment : any pressure sore if any,

    Location Grade
    3. Sensory evaluation :
    Pin prick/ light touch

    Pain/temperature

    Touch localization

    4. Motor evaluation :

    a. Muscle tone

    b. MMT/ Ashworth scale

    c. ROM Measurement

    d. Reflexes

    5. Functional abilities :

    a. Prone on elbows
    b. Quadruped
    c. Sitting
    d. Kneeling
    e. Standing
    f. Walking

    In functional positions check for balance

    6. Complications ;

    Autonomic Dysreflexia
    Postural Hypotension
    DVT
    C/T/D
    Heterotrophic ossification

    7. Bladder and Bowel evaluation :

    8. Functional scale score :

    9. ASIA SCALE SCORE :

    10. Clinical impression :

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