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Comparison of patient education in rehabilitation of spinal cord injuries in
Switzerland and in low economic countries
Karin Roth RN
Christa Schwager RN
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Health condition (disorder or disease)
Body functions
The integrative bio-psycho-social Model of Functioning, Disability and Health
ParticipationActivitiesBody functions
Body structures
Environmental factors Personal factors
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Health condition (disorder or disease)
Body functions
The integrative bio-psycho-social Model of Functioning, Disability and Health
ParticipationActivitiesBody functions
Body structures
Environmental factors Personal factors
![Page 4: Roth comparison of patient education in rehab of sci in switzerland and in low economic countries crdr.disaster.symp.isprm11](https://reader034.vdocument.in/reader034/viewer/2022051610/5481e4a0b4af9f910d8b4644/html5/thumbnails/4.jpg)
Health condition
Rehabilitation in Switzerland
• aetiology of SCI
• level of injury
• high standard medical care
Rehabilitation in low economic countries
• poor medical care
• nutrition
• vaccinations• high standard medical care
• all possibilities in nursing and therapeutic interventions
• good treatment of complications and secondary disorders
• normal life expectancy
• hygiene
• missing knowledge of treatment
• short life expectancy
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Health condition (disorder or disease)
Body functions
The integrative bio-psycho-social Model of Functioning, Disability and Health
ParticipationActivitiesBody functions
Body structures
Environmental factors Personal factors
![Page 6: Roth comparison of patient education in rehab of sci in switzerland and in low economic countries crdr.disaster.symp.isprm11](https://reader034.vdocument.in/reader034/viewer/2022051610/5481e4a0b4af9f910d8b4644/html5/thumbnails/6.jpg)
Body function and Body structures
Differences of rehabilitation and patient education
• medical treatment – conservative management or surgery
• level of injury
• bowel management • bowel management
• bladder management
• spasticity
• hand function
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Health condition (disorder or disease)
Body functions
The integrative bio-psycho-social Model of Functioning, Disability and Health
ParticipationActivitiesBody functions
Body structures
Environmental factors Personal factors
![Page 8: Roth comparison of patient education in rehab of sci in switzerland and in low economic countries crdr.disaster.symp.isprm11](https://reader034.vdocument.in/reader034/viewer/2022051610/5481e4a0b4af9f910d8b4644/html5/thumbnails/8.jpg)
activities and participation
• mobility – transfers
• influence on mobility from environmental factors
• bed to wheelchair - mattress on the ground to wheelchair
• bladder- and bowel management
• influence of available aids on evacuation techniques
• self care
• preventing pressure ulcers under the influence of climate, available substantial resources
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Health condition (disorder or disease)
Body functions
The integrative bio-psycho-social Model of Functioning, Disability and Health
ParticipationActivitiesBody functions
Body structures
Environmental factors Personal factors
![Page 10: Roth comparison of patient education in rehab of sci in switzerland and in low economic countries crdr.disaster.symp.isprm11](https://reader034.vdocument.in/reader034/viewer/2022051610/5481e4a0b4af9f910d8b4644/html5/thumbnails/10.jpg)
environmental factors
Patient education in Switzerland
• existent structural and substantial resources for everybody (insurance, financial support)
• professional home care
Patient education in low economic countries
• missing or non affordable structural and substantial resources
• care depending on family members• professional home care
• high education standard –influence for patient education
• good accessibility of environment
• general medical knowledge of SCI
• possibility of return to work
members
• missing school education –difficulty for patient education
• environment not accessible for wheelchair
• poor knowledge of SCI
• poor acceptance of disability in community
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Health condition (disorder or disease)
Body functions
The integrative bio-psycho-social Model of Functioning, Disability and Health
ParticipationActivitiesBody functions
Body structures
Environmental factors Personal factors
![Page 12: Roth comparison of patient education in rehab of sci in switzerland and in low economic countries crdr.disaster.symp.isprm11](https://reader034.vdocument.in/reader034/viewer/2022051610/5481e4a0b4af9f910d8b4644/html5/thumbnails/12.jpg)
personal factors
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Health condition (disorder or disease)
Body functions
The integrative bio-psycho-social Model of Functioning, Disability and Health
ParticipationActivitiesBody functions
Body structures
Environmental factors Personal factors