Promoting Long-Term Health among People with Spinal Cord Injury: What’s New?
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School of Rehabilitation Therapy, Queen’s University, Kingston, ON K7L 3N6, Canada
2
Providence Continuing Care Centre, Kingston, ON K7L 4X3, Canada
3
Department of Family Medicine, University of New South Wales, Port Macquarie, NSW 2444, Australia
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2017, 14(12), 1520; https://doi.org/10.3390/ijerph14121520
Received: 20 October 2017 / Revised: 29 November 2017 / Accepted: 2 December 2017 / Published: 6 December 2017
(This article belongs to the Special Issue Health Promotion Interventions for People with Disabilities)
A key ingredient to successful health promotion is a primary care provider who can offer an informed first response to lifestyle issues, emerging problems and chronic challenges. This article aims to assist family physicians to play their role in promoting the health of people with SCI, by summarizing the latest evidence in the management of spinal cord injury in primary care. This study used a scoping review methodology to survey peer-reviewed journal articles and clinical guidelines published between January 2012 to June 2016. This search strategy identified 153 articles across 20 topics. A prevention framework is used to identify five primary, nine secondary, four tertiary, and two quaternary prevention issues about which family physicians require current information. Major changes in the management of SCI in primary care were noted for 8 of the 20 topics, specifically in the areas of pharmacological management of neuropathic pain and urinary tract infection; screening for bowel and bladder cancer; improvements in wound care; and clarification of dietary fibre recommendations. All of these changes are represented in the 3rd edition of Actionable Nuggets—an innovative tool to assist family physicians to be aware of the best practices in primary care for spinal cord injury.
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Keywords:
spinal cord injury; primary care; health promotion; evidence-based care; scoping review; primary physicians
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
MDPI and ACS Style
McColl, M.A.; Gupta, S.; Smith, K.; McColl, A. Promoting Long-Term Health among People with Spinal Cord Injury: What’s New? Int. J. Environ. Res. Public Health 2017, 14, 1520.
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