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basics and functional goals for each level

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Answer
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SCI medical complications   autonomic dysreflexia, heterotopic ossification, DVTs, pulm emboli, UTIs, pressure sores, pneumonia  
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stabilization devices   halo, cx collars, TLSOs  
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Elements of eval   hx, premorbid factors, precautions, skin, sensory, tone, rom, mmt,  
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goals c1-c3   I in power WC w/ head control, I communication w/ ECU (will be dependent for most ADLs)  
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goals c3-c4   I w/ pressure relief, I w/ power WC head controls, I w/ some feeding and adaptive eqpt, I w/ECU  
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c5 goals   I w/ eating, tooth brushing, some ADLs; mod A with bed mobility in hospital bed; assisted prone push transfers, I w/ community mobility in power WC, I w/ short distance HH manual WC propulsion w/ projections, I w/ hook and lean for pressure relief  
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c6 goals   I with most ADLs, assist w/ dressing, I w/ bed mobility on firm surfaces, I transfers on level surfaces, I manual WC mobility on level surfaces w/ coated rims or power WC  
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c7 goals   I bed mobility w/o eqpt; I transfers all surfaces (incl car), I pressure relief, I manual WC propulsion level surfaces, I with dressing and self ROM  
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c8 goals   I w/ moving WC in/out of car, I w/ADLs and B&B mgmt  
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t2-t6 goals   I floor to WC transfers, I standing w/ standing frame  
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t7-t12 goals   I w/ all manual WC skills,ramps, curbs, uneven terrain; I household amb w/ KAFOs, RGOs possible but may not be ftnl due to energy expenditure  
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L1 goal   may amb w/ KAFOs for exercise or I household mobility  
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L2 goal   amb household and short distances in community  
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L3 goal   I community amb w/ KAFOs/AFOs  
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ASIA A   complete: no sensory or motor ftn is preserved in sacral segments S4-S5  
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ASIA B   Incomplete: sensory but not motor ftn is preserved below the neurological level and includes the sacral segments S4-S5  
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ASIA C   Incomplete: motor ftn is preserved below the neurological level and more than half of key ms below the neurological level have a ms grade less than 3  
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ASIA D   Incomplete: motor ftn is preserved below the neuro level, and at least half of key ms below the neuro level have a ms grade of 3 or more  
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ASIA E   Normal: motor and sensory ftn are normal  
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Created by: 2rabbits
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