earwax impaction

Earwax, although it seems annoying and unnecessary, serves an important function: it protects ears with both lubricating and antibacterial properties. Earwax (cerumen) is a combination of secretions from the sebaceous glands and the ceruminous glands and it typically moves naturally through the ear canal to the outside of the ear where it flakes off. If…

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For mobility-impaired patients, the risk of skin conditions such as pressure injuries and incontinence-associated dermatitis (IAD) increases. Incontinent patients have a 22% higher risk of developing pressure injuries. For the mobility-impared, the risk increases to 30%.  It’s essential for healthcare providers and facilities to have an evidence-based skin care protocol, as well as effective bowel…

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Kids during physical rehab each working with their physical therapist at the clinic

Spina Bifida Guidelines: Journal of Pediatric Rehabilitation Medicine The Journal of Pediatric Rehabilitation Medicine: An Interdisciplinary Approach recently released new guidelines for care and management of people with Spina Bifida. Download complimentary PDF copies of the guidelines by clicking the guidelines buttons below (PDF will open in a new tab). Urologic Guidelines Mental Health Guidelines…

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Pain medications are widely used for treatment of both chronic and acute pain, but they come with a common side effect: constipation. There are several variables that determine the severity of constipation and need to monitor dosage including age, comorbid conditions, drug interactions, and genetics. Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), acetaminophen and opioid pain medications are…

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Constipation is a common ailment for long-term care (LTC) patients, and laxatives are the most prescribed medications by LTC facilities. In the elderly long-term care population, up to 74% of patients receive at least one laxative per day. Over the age of 65, the number of LTC patients dealing with constipation is estimated to be…

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areflexic bowel management

To ensure high quality care, it is critical that healthcare providers are familiar with effective bowel care protocol(s) for inpatient and/or home care environments. An ineffective bowel care protocol and secondary complications from constipation and incontinence, may result in reduced patient quality of life, as well as significant facility fiscal overages. Effective bowel care protocols…

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avoiding blood clots

People with spinal cord injury (SCI) are at particular risk for blood clots and deep vein thrombosis (DVT). Risk is often higher in the days and weeks following injury, usually during a stay at an acute care hospital or other facility. One study showed that 43% of people with a spinal cord injury had a…

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