G - COMMUNITY-BASED REHABILITATION
G.1.1
Clinicians should conduct regular and accessible interdisciplinary follow-up to determine progress towards functional goals. (CAN-SCIP 2020; Level C)
G.1.2
Clinicians should assist individuals with SCI to establish a mechanism for regular performance of sitting support surfaces assessment specific to pressure injury prevention and treatment.
Schedule reassessment at least every two years, or sooner if any of the following occur:
- health status changes, including weight or medical changes
- changes in functional status
- equipment wear or disrepair
- pressure injury development
- changes in living situation.
G.1.3
Replace seating equipment and support surfaces according to manufacturer’s recommendations, or assessment by an assistive technology specialist or occupational therapisy, if equipment demonstrates any signs of deterioration, including but not limited to wear, cracking, and allowing bottoming out. (PU-ONF 2013, p.127; Level C)
G.2.1
Personal support workers providing care to individuals with SCI should receive education about SCI with online or in-person training on best practices at a minimum. Individuals with SCI should be provided with education on how to direct their own care. (CAN-SCIP 2020; Level C)
G.2.2
Individuals with SCI should have timely access to local peer support services and community-based programs to increase the quality of life and community participation after injury across their lifespan. (CAN-SCIP 2020; Level C)
G.2.3
Family and caregivers should be screened at follow-up for evidence of excess stress and burnout and provided with support as needed. (CAN-SCIP 2020; Level C)