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The impact of personal and environmental factors on the rehabilitation of persons with neglected spinal cord injury in Malaysia
Managing neglected spinal cord injury (SCI) patients in a rural setting can be challenging due to a lack of resources and the unique personal and environmental contextual factors that may hinder rehabilitation. This article aims to identify the contextual factors and their impact on successful rehab...
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| Published in: | Spinal cord series and cases 2019-01, Vol.5 (1), p.10-10, Article 10 |
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| container_title | Spinal cord series and cases |
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| creator | Hanapi, Nor Hanim Mohamad Zainin, Ehsan Syukri Aziz, Mohd Harith Abdul Darus, Daryani |
| description | Managing neglected spinal cord injury (SCI) patients in a rural setting can be challenging due to a lack of resources and the unique personal and environmental contextual factors that may hinder rehabilitation. This article aims to identify the contextual factors and their impact on successful rehabilitation.
A middle-aged man from a rural area had suffered a neglected traumatic SCI and was first seen by the rehabilitation team 17 years post injury. He had a T7 AIS A paraplegia and was bedridden with multiple secondary complications. He was admitted with goals of optimizing his health, initiating basic spinal rehabilitation and improving his functional status. By 1 month, the patient made gradual improvement of his mobility and ADL but requested discharge despite not having achieved his rehab goals. We identified the factors that contributed to his poor motivation to be more functionally independent. Personal factors include poor educational level, his background personality and erratic health-seeking behaviour. Environmental factors included poor family and financial support, physical barriers, lack of work opportunities and facilities for people with disability, poor community support and acceptance and poor healthcare facilities and expertise.
The patient's personal and environmental factors affected the delivery of SCI management, spinal rehabilitation and management of secondary comorbidities. Awareness of early spinal rehabilitation among the rural community and healthcare authorities is crucial to promote better implementation of policies, services or programs to support people with SCI. |
| doi_str_mv | 10.1038/s41394-019-0154-3 |
| format | article |
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A middle-aged man from a rural area had suffered a neglected traumatic SCI and was first seen by the rehabilitation team 17 years post injury. He had a T7 AIS A paraplegia and was bedridden with multiple secondary complications. He was admitted with goals of optimizing his health, initiating basic spinal rehabilitation and improving his functional status. By 1 month, the patient made gradual improvement of his mobility and ADL but requested discharge despite not having achieved his rehab goals. We identified the factors that contributed to his poor motivation to be more functionally independent. Personal factors include poor educational level, his background personality and erratic health-seeking behaviour. Environmental factors included poor family and financial support, physical barriers, lack of work opportunities and facilities for people with disability, poor community support and acceptance and poor healthcare facilities and expertise.
The patient's personal and environmental factors affected the delivery of SCI management, spinal rehabilitation and management of secondary comorbidities. Awareness of early spinal rehabilitation among the rural community and healthcare authorities is crucial to promote better implementation of policies, services or programs to support people with SCI.</description><identifier>ISSN: 2058-6124</identifier><identifier>EISSN: 2058-6124</identifier><identifier>DOI: 10.1038/s41394-019-0154-3</identifier><identifier>PMID: 30701087</identifier><language>eng</language><publisher>England: Nature Publishing Group</publisher><subject>Accidental Falls ; Activities of Daily Living ; Case Report ; Economic Status ; Educational Status ; Health Services Accessibility ; Humans ; Malaysia ; Male ; Middle Aged ; Motivation ; Paraplegia - complications ; Paraplegia - rehabilitation ; Patient Acceptance of Health Care ; Pressure Ulcer - etiology ; Rehabilitation ; Renal Insufficiency, Chronic - etiology ; Rural areas ; Social Support ; Spinal cord injuries ; Spinal Cord Injuries - complications ; Spinal Cord Injuries - rehabilitation ; Thoracic Vertebrae</subject><ispartof>Spinal cord series and cases, 2019-01, Vol.5 (1), p.10-10, Article 10</ispartof><rights>2019© International Spinal Cord Society 2019</rights><rights>International Spinal Cord Society 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c427t-450873be1e0c7c28c129b852bb7666890c1460e50a2c3f13479c26df7e06face3</citedby><cites>FETCH-LOGICAL-c427t-450873be1e0c7c28c129b852bb7666890c1460e50a2c3f13479c26df7e06face3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6349868/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6349868/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,733,786,790,891,27957,27958,53827,53829</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30701087$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hanapi, Nor Hanim Mohamad</creatorcontrib><creatorcontrib>Zainin, Ehsan Syukri</creatorcontrib><creatorcontrib>Aziz, Mohd Harith Abdul</creatorcontrib><creatorcontrib>Darus, Daryani</creatorcontrib><title>The impact of personal and environmental factors on the rehabilitation of persons with neglected spinal cord injury in Malaysia</title><title>Spinal cord series and cases</title><addtitle>Spinal Cord Ser Cases</addtitle><description>Managing neglected spinal cord injury (SCI) patients in a rural setting can be challenging due to a lack of resources and the unique personal and environmental contextual factors that may hinder rehabilitation. This article aims to identify the contextual factors and their impact on successful rehabilitation.
A middle-aged man from a rural area had suffered a neglected traumatic SCI and was first seen by the rehabilitation team 17 years post injury. He had a T7 AIS A paraplegia and was bedridden with multiple secondary complications. He was admitted with goals of optimizing his health, initiating basic spinal rehabilitation and improving his functional status. By 1 month, the patient made gradual improvement of his mobility and ADL but requested discharge despite not having achieved his rehab goals. We identified the factors that contributed to his poor motivation to be more functionally independent. Personal factors include poor educational level, his background personality and erratic health-seeking behaviour. Environmental factors included poor family and financial support, physical barriers, lack of work opportunities and facilities for people with disability, poor community support and acceptance and poor healthcare facilities and expertise.
The patient's personal and environmental factors affected the delivery of SCI management, spinal rehabilitation and management of secondary comorbidities. Awareness of early spinal rehabilitation among the rural community and healthcare authorities is crucial to promote better implementation of policies, services or programs to support people with SCI.</description><subject>Accidental Falls</subject><subject>Activities of Daily Living</subject><subject>Case Report</subject><subject>Economic Status</subject><subject>Educational Status</subject><subject>Health Services Accessibility</subject><subject>Humans</subject><subject>Malaysia</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Motivation</subject><subject>Paraplegia - complications</subject><subject>Paraplegia - rehabilitation</subject><subject>Patient Acceptance of Health Care</subject><subject>Pressure Ulcer - etiology</subject><subject>Rehabilitation</subject><subject>Renal Insufficiency, Chronic - etiology</subject><subject>Rural areas</subject><subject>Social Support</subject><subject>Spinal cord injuries</subject><subject>Spinal Cord Injuries - complications</subject><subject>Spinal Cord Injuries - rehabilitation</subject><subject>Thoracic Vertebrae</subject><issn>2058-6124</issn><issn>2058-6124</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNpdUU1rFTEUDWKxpe0PcCMBN25G8zXJZCNIsSpU3NR1yGTu9OUxk4xJpuWt_OvN89VHFRLu5eacw7k5CL2m5D0lvPuQBeVaNITqelvR8BfojJG2ayRl4uWz_hRd5rwlhFCpqFbtK3TKiSKUdOoM_b7dAPbzYl3BccQLpByDnbANA4Zw71MMM4RSJ2OFxJRxDLhUToKN7f3kiy2-jo7cjB982eAAdxO4AgPOi98LupgG7MN2Tbta8Hc72V329gKdjHbKcPlUz9HP68-3V1-bmx9fvl19ummcYKo0oq1ueQ8UiFOOdY4y3Xct63slpew0cVRIAi2xzPGRcqG0Y3IYFRBZjQM_Rx8PusvazzC4ulOyk1mSn23amWi9-fcl-I25i_dGcqE72VWBd08CKf5aIRcz--xgmmyAuGbDqNJCC85lhb79D7qNa6qf8AdVT6soryh6QLkUc04wHs1QYvYJm0PCpiZs9gmbPefN8y2OjL958kcF4KNy</recordid><startdate>20190128</startdate><enddate>20190128</enddate><creator>Hanapi, Nor Hanim Mohamad</creator><creator>Zainin, Ehsan Syukri</creator><creator>Aziz, Mohd Harith Abdul</creator><creator>Darus, Daryani</creator><general>Nature Publishing Group</general><general>Nature Publishing Group UK</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20190128</creationdate><title>The impact of personal and environmental factors on the rehabilitation of persons with neglected spinal cord injury in Malaysia</title><author>Hanapi, Nor Hanim Mohamad ; Zainin, Ehsan Syukri ; Aziz, Mohd Harith Abdul ; Darus, Daryani</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c427t-450873be1e0c7c28c129b852bb7666890c1460e50a2c3f13479c26df7e06face3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Accidental Falls</topic><topic>Activities of Daily Living</topic><topic>Case Report</topic><topic>Economic Status</topic><topic>Educational Status</topic><topic>Health Services Accessibility</topic><topic>Humans</topic><topic>Malaysia</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Motivation</topic><topic>Paraplegia - complications</topic><topic>Paraplegia - rehabilitation</topic><topic>Patient Acceptance of Health Care</topic><topic>Pressure Ulcer - etiology</topic><topic>Rehabilitation</topic><topic>Renal Insufficiency, Chronic - etiology</topic><topic>Rural areas</topic><topic>Social Support</topic><topic>Spinal cord injuries</topic><topic>Spinal Cord Injuries - complications</topic><topic>Spinal Cord Injuries - rehabilitation</topic><topic>Thoracic Vertebrae</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hanapi, Nor Hanim Mohamad</creatorcontrib><creatorcontrib>Zainin, Ehsan Syukri</creatorcontrib><creatorcontrib>Aziz, Mohd Harith Abdul</creatorcontrib><creatorcontrib>Darus, Daryani</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Spinal cord series and cases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hanapi, Nor Hanim Mohamad</au><au>Zainin, Ehsan Syukri</au><au>Aziz, Mohd Harith Abdul</au><au>Darus, Daryani</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of personal and environmental factors on the rehabilitation of persons with neglected spinal cord injury in Malaysia</atitle><jtitle>Spinal cord series and cases</jtitle><addtitle>Spinal Cord Ser Cases</addtitle><date>2019-01-28</date><risdate>2019</risdate><volume>5</volume><issue>1</issue><spage>10</spage><epage>10</epage><pages>10-10</pages><artnum>10</artnum><issn>2058-6124</issn><eissn>2058-6124</eissn><notes>ObjectType-Case Study-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-4</notes><notes>content type line 23</notes><notes>ObjectType-Report-1</notes><notes>ObjectType-Article-3</notes><abstract>Managing neglected spinal cord injury (SCI) patients in a rural setting can be challenging due to a lack of resources and the unique personal and environmental contextual factors that may hinder rehabilitation. This article aims to identify the contextual factors and their impact on successful rehabilitation.
A middle-aged man from a rural area had suffered a neglected traumatic SCI and was first seen by the rehabilitation team 17 years post injury. He had a T7 AIS A paraplegia and was bedridden with multiple secondary complications. He was admitted with goals of optimizing his health, initiating basic spinal rehabilitation and improving his functional status. By 1 month, the patient made gradual improvement of his mobility and ADL but requested discharge despite not having achieved his rehab goals. We identified the factors that contributed to his poor motivation to be more functionally independent. Personal factors include poor educational level, his background personality and erratic health-seeking behaviour. Environmental factors included poor family and financial support, physical barriers, lack of work opportunities and facilities for people with disability, poor community support and acceptance and poor healthcare facilities and expertise.
The patient's personal and environmental factors affected the delivery of SCI management, spinal rehabilitation and management of secondary comorbidities. Awareness of early spinal rehabilitation among the rural community and healthcare authorities is crucial to promote better implementation of policies, services or programs to support people with SCI.</abstract><cop>England</cop><pub>Nature Publishing Group</pub><pmid>30701087</pmid><doi>10.1038/s41394-019-0154-3</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 2058-6124 |
| ispartof | Spinal cord series and cases, 2019-01, Vol.5 (1), p.10-10, Article 10 |
| issn | 2058-6124 2058-6124 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6349868 |
| source | PubMed Central; Alma/SFX Local Collection |
| subjects | Accidental Falls Activities of Daily Living Case Report Economic Status Educational Status Health Services Accessibility Humans Malaysia Male Middle Aged Motivation Paraplegia - complications Paraplegia - rehabilitation Patient Acceptance of Health Care Pressure Ulcer - etiology Rehabilitation Renal Insufficiency, Chronic - etiology Rural areas Social Support Spinal cord injuries Spinal Cord Injuries - complications Spinal Cord Injuries - rehabilitation Thoracic Vertebrae |
| title | The impact of personal and environmental factors on the rehabilitation of persons with neglected spinal cord injury in Malaysia |
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