Skip to main content
SpringerLink
Log in

Management of high lesions

  • Chapter
Spinal Cord Injury Rehabilitation

Part of the book series: Therapy in Practice Series ((TPS))

Abstract

Brian Clark’s brilliant and insightful play, Whose life is it anyway? (1978) surrounds a former sculptor, currently a C4 quadriplegic, who questions whether a life of complete physical dependency and inactivity can have any value, quality or pleasure. He elects to die rather than have an active brain and no opportunities for that brain to direct anything.

If a society has the technology to keep this patient alive, then it must consider the human being and adapt its technology to respect the dignity of the life it has saved.

(Burnham and Werner, 1979)

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Bach, J.R. (1991) Alternative methods of ventilatory support for the patient with ventilatory failure due to spinal cord injury Journal of the American Paraplegia Society, 14(4), 158–74.

    PubMed  CAS  Google Scholar 

  • Batavia, A.I. (1987) Blowdarts. Paraplegia News, October, p. 43.

    Google Scholar 

  • Brownlee, S. and Williams, S. (1987) Physiotherapy in the respiratory care of patients with high spinal injury Physiotherapy, 73(3), 148–52.

    Google Scholar 

  • Burnham, L. and Werner, G. (1979) The high level tetraplegie: psychological survival and adjustment. International Journal of Paraplegia, 16, 184–92.

    Article  Google Scholar 

  • CAOT (1991) Occupational Therapy Guidelines for Client Centred Intervention, Canadian Association of Occupational Therapists and Health Services Directorate, Health Services Promotion Branch, Health and Welfare Canada, Toronto, Ont., p. 140.

    Google Scholar 

  • Carter, R.E. (1989) Available respiratory options, in Management of High Quadriplegia, (eds G.G. Whiteneck, C. Adler, R.E. Carter et al.) Demos, New York, NY, pp. 149–72.

    Google Scholar 

  • Clark, B. (1978) Whose Life is it Anyway? Amber Lane Press, Charlbury, Oxford.

    Google Scholar 

  • Clough, P., Lindenhaur, D., Hayes, J. and Zekarny, B. (1986) Guidelines for routine respiratory care of patients with spinal cord injury. Physical Therapy, 66(9), 1395–402.

    PubMed  CAS  Google Scholar 

  • Colgan, M. (1989) Breathing Easy: a Guide for Ventilator Dependent Individuals Moving into the Community, Independent Living Resource Centre, Winnipeg, Man.

    Google Scholar 

  • Dickey, R. and Shealey, S.H. (1987) Using technology to control the environment. American Journal of Occupational Therapy, 41(11), 717–21.

    Article  PubMed  CAS  Google Scholar 

  • DiPasquale, P. (1986) Exhaler class — a multidisciplinary program for high quadriplegic patients. American Journal of Occupational Therapy, 40(7), 482–510.

    Article  PubMed  CAS  Google Scholar 

  • Gilinsky, G. and McIntyre, J. (1989) Occupational and physical therapy, in Management of High Quadriplegia, (eds G.G. Whiteneck, C. Adler, R.E. Carter et al.), Demos, New York, NY, pp. 198–200.

    Google Scholar 

  • Glass, C. A. (1993) The impact of home based ventilator dependence on family life. Paraplegia, 31, 93–101.

    Article  PubMed  CAS  Google Scholar 

  • Kielhofner, G. (1993) Functional assessment: toward a dialectical view of person-environment relations. American Journal of Occupational Therapy, 47(3), 248–51.

    Article  PubMed  CAS  Google Scholar 

  • Kirby, N. (1989) The individual with high quadriplegia. Nursing Clinics of North America, 24(1), 179–91.

    PubMed  CAS  Google Scholar 

  • Krishnan, K.R. and Watt, J.W.H. (1993) Ventilator dependence and high tetraplegia (editorial). Paraplegia, 31(3), 141–2.

    Article  PubMed  CAS  Google Scholar 

  • Lathem, P., Gregorio, T. and Garber, S.L. (1985) High level quadriplegia — an occupational therapy challenge. American Journal of Occupational Therapy, 39(11), 705–14.

    Article  PubMed  CAS  Google Scholar 

  • Laurie, G., Headley, J.L. and Mudrovic, W.M. (1989) Rehabilitation into Independent Living, Gazette International Networking Institute, St Louis, MO.

    Google Scholar 

  • Law, M., Baptiste, S., Carswell-Opzoomer, A. et al. (1991) Canadian Occupational Performance Measure, Canadian Association of Occupational Therapists, Toronto, Ont.

    Google Scholar 

  • Leder, S.B. (1990a) Importance of verbal communication for the ventilator dependent patient (editorial). Chest, 98(4), 792–3.

    Article  PubMed  CAS  Google Scholar 

  • Leder, S.B. (1990b) Verbal communication for the ventilator-dependent patient: voice intensity with the Portex ‘Talk’ tracheostomy tube Laryngoscope, 100, 1116–21.

    Article  PubMed  CAS  Google Scholar 

  • Malik, M. (1979) Manual on Static Hand Splinting, Harmarville Rehabilitation Center, Pittsburgh, PA.

    Google Scholar 

  • Menter, R. (1989) Introduction to high quadriplegia care, in Management of High Quadriplegia (eds G.G. Whiteneck, C. Adler, R.E. Carter et al.) Demos, New York, NY, p. 2.

    Google Scholar 

  • Polatajko, H.J. (1992) Naming and framing occupational therapy: a lecture dedicated to the life of Nancy B. Canadian Journal of Occupational Therapy, 59(4), 189–200.

    Article  CAS  Google Scholar 

  • Roye, W.P., Dunn, E.L. and Moody, J.A. (1988) Cervical spinal cord injury — a public catastrophe. The Journal of Trauma, 28(8), 1260–3.

    Article  PubMed  Google Scholar 

  • Smith, R. (1989) Mouthstick design for the client with spinal cord injury. American Journal of Occupational Therapy, 43(4), 251–5.

    Article  PubMed  CAS  Google Scholar 

  • Thenn, J.E. (1975) Mobile Arm Supports. Installation and Use: a Guide for the Occupational Therapist, Fred Sammons, Brookfield, IL.

    Google Scholar 

  • Trombly, C. A. (1983) Occupational Therapy for Physical Dysfunction, 2nd edn, Williams and Wilkins, Baltimore, MD, pp. 273–80.

    Google Scholar 

  • Whalley, K.R. (1981) Feeder arm for a quadriplegic patient. Canadian Journal of Occupational Therapy, 48(5), 223–7.

    Article  Google Scholar 

  • Whalley Hammell, K.R. (1991) Occupational therapy in the management of high level quadriplegia. British Journal of Occupational Therapy 54(9) 333–40.

    Google Scholar 

  • Wilson, D.J., McKenzie, M.W. and Barber, L.M. (1974) Spinal Cord Injury: a Treatment Guide for Occupational Therapists, Charles B Slack, Thorofare, NJ, pp. 53–73.

    Google Scholar 

  • Zejdlik, C.P. (1992) Living with high quadriplegia, in Management of Spinal Cord Injury, 2nd edn, (ed. C.P. Zejdlik), Jones and Bartlett, Boston, MA, pp. 257–303.

    Google Scholar 

Further Reading

  • Bromley, I. (1991) Tetraplegia and Paraplegia: a Guide for Physiotherapists, 4th edn, Churchill Livingstone, Edinburgh. (Excellent section on respiratory care).

    Google Scholar 

  • Budning, B.C. and Hall, M. (1990) A practical mouth stick for early intervention with quadriparetic patients Journal of Canadian Dental Association, 56(3), 243–4.

    CAS  Google Scholar 

  • Colgan, M. (1989) Breathing Easy: a Guide for Ventilator Dependent Individuals Moving into the Community, Independent Living Resource Centre, Winnipeg, Man. (Canadian resource, providing information regarding various independent living options and models of care delivery).

    Google Scholar 

  • Colgan, M. (1992) Breathing Support Options: a Consumer Perspective, Independent Living Resource Centre, Winnipeg, Man. (Canadian consumers’ guide to invasive and non-invasive means of ventilatory support).

    Google Scholar 

  • Garber, S.L., Lathem, P. and Gregorio, T.L. (1988) Specialised Occupational Therapy for Persons with High Level Quadriplegia, The Institute for Rehabilitation and Research, Houston, TX.

    Google Scholar 

  • Laurie, G., Headley, J.L. and Mudrovic, W.M. (1989) Rehabilitation into Independent Living, Gazette International Networking Institute, (Rehabilitation Gazette, 29(1) and 29(2). This small book contains accounts of the lives of individuals who have used ventilators for many years).

    Google Scholar 

  • Smith, R. (1989) Mouth stick design for the client with spinal cord injury. American Journal of Occupational Therapy, 43(4), 251–5.

    Article  PubMed  CAS  Google Scholar 

  • (Excellent review of the literature concerning mouth sticks and an outline of the considerations for fabrication).

    Google Scholar 

  • Whiteneck, G., Adler, C, Carter, R.E. et al. (eds) (1989) The Management of High Quadriplegia. Vol. 1. Comprehensive Neurologic Rehabilitation, Demos, New York, NY.

    Google Scholar 

  • Zejdlik, C.P. (1992) Management of Spinal Cord Injury, 2nd edn, Jones and Bartlett, Boston, MA.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Oxbow, Saskatchewan, Canada

    Karen Whalley Hammell (Occupational Therapist)

Authors
  1. Karen Whalley Hammell
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

Âİ 1995 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Hammell, K.W. (1995). Management of high lesions. In: Spinal Cord Injury Rehabilitation. Therapy in Practice Series. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-4451-1_7

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-4451-1_7

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-412-47680-8

  • Online ISBN: 978-1-4899-4451-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation