
1. Epidemiology of Spinal Cord Injury
Be aware of the most important health risks for patients with spinal cord injuries

4. Autonomic Dysreflexia
Alert patients with SCI at T6 and above to the risks of Autonomic Dysreflexia, and the need for urgent attention at the onset of an episode

5. Assessment of Pain in SCI Patients
Screen for pain at every encounter, and distinguish between neuropathic and musculoskeletal or other non-neuropathic pain

7. Management of Musculoskeletal Pain
Chronic musculoskeletal pain requires an interdisciplinary approach, including rehabilitation, and in some cases, surgery

8. Annual Assessment of Neurogenic Bowel
Conduct an annual assessment of bowel function in patients with SCI

10. Diet and Fluid Management in Neurogenic Bowel
Refer SCI patients with persistent constipation to a specialist with experience with spinal cord injury or neurogenic bowel

11. Screening for Colorectal Cancer in SCI Patients
Initiate colorectal cancer screening for patients with SCI using the same principles as those for the general population

13. Recognizing Urinary Tract Infections in SCi Patients
Diagnoses of UTI in SCI requires three criteria: (1) significant bacteriuria; (2 pyuria; AND (3) signs and symptoms

14. Pharmacological Management of UTI in SCI
Recurrent UTIs should be treated as complicated infections. Treatment must be customized to the patient and infecting organism

16. Prevention of Skin Breakdown
Assess for risk of pressure injuries using the Braden Scale, and refer to rehabilitation specialist if high risk (Score < 12)

17. Treatment of Skin Breakdown
Treat Stage I or II wounds with standard wound care. Treat Stage III or IV wounds with specialist/surgical intervention

19. Sexuality in SCI
A systematic approach is recommended for addressing sexual activity, sexual function and reproductive issues as part of an annual examination