Table 2.
12 Nuggets with minor modifications.
| # | Nugget Topic | Nugget Content (3rd ed.) |
|---|---|---|
| 1. | Epidemiology of SCI | Be aware of the most important health risks for patients with spinal cord injuries. |
| 2. | Screening for cardiovascular risk | Screen for cardiovascular risk factors at least annually. |
| 3. | Management of cardiovascular risk | Manage cardiovascular risk among patients with SCI as you would a high-risk ambulatory patient. |
| 4. | Autonomic dysreflexia | Alert patients with SCI at T6 & above to the risks of AD, and the need for urgent treatment at the onset of an episode. |
| 5. | Assessment of pain in SCI patients | Distinguish between neuropathic and musculoskeletal pain in your patient with SCI, and monitor pain regularly. |
| 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. |
| 9. | Evaluation of bowel management program | A step-wise approach to bowel management is recommended, with the involvement of SCI specialist as needed. |
| 12. | Routine monitoring of neurogenic bladder | Bladder function should be reviewed annually by the family physician, and periodically by a urologist. |
| 16. | Prevention of skin breakdown | Assess for risk of pressure injuries using the Braden Scale, and refer to rehabilitation specialist if high risk. |
| 18. | Depression and SCI | Screen for depression annually in patients with SCI, using the PHQ-9 or PHQ-2, and treat at standard guideline levels. |
| 19. | Sexuality in SCI | Sexual activity, sexual function and reproductive issues should be addressed as part of an annual examination. |
“#” represents number.