Seminar-1-01-02
INTERRELATIONSHIPS AMONG STRESS, DEPRESSIVE SYMPTOMATOLOGY, AND DISABILITY FOR PEOPLE WITH SPINAL-CORD INJURY
Marcus J. Fuhrer, Diana Rintala, and Karen Hart (National Center for Medical Rehabilitation Research, Bethesda, Maryland, USA)
The authors have reported previously that among people with spinal cord injury who are living in the community, levels of depressive symptomatology are higher than for people in the general population. Additionally, levels for women with spinal cord injury are higher than for men. In accounting for similar findings for people with a diversity of disabling conditions, R. J. Turner and associates hypothesized that the depressive symptomatology is attributable to higher levels of psychological stress that, in turn, reflect the chronic psychological strain of coping on a daily basis with the penalties of disability. In that account, psychological stress was an intervening variable that had not been measured directly. Measures of psychological stress, depressive symptomatology, and disability were included in the present study in an effort to confirm the hypothesized relationships. Supporting the hypothesis, levels of psychological stress in a sample of 100 men and 40 women with spinal-cord injury were higher than for people in the general population. Also as hypothesized, the stress levels of women were higher than for men. However, stress levels did not covary with levels of disability.
Seminar- 1-02-01
D. L. Kaelin, M.D.
I. U.M.C. Indianapolis, IN. USA
DEEP VEIN THROMBOSIS IN THE REHABILITATION PATIENT
This symposium will review the existing literature on the incidence, effective diagnosis, and treatment of deep vein thrombosis in the rehabilitation population. Various methods of prophylaxis will be compared. Case studies will be discussed in order to formulate proposed algorithms of care. Objectives: At the end of this presentation the participant should be able to.....
1) Discuss the incidence, diagnosis and treatment of deep vein thrombosis in various rehabilitation patients.
2) Compare the effectiveness of pharmacological and non-pharmacological methods of DVT prophylaxis.
3) Formulate an algorithm of care for a specific rehabilitation patient.