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Care at the Close of Life: Evidence and Experience
Stephen J. McPhee, Margaret A. Winker, Michael W. Rabow, Steven Z. Pantilat, Amy J. Markowitz
Part B Symptom Management
Chapter 10. Spinal Cord Compression in Patients With Advanced Metastatic Cancer: “All I Care About Is Walking and Living My Life”
Janet L. Abrahm, MD, Michael B. Banffy, MD, Mitchel B. Harris, MD

Topics Discussed: rehabilitation, secondary malignant neoplasm of spine, spinal cord compression

Excerpt: " Rehabilitation is helpful whether the patient is treated with radiation, surgery, or both. Critical to the success of rehabilitation efforts is integration of patient and support group and family efforts with those of the multidisciplinary team. In rehabilitation units, paraplegic patients with bowel and bladder incontinence receive instruction in transfers, incentive spirometry, nutrition, bowel and bladder care, and skin care.108 Ambulatory patients receive strength and mobility training. Along with this improved strength, the multilevel fixation achieved by modern spinal instrumentation has made postoperative bracing optional109; it does not lead to a higher spinal fusion rate or improve pain relief...."
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