THE FIRST MONTH POST INJURY


The first days and weeks after becoming paralyzed are by far the most difficult as well as the most terrifying. You have a hundred questions and concerns. You just want to go home. When you can do that depends upon the severity of your injury. Most complete quads stay in acute care for an average of 3 weeks, followed by rehab for a couple months. 


Right now your priority is staying alive. That means fighting to keep your spirits up and letting the health professionals do their jobs.


These items will be the most critical in the earliest days . . .


You may experience sudden sweating above the level of injury, accompanied by a sudden pounding headache or rapid heartbeat and feelings of panic. The autonomic nervous system controls things you don't have to think about, like heart rate, breathing, and digestion. Autonomic Dysreflexia indicates over-activity of that system. It means something is...

Taking care of your skin has to be a daily priority from the very beginning. Prolonged pressure on the skin damages underlying tissue, especially on the bony parts of your body where you don't have a lot of skin: heels, ankles, elbows, hips, shoulder blades, and the tailbone.

Regardless of level, in the beginning it may be difficult to breathe because the muscles that are responsible for breathing and coughing may not function or only partially function. It is not uncommon to be intubated or undergo a tracheostomy, so breathing with the help of a ventilator is possible.

You may see a speech-language pathologist for assessments of swallowing, motor speech, and voice. Voice impairment is secondary to poor respiratory support. Your syllables per breath, pitch control, vocal intensity and vocal quality may be impaired. The length of phrases that you can articulate may be shortened.

In the beginning the challenges ahead look daunting. The questions keep you up at night and evade you when the whitecoats suddenly appear only to disappear again. Intensive Care Unit staff and skilled nursing facility CNA's don't have answers for you. A good inpatient rehabilitation program does.

For many complete quadriplegics the next stop after the ICU is a skilled nursing facility. You may need to continue trying to wean from the ventilator and aren’t strong enough for rehabilitation services yet, but care isn’t so critical you need to remain in intensive care.

This is the hardest part: trapped in a body that no longer responds when we command it to move. We are institutionalized, and probably don’t have our most essential loved ones around at all times because the world is still turning even though now we’re lying still.

 We are clinging to life, surviving, breathing, even if it takes machines to do it. Trust the worst is soon behind you. The journey ahead is tough, but surviving up to this point is half the battle. Take your recovery one day at a time. Life is still out there waiting for you.

Jump Start
 
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EXPLORE THE LINK BELOW TO UNDERSTAND MORE ABOUT WHAT YOU'LL LEARN IN REHAB

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