Conclusion
Trieschmann (1987) highlighted the issue of ageing with a
disability as a new phenomenon, and one for which the
current healthcare system has not planned. As figures for spinal
injuries grow annually, and successful recovery and
rehabilitation improve, so will the need to provide the
continued support necessary to assist patients as they age. Spinal
injuries rehabilitation units were initially built to address the
acute and rehabilitation phase for these individuals with limited
consideration regarding their ongoing management into 'old
age'. Although it may not be possible or appropriate to admit
some referrals to the unit, it is reasonable that a specialist centre
is able to support, advise and educate in their management.
The development of a nurse-led outpatient service has
demonstrated not only the effectiveness of this additional
service but also the value ofthe role ofthe specialist nurse.
The National Service Framework (NSF) for individuals with
neurological conditions is yet to be published, despite its nonspecific
target date of late 2004. At the time of writing this
article there were no positive indicators that it would arrive
before the year closes.The areas to be addressed within the NSF
are as follows: person-centred care; lifelong access to specialist
care; rehabilitation, adjustment and social reintegration;
supported independent living; and pulling services together. If
the vision for the fliture is for nursing roles to be aligned with the
needs of the patient, then a nurse-led spinal injuries cUnic may
provide an effective route to address some of these key areas.
ConclusionTrieschmann (1987) highlighted the issue of ageing with adisability as a new phenomenon, and one for which thecurrent healthcare system has not planned. As figures for spinalinjuries grow annually, and successful recovery andrehabilitation improve, so will the need to provide thecontinued support necessary to assist patients as they age. Spinalinjuries rehabilitation units were initially built to address theacute and rehabilitation phase for these individuals with limitedconsideration regarding their ongoing management into 'oldage'. Although it may not be possible or appropriate to admitsome referrals to the unit, it is reasonable that a specialist centreis able to support, advise and educate in their management.The development of a nurse-led outpatient service hasdemonstrated not only the effectiveness of this additionalservice but also the value ofthe role ofthe specialist nurse.The National Service Framework (NSF) for individuals withneurological conditions is yet to be published, despite its nonspecifictarget date of late 2004. At the time of writing thisarticle there were no positive indicators that it would arrivebefore the year closes.The areas to be addressed within the NSFare as follows: person-centred care; lifelong access to specialistcare; rehabilitation, adjustment and social reintegration;supported independent living; and pulling services together. Ifthe vision for the fliture is for nursing roles to be aligned with theneeds of the patient, then a nurse-led spinal injuries cUnic mayprovide an effective route to address some of these key areas.
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