This comprehensive guide to the practice of SCI nursing and
authoritative resource for all nurses in the field was developed
under the auspices of the Eastern Paralyzed Veterans Association
(EPVA) in collaboration with the American Association of Spinal
Cord Injury Nurses (AASCIN), the only nursing organization devoted
exclusively to promoting excellence in meeting the nursing care
needs of individuals with SCI. It was designed to meet the needs of
nurses with varying years of experience in the specialty, working
in a variety of roles and practice settings.
The organizing framework for this Core Curriculum comprises six
- "Background Information for Nursing Practice Related to Spinal
Cord Impairment (SCI)" provides background information for SCI
nursing practice, including the philosophy, goals, and process of
SCI nursing practice, diversity in nursing practice roles and
settings, cultural issues, and collaboration in teams.
- "Foundation for Nursing Practice Related to SCI"provides the
practicing nurse with a foundation, including brief presentations
of anatomy and physiology of the spine and spinal cord and overview
of the consequences of SCI, including special issues related to
pediatric SCI care. Guidelines are provided for comprehensive
- "Functional Alterations: Physical Domain " addresses the myriad
physical functional alterations that occur with SCI because
improving function and promoting independence are primary goals of
rehabilitation. These functional alterations are organized around
- "Functional Alterations: Personal Domain" continues the focus
on functional alterations but emphasizes the
psychological/psychosocial domain rather than the physical domain.
Topics include sexuality and reproduction, body image, family,
stress and coping, and activity and exercise.
- "Trajectory of SCI Nursing Care" provides a trajectory of
nursing care throughout the care continuum realizing that
rehabilitation is an ongoing process which begins at the onset of
impairment and extends throughout the entire episode of SCI and
across the life span. Beginning with prevention of the initial
injury, this section also includes trauma care, critical care,
acute rehabilitation, caregiver training and support, community
reintegration and independent living, the prevention and management
of secondary disabilities, and issues related to aging with a
- "Shaping SCI Nursing Practice" addresses topics that shape
professional practice of nurses in this specialty field, including
improvement and outcome evaluation and research priorities.
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