SCI Updated Clinical Practice Guidelines: Autonomic Dysfunctions, Bone Health, and Mental Health Disorders-Session Presentation

Video Transcription

Video Summary

In this video, panelists discuss updates to the SCI clinical practice guidelines, specifically focusing on mental health disorders, autonomic dysfunctions, and bone health in spinal cord injury patients. The guidelines aim to address under-recognized and under-treated conditions in this population. The panelists highlight the process of developing the guidelines, the importance of interprofessional care teams, and the need for routine screening and valid measures to track progress. They discuss specific recommendations for managing mental health disorders, autonomic dysfunctions, and suicide risk in SCI patients, as well as considerations for comorbid conditions. The panelists also provide updates on the guidelines for autonomic dysreflexia, including a new algorithm and medication table, and emphasize the importance of education and communication in empowering patients. Another presenter focuses on the Bone Health and Osteoporosis Management Guidelines, discussing recommendations for bone density testing, vitamin D and calcium intake, exercise and rehabilitation interventions, and drug therapy. The guidelines emphasize the need for annual bone density testing and recommend bisphosphonates or denosumab for individuals with motor-complete injuries. The use of passive standing and functional electrical stimulation are also discussed as potential interventions for improving bone health. The panelist mentions the development of educational resources, including a podcast series and patient handouts, to help individuals understand and manage bone health and osteoporosis. Overall, the guidelines provide a comprehensive framework for clinicians to address these important aspects of care in spinal cord injury patients.

Keywords

SCI clinical practice guidelines

mental health disorders

autonomic dysfunctions

bone health

spinal cord injury patients

under-recognized conditions

interprofessional care teams

routine screening

valid measures

comorbid conditions

education and communication